18D-053 (40) DEPARTMENT OF BUILDING INSPECTIONS FIELD COPY
212 MAIN STREET
NORTTHAMPTON- MA.-'01060 BUILDING
18D - 53 PERMIT
DATE O'tobsr 24, 19 SO PERMIT NO. 642
APPLICANT Donald Bussal 3 t Ngv,; ADDRESS 8111 Hamilton Manor
�• (NO.) (STREET) (CONTR'S LICENSE)
Alterations Office NUMBER OF
PERMIT TO ( 1 ) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
�A Road
AT (LOCATION) RU i Caen Raid DISTRICT CI
(NO.) (STREET)
am BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
en
LOT
m SUBDIVISION LOT BLOCK _ SIZE
a
U O BUILDING IS TO BE FT. WIDE BYJ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I I (TYPE)
O:
0
- REMARKS:
new office partitiq* (interior), close in side porch.
AREA OR
VOLUME ESTIMATED COST $ PEE MIT
$
(CUBICSQUARE FEETI)OWNER Momptan Ysn or Afpt .
ADDRESS so Df�I Rd., M* ft.9 MA. 01060 Y P
�
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
R° jeiNdJ ,U4/J e.t,1~Wt) 92•J;t1 60.4,0 -1).$4.0‘ay Cr ICI
`' 17 -�-W--
DEPARTMENT OF suruntcZNSPECTI4tS CERTIFICATE ISSUED
212 MAIN stun DATE
BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
DATE October 24, 19 $O PERMIT NO. 642
APPLICANT J1aId _Ruaeli' mgr. ADDRESS
NO. EET (CONTR'S LICENSE)
,ryy�r NUMBER OF
PERMIT TO (t�1 gEMENT) (�) STORY PROP USE) DWELLING UNITS
'iPf' a'V j¢ ZONING
AT (LOCATION) 80 DISTRICT CI
(NO.) E Road
rn BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
a SUBDIVISION •
LOT BLOCK SIZE
m
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
O
II REMARKS: ,
new office partitive (interior), close is side porch.
;-3t 1 K E ' 7 �tlill',�I K-EL ''�I '; 7 9C-)1%
AREA OR ppp!�'j17� ,111( ;I Iy1�1 :1111 .1 11 ;11�_1111 yT �7 '1111 Alit 11111i I111( ;1111
VOLUME 7 TL1r1 '1 1 � ��T.:.,�`;�'^{4�e:7 •1W •=1 r1 � \ W,4° "7 'u(CUBIC/SQUARE FEET) :IN1 {AI11 ;1111 :IIU ;I III '.-IIII )1111 11111 '1111 `1111, 11111 11111 .1111 11111 :1111
corn rro corn nor 11LYT.TIA'Tf/corI- rig ,V IFr -7I A'tTI R»TI corn RYCTl,O
OWNER Hampton Manor Apts. - TO BE POSXED,ON PREM LAS
ADDRESS SEE ,S F CO '1 N F k`R rFICATE
I DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
t
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
DEPARTMENT OF BUILDING IgSPECTiONS ,-. DEPT. FILE COPY
212 MAIN STREET Z°
NORTHAMPTON. MA..01060 BUILDING M.
g O /D��y/�d
18D - 53 PERMIT VALIDATION
PATE October 24, 19 80 PERMIT NO. 642
APPLICANT Donald Russell, Mgr. ADDRESS 8111 Hampton Manor
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER
(TY'SEL9Pot
PERMIT TO A t nn EME NT) ( 1 ) STORY
NO. Office
(PROPOSED USE) DWELLING UNITS
ZON ING
AT (LOCATION) 80 Damon Boad DISTRICT GI
(NO.) (STREET)
m BETWEEN AND
. (CROSS STREET) (CROSS STREET)
a
LOT
a 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
f (TYPE)
ce
0
U. REMARKS: Installation of free standing fireplace with metal bestos chimney,
new office partition (interior), close in side porch.
AREA OR PERMIT
VOLUME -. I ESTIMATED COST $ 2,000.00 FEE $ 10.0
(CUBIC/SQUARE FEET)
OWNER Hampton Manor Apts. B ' ;!. Py
ADDRESS 80 Damon Rd. , N' ton., Ma. 01060 f-%P ,
(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 .
`• CITY OF NORTHAMPTON
�`A rJ r, • MASSACHUSETTS
VIII. ZONING PLAN EXAMINERS NOTES k:i'
r - �C�% 1ij •
• .:),:J; to-- OFFICE of the INSPECTOR of BUILDINGS
DISTRICT ' c•.yf`a,p.
aaur=� Page l � Plot �� APPLICATION FOR
USE ZONING PERMIT AND
INSPECTOR
BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. co
•
SIDE YARD SIDE YARD C r.Q. ZONING 1"' %
30 4c it
I. AT (LOCATION) D DISTRIC���"`"' l REAR YARD \4 \ 1('' ' LOCATION NO.) (STREET)
OF BETWEEN AND
---\
BUILDING (CROSS STREET) (CROSS STREET)
NOTES LOT
SUBDIVISION LOT BLOCK SIZE
VIII. 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
1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 One family 18 I 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 is I Church, other religious
pp number of units— — — --0. 20 Industrial
3 XI Alteration (See 2 above) Transienthotel, motel,
■ : 14 I I T i 21 I Parking garage
■ I • 4 I I Repair, replacement or dormitory — Enter number
■
S ■ 5 I I Wrecking (lI multifamily residential, of units — -0- 22 Service station, repair garage
■ • ■ enter number of units in building in 15 I I Garage 23 I Hospital, institutional
N
Part D, 13)
■ 16 I Carport 24, Office, bank, professional
Nressamen _ r 16 I I Moving (relocation) 17 I Other — Specify 25 I Public utility
I 7I I Foundation only
"s UMW •
a :r 26 I School, library, other educational
rx a• `alIto010o0 - a ■ • .r
:: _ : 27 Stores, mercantile
B. OWNERSHIP I
■ 28 Tanks, towers
:::.. a••ud •• 8 154.4Privatep (individual, corporation, 29 I Other — Specify
nonprofit institution, etc.)
=u�■ • ; ■ 9 I I Public (Federal, State, or
I aaaa
local government)
:: as: C. COST r (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
Cc CG',(l
as •a:a �� ��fn.b �� processing plant, machine shop, laundry building at hospital, elementary
rr•:••salrw.n� : • I ; r 10. Cost of improvement„ ,_,.�y Gf,6 (.• school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
::::.a.rrarrarrl�i _ _��.. To be installed but not in If use of existing building is being changed, enter proposed use.
t�"aaI 1 in the above cost
ii......,.... .0
n•a. n: lama ávv::e a. Electrical — ruO as ae r: I b. Plumbing
mit : �}
3::::::....:.:.: :. : ::Iarrl c. Heating, /M � �J ciaimNe y
'�i:::l:�I:::::::I ■�• ■ =■area air conditioning _ ^�
aanflu:•I■Ilsua■•:: a•:rl:: _ _ _ _ : :■ d. Other (elevator, etc.) � tL� r I,,A�2-L 1 L��' ��' � r�t�f�+
:::_: �a oa 1:::::::::::::::ilie a :: ' :::: 11. TOTAL COST OF IMPROVEMENT $ 1C6C,C C0 �EI14 S(OE r-AQ-C-1-}.
':a.. •s::•.r aaaa a..uaa.aa.. ....:::::I : _ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
:::::::::: . _•_ _'•••I : :: :: I for wrecking, complete only Part J, for all others skip to IV.
a •. ::r.: :Ii =ri I::■: I�r
:"_ /:MA :::::::::::I:: aaa•u= : ::: I E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
:aa■:rla..:a... :a•.. : :. _ = 48. Number of stories
I S. : :■: I : 30KMasonry (wall bearing) 40 NI Public or private company
� a: Z:■rr•. .asUa •=�a. ' •Lau... UM: Ia :••: : 31 ....Xi Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
a.a..i.ar.raraa..an.aaaa Is:a.a.a...
�aaa..a�aaaar.aa�aaa.r :::::::aa. u■ all floors, based on exterior
;•"r:•:i:r:a.:: :r r .. • : I .■ _ _ 32 Structural steel dimensions
l ira=: simIaa e: I:•::: : _ I
: ::a.araaua rra.
■ • �r" • u ■u 33 I Reinforced concrete H. TYPE OF WATER SUPPLY
,':. : ::::: aaaaa.: ::a:: : ::::::...:::
,_=• • a. • .. 50. Total land area, sq. ft.
ii: :::::::::::::::: I _ :■: ■� : I::":I:: roan 34 I I Other — Specify 42 Public or private company
aaa.s I•a..aa ::::::.aeaaa.a•aaa mums
.. 1...::::::::::::
u•aa ......... I.aaar.. ....a 43 I Private (well, cistern) K. NUMBER OF OFF-STREET
ai i ar r a• . • • .r ■■ .• •�
• u::Ir:::: aaaaaa:::::::::::::::I : a . • • a a:r:l:� PARKING SPACES
I1r • ::::aa• sa::a::_: ::aua:aa:aaaur a:::: :Fin ::I:■■::: i:i: ::a • 51. Enclosed
I I:..::!:■:::I III • Z •.a S a.. ■aa a■• • ■ ■ F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
i 'aaa..aasa•a.ra■S.ra•aaa aa■:•:��::.:� ._■� : II•"ra..aa"•.a a.Na.a:•..:r.■:aaa: _ : :�:•::■:aI _ :
1 1 :I1I1: !!!!! :aI:::I$onlia=a aaaaaa. :ii:::: I.. :aae.Iaaaaaa.a..aI•a.aa ..a.aay:.:.aau..Is=a.a.a...:_..a..:: ::::tia::: 35 I I Gas ' I there be7central air 52. Outdoors
ir �r ■"a a • a. • •a • ■ w " ■ 36 Oil condl Wing.
1 I Y�i��'ji 1:::::: ::I :�: :r: • aaaa:r:::::i9I •:a:a■ra.aa.a. =arse ••ra a •:aa:r: :I::IIa •IIIII■a::•I:aait�a: I L. RESIDENTIAL BUILDINGS ONLY
I' MUM: a e:::. ja 11•_••=1::::a. SLia.,.aa::a.aa ::::••ar:'•Ia==• a.aaaa :a::a::ll6'::ail'r:•::: i'___'l• di:::::N■::N::::::raewee! 37 I Electricity 44 I I Yes 45 i� No 53. Number of bedrooms
iii :i:: : :. . . .nr". . . . . ... . .. sa
I BrIVI •:::IIISI : a"a"aa ea N I Ia+'rr::::::aaa. .aaa a■aa. ai••::'::::••:I:: :IIII • a ■ :
l I ::::::r=' • .I II:I �'Pl..aaar aar:I......................I I :I': : ::`a■IIII:I:.�'■arN•I �'a_u'_r�rl-I:•: : �u::::III:::: 38 I I Coal
IN=idnistmiiii:III uneven n �i nnegii_��u■a■a eherr■r�i■:a•a L sivi •s II I:I:n:IIII:I. auaaaUa.N 39 I Other — Specify Will ther a an elevator Full
Iii'ie}rua::�iIII::IIIISI'iali:a '� �� �11:.r■I'I :
54. Number of
4 Yes 47 ! I 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 node Tel. No.
department use)
NOTES and Data — (For
1. �,a,�P,7N M,at4e lz Q e o
Owner or ,
Lessee
� � i dW��t2 Builder's
2. 9
License No.
Contractor
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.
S'. of applicant Address Application date
e/// vet._
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans ByNotes
4 Fee Started By Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER $ I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
te Date
Permit or Approval Check Obtaatned Number By Permit or Approval Check Obttained 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. p� Use Group
Permit issued cC� 2( 19 S
Building Fire Grading
Permit Fee $ l�'
Live Loading
Certificate of Occupancy $ Occupancy Load
ved by:
Drain Tile
Plan Review Fee
TITLE