23D-107 (21) 212 Main Street
Northampton, Mass. '01060 BUILDING
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23D - 107 i - 1. PERMIT $10.00
,4
VALIDATION
DATE March 13, )g 84 PERMIT NO. 93
APPLICANT Donald Stefan ADDRESS 88 Turkey Hill Road
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
Alteration Institutional DWELLING UNITS
PERMIT TO (_) STORY
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 548 Elm Street DISTRICT D
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(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
permit to install new fire wall and doors in boiler room area
REMARKS:
AREA OR 2,500.00 PERMIT $ 10.00
VOLUME ESTIMATED COST $
(CUBIC/SQUARE FEET)
New Medico Inc.
OWNER BU /....01„(2.,
ADDRESS
548 Elm Street, Northampton, Mass. 01060 BY �'�'
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
'0id ; . ' CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES 9A MASSACHUSETTS
$ ��� ;'"el ; OFFICE of the INSPECTOR of BUILDINGS
DISTRICT '-�� 4(�
,, I. ; r`� J� Plot D
z` .� PageAPPLICATION FOR
USE ZONING PERMIT AND
INSPECTOR
BUILDING PERMIT
FRONT YARD
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IMPORTANT — Applicant toto complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD SIDE YARD I. 'AT (LOCATION) ���8 e .nJ k+'-"� DISTRICT
REAR YARD LOCATION' (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
LOT
SUBDIVISION LOT BLOCK SIZE
V.
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —+
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
-4
1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 I One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family — Enter 19 Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use number of units— — — —
3.� Alteration (See 2 above) 14 I Transient hotel, motel, 20 Industrial
■ : 4 I Repair, replacement or dormitory — Enter number 21 Parking garage
i iofunits — 22 Service station, repair garage
■ aN ■ 5 I I Wrecking (If multifamily residential,
CaNN •■ enter number of units in building in 15 I Garage 23 X Hospita
■r
ii
: Part D, 13) 16 I Carport 24 Office, bank, pro essional
:MOSSOO Na"•NSINUO: ■.:. 6 I Moving (relocation)
_ `n 17 I Other — Specify 25 Public utility
::: r : �. 7 I 1 Foundation only
••• •• ■r•i"sNNN as a 26 School, library, other educational
s :iN:: •ss ee:ss•Nsa ■
a:::::. NNN.reaa.• :ua B. OWNERSHIP 27 Stores, mercantile
aN ••as• as• l,I 28 Tanks, towers
aN• NsN.::::•r.:�r.•=aa�sN. • ■ s r. _ 8 96 Private (individual, corporation,
_� � ■••Naw•NN.'■ nonprofit institution, etc.) 29 Other — Specify
sail a•.• : i 9 I I Public (Federal, State, or
••a :"ia;a.: local government)
a.•aa•••a NN
:: amen: I ■ C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
OW/OW•aa.a• processing plant, machine shop, laundrybuildingat hospital, elementary
ii::is S asissl� _ _ ^ P g P
s•aasN .i se- : • 10. Cost of improvement $ ■f school, secondary school, college, parochial school, parking garage for,:: • department store, rental office building, office building at industrial plant.
i_ _ I ::: To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost ` P ^ � � �n'
iiifig:ili=:::w••::a"a•O000OO s I■al a'I•• itSalPrI
a. Electrical %`/f'pJtY .�r-�- C,�(//
ri.=« _�__:1::: : .. N••9 :•: = b. Plumbing A.,„„ 2O�C(--c L.-.I y,H!
lai..:•:N:■::e:s ...I : r •`• :N=•e :::: c. Heating, air conditioning
LSt::•lie:_:-:-=
e$:::l::::Sim ii;:a:•=====•:i: _ :::_:: a _.._ 1 r d. Other (elevator, etc.)
rN• Ni
e:::••• N . N��■■:{ :::::::::a::: : : : ' 11. TOTAL COST OF IMPROVEMENT $ —041 —'
es•::::aii .eaa•N•: :::::::s:::: :: :eon e III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
M= I: • _`_`:_•`_`"•_ I II r::: .■ . . for wrecking, complete onl Part J, for all others skipto IV.
: ..:. S! ::U::•! 3 :mum _■� 1:::::■:•: I. 9, P Y
::r.:: • ::a . •s .••::::::::::::::••• S•"•: : ::::::::: : E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
••.l.:ssse••.i.:••::..••.•T••Ni••O:::s:•i�■ •••• ....■
:.¢�..■_1�r....N..�r...0N•N.N:::N. ••tea •• _ ::: •• 30 Masonry (wall bearing) 40Public or private company 48. Number of stories l/✓
h••R:'iUa•:::L=8is::=::i•a: : : _: ������ : 31 Wood frame 41 I Si‹.Private (septic tank, etc.) 49. Total square feet of floor area,
•.a+{"•* N •N••N• • .a .. t all floors, based on exterior
•SSi•Ni:u.:s•=.:: ::si:::ea:i:: la a=a•: :::::::••: : :e • :N..:� a.
32 1 I Structural steel dimensions
, e1■!■::■:: •: ■• ram I I H. TYPE OF WATER SUPPLY
"aaj •!.. s • ■_ : : _�___;��_���==�=NN • : :e== 33 Reinforced concrete
�• •� :5::::::::uaNs: • :•: 50. Total land area, sq. ft.
:: : es: :a r2.2 :: rose: 34 I I Other - Specify 42 K Public or private company
: ••�•N•:::::i:::: ::::L::_:::■�NNa= N•■:•Na��..a. : a .....aa..a 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
• �• ! .N NN aNN• ■raa :::: _«__� uN•` PARKING SPACES
aes$::;;�::ss::a:•::'i"sa•i•s:::::::s: _
S S` em�s::::: :::::a::::■• ••�I as ■ ..: :::s
ills •:y�I_i N Si.. :::::::.:ia::::1a ::.$. :: !rs•: :•: :::s:.:s::•: : 51. Enclosed
:■N■ii :N:::: i • ■s� . :■: . ■ ■ • •� 11 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
F�i�j: ii if•• • a�=::4 eie r• :e: : =:N=NN=N=s•S N ■NNNNs::::::::::e:NC
:I:1 � i ■gi • s••:s: I :•:•a:::::f.�a: N• .is■ asi:• is. .aa:::::::::::: 35 I Gas Will there be central air 52. Outdoors
:::: ... •. • j=�j� +S iii r./laa b•■�: ■ N ■ •it�:•::i•:::N N • N conditioning.
! !l::.:. :. .... ... as N■•
sib• :••••:::e:e::: ��_ ■•■• _■•rut• •_■ • =.a==er::•■:::: 36 O i I L. RESIDENTIAL BUILDINGS ONLY
i i:::: .:: is:•a•Na. :■::: a : lr a `e
fe � s:�::::_::=•=ea• • • ��: : +r��=�I= �r: =:::■NNi:•NiNs_ :::::::i::::�i:: i■�s:�iii:isGii:ii: :••�iui::a: :::::a•3•N.N• 37 I Electricity 44.< Yes 45 I I No
:::r.:::e:Zs:=:•• • _•; . : i ••sl�stitii;i�i:$;= i�i,�i= a �i _ •:■::iai,::ian��i:::::i:::::a= S 38 I I Coal 53. Number of bedrooms
. if
: s:::::iii?s:�sdsllAU:l:• s ms11.11::N.a•.a•sss:s:sss:e::n.i•. $s :s•�s :s: ::assu.....a�: :.ss
:isleeee :e1:�i=Zeteeeimillialti.f,,•ft�_ _
_ m ee� !>lass��ll Ni�•R!•.■N===�I�ai==r��e■� =r�ai�i�iii���i� _��_ 39 I Other — Specify Will there be an elevators Full
ELa54. Number of
46 ® Yes 47 I I No bathrooms
Partial
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing addre s — Number, street, city, and State ,' VIP code Tel. No.
4:h � NOTES and Data — (For department use)
Owner or / Wilt �(/�
Lessee 1/4
Builder's
2. License No.
Contractor 'IG�_ �/�-/_ a,[AIR..
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. i
i
Sign ture of applicant Address {; Application date
auts,/c _le
'°7 'e'4 IA 'liVr:ed /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 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
Building. Use Group
Permit issued 3� 19
Building `� Fire Grading
`
Permit Fee $ Od
Live Loading
Certificate of Occupancy $ Occupancy Load
ved by:
Drain Tile $
Plan Review Fee $
TITLE