23D-014 (5) DEPTR OF BUILDING INSPECTIONS Z -� O
: .. BUILDING
: I! 212 Main Street 04
Northampton, MA 01060 PERMIT a
23D - 14 VALIDATION
DATE XX�MX May 3, 19 85 PERMIT NO. 227
APPLICANT Fred Mailloux ADDRESS 566 Elm Street Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (_) STORY One Family Home NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) URB
(LOCATION) 566 Elm Street ZONING
DIISTR CT TDB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Addition
l4,44
.14,,,A4,A.IS TO BE 10 FT. WIDE BY 22 FT. LONG BY - FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: peLu(it XX for a garage addition
AREA OR 220 Sr
i- fj ESTIMATED COST 1 000.00 FEEMIT 10.00
VOLUME (CUBIC/SOUANE FEET) $ }
OWNER Same as Applicant �
ADDRESS Same as Applicant B e P
_.Ct 1'
WHITE — FILE COPY . GREEN — FIELD COPY • CANARY — APPLICANT COPY • PINK ASSESSORS COPY PdINTSNP
boas • • CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES gg MASSACHUSETTS
is20.1;:;-e:t OFFICE of the INSPECTOR of BUILDINGS
DISTRICT Vow" y(� -
c `-'' w&.
�� � Page �3 J Plot /�' APPLICATION FOR
USE INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
FRONT YARD
• IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. 0
SIDE YARD SIDE YARD // f
I. AT (LOCATION) �6�r, __01 ST- ZONING
DISTRICT
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK _ SIZE
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D '.4
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
-.I
1 I I New building Residential Nonresidential
2*V1 Addition(If residential, enter number 12'One family 18 I- I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I Two or more family - Enter 19 I I Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use number of units- - - - -0. 20 I I Industrial
3 I I Alteration (See 2 above)
: 14 I I Transient hotel, motel, 21 I Parking garage
: 4 I I Repair, replacement or dormitory - Enter number
I IN: I o units - -i- 22 I I Service station, repair garage
_ � : 5 Wrecking (If multifamily residential, J
•a enter number of units in building in 15 I Garage 23 L__I Hospital, institutional
_ ._c_s c_ :'a•a•■•: : e: �_ Part D. 13) 16 I I Carport 24 I I Office, bank, professional
6 I I Moving (relocation)
measles auOOmem: •' 17I -Other - Specify 25 Public utility
■.!•••S= _ = 7 I I Foundation only 26 I School, library, other educational
essUen::a ear:::::::: = _•••= B. OWNERSHIP
(,-•-9.4-C R.. co-44LIZ-0.1_ 27 I I Stores, mercantile
L•!•== _ : : • 8 I Private (individual, corporation, J 28 I I Tanks, towers
r.i.
__ : nonprofit institution, etc.) 29[I Other - Specify
9 [ I Public (Federal, State, or
r8 local government)
: I = r C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food
r : : - processing plant, machine shop, laundry building at hospital, elementary
$ \ CO C) school, secondary school, college, parochial school, parking garage for,
Le: ) 10. Cost of improvement
department store, rental office building, office building at industrial plant.
emeeerenr•', _ To be installed but not included If use of existing building is being changed, enter proposed use.
r
in the above cost
:::::=L•■ a. Electrical 0 �(/ /� -f/��
••a■e.Neee: % � •• ` !` L^'��� /
• ■■
r. ::::::a •: ::: .. -- - _ .: %o•= ■• b. Plumbing
a _
■•erlee:::::■amee; :: • A. -
:::rrla :
. ee : r.•aa•e•••ae e•e!•e•e:::er• ••-•]
.21 i.e.:i.e.: LL:::�' :ii::::' -■■•ry c. Heating, air conditioning
__•_: :i :i::=:::5 Q ' d. Other (elevator, etc.)
_•!_=••••r•••••■■ !:::::11~:::L:: • _a ■ ., 11. TOTAL COST OF IMPROVEMENT $ l)6 0 a
_..•• l....I..N..:„::ris::LL:$L:::=:%:_:__ = III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
r....
:'__'_"'_ 'so�__•• • _ :•••e= _ _ rim: for wrecking, complete onlyPart J, for all others skipto IV.
:L.•!e••::L:LO•■O .er•::••L•: :: i :■� : 9r P
::MI::i :L:a = j•=••L;L;pL= : : ___ ! E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
••
I ::::::L•eL eee: : ri 30 I I Masonry (wall bearing) 40 I I Public or private company
:ai=:iH:m:I::s1: :. _1...„_:_ . : : : 31 1_ I Wood frame 41 n Private (septic tank, etc.) �• Total square feet of floor area,
��++ '`" all floors, based on exterior
• �l:er•L=:i::::::::■u i•i:•i •a! 3 =••_ I =•••'r = 32 I I Structural steel dimensions
::I::s ::.:.::.rs: r• : :••: : : 4
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
iii!• :••a! 50. Total land area, sq. ft.
:::::::: :::". : Zen•••:•i. =•:•:e::•::•e• l•: _. ::: : : 34 I I Other - Specify 42 I I Public or private company
sea ��! ' • f N' a•' �_
■ � :::�••■=e•er•�:MeiF46t•e'.II .i•re•N "»'.-.Fke•!e••:���==e•••••N•■••••••!!••■•e!`■SL•.•• �:� : i I I
:•lee_ •••:::I:L:L::• l:.....A as .ra Iti = •• . 43 Private (well, cistern) K. NUMBER OF OFF-STREET
_ O...s.aNr = I •: rje Z•�-= PARKING SPACES
Iselle a fi ......... ...:s as•s •!• • asommu . :_ ■.. :: :::N•= s::: :i
�:r•: _ !! ! i :■ a•' .•r�r•a •a •■ ■ 51. Enclosed
: •:I:::L eLeff•a•iN p :•:118a:: : '••: :' :'••iPi•••' •' ::••::::::::: re: : F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
. •s•is ! ssls: e:s libi s: •• er s■.sse::rs:s:� •s s
_�� •■r.e=�!•!=r0•■=! ••I:I::III:::�r:s•�ta. :••■:•S•:: : :::' L. ■ • ar'ei:: .... .. : •.. : S.••:•ee= :::::: 35 I Gos Will there be central air 52. Outdoors
:: �l L: lL::SLL:S •• iSSa ::lr•r ' ii " L••i: ••� L L•N■ •!• ■ii!• eg= • _• L •r':• !•s::aeli i•■•D
' . ;.a .... ...... ::L•:: :: :•Slt�•�sL�i ,;l�.r .:��.•• s•••s•11:::: eeee •. . • a:::::::sr:::= 36 I I Oil conditioning?
III?a .i== #:Ig:�::�: s:�• �• !! •• •3iiiiiiii •ii ii •i■: L.�"r�}�'�.•��� Sr■.:L•:r5■ =__ .4 = L. RESIDENTIAL BUILDINGS ONLY
:lli L•v::::■s1 iiiiii :LL:�IL=:Z:1:l: .11.e•i3' •!1 iiiii=ill=LL8:�ir:1:•::: ft■ ■ :1 ..e.. e■•.c 37 ri Electricity44 LJ Yes 45 I I No
. ' • NN • •• • • •'•e•'a•a • a • •• •••• ouo •. •oea• 53. Number of bedrooms
• + / }" _:::::r�:L Iri:�•.:■�•.■:••: I i_ •�i•pr•N•�.•.•• �'jj;yyp • ' .•pr!'L•"i ::9I�:ILi:•a: �i'�=r::=�:=L�'Lr';'�N• UN:::::L:'•: _ 38 I I Coal
.!e*•..t+. tg-HMIihn n na.■.•. ■11 •■aae I e• !I•eaL: :l� : :e:•::•!:••.:e■a3•
MEMIMIRs I:I:::i:::MU IM::tININIiMONIN'a■l_ --___:m:::::;11_;=: rn;utium u••'•'•Irfr::r's:Ills:;'.ii■! : _ 39 I I Other - Specify __ Will there be an elevator., Full
54. Number of
46 l_j Yes 47 I I No bathrooms
Partial
PRIMT •P
3
IV. IDENTI FICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
5y_y(y NOTES and Data — (For department use)
Owner or - .Cl- Li) . 0 s-l� << E l_ ,� I 5
Lessee
f 1/4
Builder's
2. License No. .
Contractor t l L'
3.
Architect or —
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
--
1 DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number 71
Bui Iding. Use Group
Permit issued 19
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro •
Drain Tile $ +
Plan Review Fee $
TITLE