23D-068 (3) DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY
I-
212 MAIN STREET Z0
NORTHAMPTON, MA. 01060 BUILDING Qa
23D - 68 Code #79 PERMIT VALIDATION
DATE FPhroary 6, 19 80 PERMIT NO. 63
APPLICANT Ron Hadley ADDRESS 38 Harlow Ave. , N*ton.
NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF PERMIT TO Alteration (_2_) STORY Bathroom Close* DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 30 Warner DISTRICT UBB
(NO.) (STREET)
. BETWEEN AND
* (CROSS STREET) (CROSS STREET)
a
a OT
co SUBDIVISION 0 BLOCK
a
O 2 u BUILDING IS TO BE FT. WIDE BY T. NG BY T. IGH. AND SHAL ONFOR „IN CONSTRUCTION
m
C.
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E (TYPE)
0'
L REMARKS: Interior alterations - alter or add bathroom, closet, add door
AREA OR $ PERMIT
VOLUME ESTIMATED COST '900.00 FEE 10.00
(CUBIC/SQUARE FEET)
// ---. _I
OWNER Tom Roose
BUI � EPT
ADDRESS 3 Warner Street, Northampton, Ma. B '
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY ___ TITLE
DATE 19 .
DEPARTMENT or BUILDING INSPECTIONS
212 MAIN CERTIFICATE ISSUED
DATE
-i NORTHAMPTON, MA. 01060
BUILDING PERMIT -
23D - 48 Code '9
CERTIFICATE OF OCCUPANCY
DATE_rebnit&II .19 SO PERMIT NO. 63
APPLICANT Ror Hadley ADDRESS b. 1laiiot.:. T T), ;Wu•
N ) ( TR (CONTR'S LICENSE)
NUMBER OF
PERMIT TO AltPratl Q{i ( 7 ) STORY Uthroroj, closet DWELLING UNITS j,
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ryy�y
ZONING
AT (LOCATION) 30 Warrior _ DISTRICT tag
(NO.) (STREET)
a+ BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
0
LOT
°' SUBDIVISION LOT BLOCK SIZE
m
a
U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
Ir •�.
a. REMARKS: Interior alterations - alter or add bathroom, closet, add door
AREA OR ;II)I .III) 111111 •;IIIII ;INI :Il�u7 y� ;I lyu� ,p;I�I�U7 ;Ilu ;hill .ull y
VOLUME ' 7 'E1 • E1 ;T1 ' 7.`' 1 i1'it ,r1 �I T1 7 Nal • 7 ,1 1 1117i ?1
(CUBIC/SQUARE FEET) ;1111 ;1111 '1111 ;1111 ;1111 ;1111 :11111 :1111 31111 :1111 •1111 :1111 ;1111 ;1111
drel col"TI core;core;core;A`1'111dfT11OT,T1 OetTI R7C:TI c,,1Tl tp•RTI,0,E-71Y7LT1¢rel A'cTI A'
OWNER Tom Rose i. TO BE POSTED ON PREMISE$/
SEA:= E DE FOR coND'1d4ONs OF'tERTIFICATE
ADDRESS Isi II-- ''.". ''
•
DEPARTMENTAL APPROVAL FOR CERTIFICATE
l of OCCUPANCY and COMPLIANCE
r To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
VIII. ZONING PLAN EXAMINERS NOTES ,
CITY OF NORTHAMPTON
DISTRICT U /C j OFFICE OF THE 212 INSPE SOREOF BUILDINGS ET APPLICATION FOR
1
u s E ---"?.."*.t:V.>� NORTHAMPTON, MA. 01060
PLAN EXAMINATION AND
FRONT YARD .` L . BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD SIDE YARD / )
I. AT (LOCATION) r�G �T/ D ZONING
CT
REAR YARD /-2---1-7' LOCATION (NO) (STREET)
/J OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES LOT
SUBDIVISION LOT BLOCK _ _ - SIZE _
V1
H. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I
7.1
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 [ New building Residential Nonresidential
2 I Addition(If residential, enter number 12 j„..--rOne family 18 Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) 13 I I Two or more family — Enter 19 Church, other religious
number of units— — — 20 Industrial
.....". 3� Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage
4 I Repair, replacement or dormitory — Enter number
5 I Wrecking (1l multifamily residential,
of units — -.. 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
irresuur•a' 6 I I Moving (relocation) 17 Other — Specify
25 Public utility
7I Foundation only
26 School, library, other educational
•
B. OWNERSHIP 27 Stores, mercantile
Ro■rose.■s•e.*.*e**r*e rr..rrrr.•et
28 Tanks, towers
r is,ss 8 Private (individual, corporation, S
•= nonprofit institution, etc.) 29 Other — Specify
fy
am
•• r �r' eo***i; 9 I Public (Federal, State, or
its local government)
AM
... C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
eeeuu riaeer • r es In' ski processing plant, machine shop, laundry building at hospital, elementary
u■u.rrsrrerrr■ eu �.saamr• 10. Cost of improvement $ /�� school, secondary school, college, parochial school, parking garage for,
/� department store, rental office building, office building at industrial plant.
■a.•rue.o•r=•a•e••au•roasararraa. ass aa••aa rasa moss.u. 1, To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
s • *Se:
7'.'e...1____ 1111 Na. Electrical
.•
• •••s•••••••••.rurRa ,
eea■•s: :::: a b. Plumbing
rr.rgrar•u=
o=
• c. Heating, air conditioning
me*uau•rri*
* i = • d. Other (elevator, etc.) �//�/J
0: Surro•a*.= 11. TOTAL COST OF IMPROVEMENT $/7t/t'
_ '� _ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
_ .
for wrecking, complete only Part J, for all others skip to IV.
•s.oiL..r.•..rar..r..r•iiilss•..r........rrer......1.r...r:...•sr.rra•aaaaaa.a•a.a.ara sauna ;i
ua.
== e _ E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48err * 30 r Masonry (wall bearing) 40,l Public or private company Number of stories
■■= 31 I 1 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, base enter r,
i= ____=====1Cuar.ar* 32 I I Structural steel dimensions .. ...
■*_ _ 33I Reinforced concrete H. TYPE OF WATER SUPPLY
_ ee
Le: a ■. 34 I 1 Other — Specify 42" Public or private company 50. Total land area, sq. ft.
_■ = r ■ I K. NUMBER OF OFF-STREET
•so••rannolus•u••o • ••• • 43 I Private (well, cistern)
_ ==eee=e= � PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
i=a=== _ _ _ = 35 I Gas Will there be central air 52. Outdoors '2__
'== U ==i= ====i conditioning?
= * •e=i'== ==:=sun=u■** _ _ ==*ife=.= _ 36 Oil L. RESIDENTIAL BUILDINGS ONLY
ii===i===i==n :me a•aa■ _• ■■■_ =its ■= 37 Electricity 44
i =________ =tiro=====__ !==i ; ■ a ■ ■it I Y Yes 45 No 53. Number of bedrooms
: == ==ss:is:i:�s �. �; i•..e ° ii �; _ _ •I I I Coal
.r a 54. Number of
�ri==r •uar . h. "`�-"" """""``� a.. :NM 39 I I Other — Specify Will there be an elevator? Full..:
46 I I Yes 47 H No bathrooms
Partial
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use)
Owner or 41:7d—et- t
Lessee
ifi/A4-- ter- _ ?Y , '
Builder's
/, 2. ) )4e. . License No.
�1 " / Contractor Gt ,
3.
ade- 41-7f— I 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.
Signaturyef applicant Address Application date
)/di-' 45/X . J-6-W
DD 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 Permit or Approval Check Obtained Number By Permit or Approval Check ObtDained 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 6 3
Building �off � 19 FY Use Group
Permit issued c
Building (� / Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $
TITLE- --2