23d-162 (5) Department of Building Inspections
212 Main Street ; BUILDING Z°
Vorthampton, Mass. 01060 oaW)scaq o
PERMIT a
23D - 162 VALIDATION
DATE October 6, 19 83 PERMIT NO. 506
Mark Simon ADDRESS • 142 Hinkkley Street 027474
APPLICANT
(NO.) (STREET) (CONTR'S LICENSE)
Addition One Family NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
135 Maplewood Terrace ZONING
NIN cT URB
(NO.) (STREET) .
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
gIS TO BE 10 FT. WIDE BY 19 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit to put an addition onto the kitchen
AREA OR 190 NW sq. ft. ESTIMATED COST $ 6,500.00 Farr,- $ 24.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER James A. Basceglia
ADDRESS 135 Maplewood Terrace BBYIL P' ,i' ' / /
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK - A SESSORS COPY
o�S _^;. CITY OF NORTHAMPTON
•. - MASSACHUSETTS
VIII. ZONING PLAN EXAMINERS NOTES g tit
. .B "f• ' '�Z-e:i OFFICE of the INSPECTOR of BUILDINGS
DISTRICT61 �'° `
�� ' '`" Pa e �3� Plot C07i
USE 22nu.k ..� g APPLICATION FOR
INSPECTOR ZONING PERMIT AND
,-4BUILDING PERMIT
FRONT YARD t --e
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD G SIDE YARD C6 1�Gt l�W U D� YYa C-� ZONING
t/a//��
1. AT (LOCATION) 3 l"r J
LOCATION ("D ) (STREET)
REAR YARD OF J II
BETWEEN 1?(99'C 1G1 Q`� AND L't 1'►! e r
NOTES
BUILDING (CRO S STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
• V.
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -F
xi
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
m
r -I' 1 I I New building. Residential • Nonresidential
2 ® Addition(If residential, enter number 12 I-- One family 18 I I Amusement, recreational -
of new housing units' 'added, if any,
IX. SITE OR PLOT PLAN - For Applicant Use in Part D, 13) - - 13 I Two or more family - Enter 19 7 Church, other religious
PP number of units- - - - --)i.
r 3 n Alteration (See 2•above) 20I I Industrial
14 I Transient hotel, motel, 21 I I Parking garage •
a 4I Repair, replacement
aor dormitory — Enter number
a� r•� ■ •
5 I I Wrecking (If multifamily residential, of units — 22 I I Service station, repair garage
.. enter number of units in building in 15 n Garage 23 n Hospital, institutional
• a \•ic Part D, 13)
::rao•w•. a , 16 n Carport 24 I I Office, bank, professional
■ ■ 6 I Moving (relocation)
'�
• ■aausa■a■a•auaras... eusf■ 1 a 17I 1 Other — Specify 25 Public utility
au•■•am••a•ruaaR•reaa•aruur\rwruuutsslaa•waw�.a■u•uoru•aaarar
7 ` Foundation only 26 I I School, library, other educational
ram*a**0. a ::::::aaa•aanara■■•:::::: asaraaa■airrraaarwawa••rarara■rara■ . .
urasaaa• mraa..raawr a 271 Stores, mercantile
ar • uuaa:aau .u■•■ a B. OWNERSHIP ..
�.•ra•aarra■RIM* awarm■•saaaa:una OS*••saa•u■rarea■asm•uarls••oaaa•Ra•■•au•aaaa:aa•wU■•a••aarA\ I 28 Tanks, towers
a.aassaMma aa•t ■ aras ramnaU mlaa
■a•r u ! um■asa\ ammo' was uu
•aaaZ or O saito.\rr\s•rtanaa•aaaaaa■■aasusaammo' aasas•aa•sa.a• a 8 IXI Private (individual, corporation, /1�4egk 4�
asuasamm mururmaa•aa:::::ar■rw•::::::am•asaaeru•arauu .r 6 29' Other — Specify
auafu.•au■uuuasluaruammum•u raa,•I.muuraa■re•■.auutiaa• a_ ■ fir, . 'I nonprofit institution, etc.) p fy
aau!•saasamraaaaaralwaawuaawrarra•atamostaaaa!•aaaa•awtat.i a' - a
:r•s•u■
ua u!' a\ _, 9 I Public (Federal, State, or
uraraaaam•amwmuraaaaaa.aawawauuauarasa■a•u local
rua•'r.raaaaau•aaaarufasaarna,aa.aaauossa uaasaaaaaa a,� - aaa government) • ,
•: • a • ■ a a • s • • • ■ s a a C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
sraaaaa■w5.aara .
uaaaafaaa■■ !au■!sr!•Rsuau:a :I / processing plant, machine shop, laundry building at hospital, elementary
_ • 10. Cost of improvement $ 6 I� 0 "„— school, secondary school, college, parochial school, parking garage for,
j "- - department store, rental office building, office building at industrial plant,
a • �___ ____. _._ 1 To be installed but not included If use of existing building is being changed, enter proposed use.
■
a .- .._..... } a i
,,_, __ • !� �� y in the above cost
as sa. ■■■•r■ . a. Electrical ,.19C) '—
al afa u■ uu •a a :: i !%]� '__ p
aaaa■aat•afa: I .■: • ■'�,a�■r L%N./4N�w
i �•\:■ba■u•r\i • . ■■ b. Plumbing
\uauu■ u .11
•n mai '"A•u:■u■raa■w
ROOS .,u•ta
.effe f•:r:•■•::■Rrau■!1, N•• A■rarell■1T "Aif�2tu4R:I .
1■!• tt ! ar\ f•r•e\N tea.af aa•ra(t7\Si�R%a■r./7R.,YJ Qi•■f:e••\ ■ e. Heating, air conditioning
.•u:f■:•R: I. r7714.7"7;*"
: pp: i -
11�_ ::::::� : _ : d. Other (elevator, etc.)ii. : sure.. C, : '`:r•. a•ra::::{':"•fi�:�_ ii 11. TOTAL COST OF IMPROVEMENT $ 6 0 0 U,..„.,. ■ III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
I�::%1��_ ••fg=. \• _ ••aw: e.■ ■■oa:'i .a.a■■u■■!■,r\rw am,■■aar•e\:■.m:"": :ra: for wrecking, complete only Part J, for all others skip to IV.
i:::::•s.\ur•anfaau:::l:u: _ •aL . ■r■■nrri:9.a•;I. .
•�f0: ' '• row: _ a_a •■•• •■■3i E PR IPAL T PE OF FRAME G TY OF SEWAGE
is:::::: . _ ' :11 _ mane••■�•••s•••■muu=: S ._____, I C Y DISPOSAL J. DIMENSIONS
IN PE
of �•aeu a1 I 1 48, Number of stories
' ' : : : 30 I 1 Masonry (wall bearing) 40 Public or private company J�
j::::::::ise■•ta raa : :: :'•: • 49. Total square feet of floor area, /O J K!f o
,•• ■ :`suuuaquu•uu■a■ i j 31 �I Wood frame 41 Private (septic tank, etc.)� all floors, based on exterior
isgl::::::ur::■ai�s::::::::: : +� ::rsa: : u\•.' I 32 I I Structural steel dimensions I I V mama
I:::SOO • • : ■'•••� I I H. TYPE OF WATER SUPPLY
!� w:.�a:: .�: ma■■, 33 Reinforced concrete
i:: :�. :.•■ 'i=au■•%� \•i::'••i ■u•muumoa:::i::::i:i::: ��: lri:i 50. Total land area, sq. ft. I 0 V
a•••:••aua► :WI ! -.... I ::I 34 I I Other — Specify 42 Public or private company
ia■ a •a • • o mmemaua\s auas uua.a•use.famu■a a__e..» ---=-•••-----'---m'.-._ ^µ..-
s:i:::::mar ::a:■:•:■ ua• .■ : 43 Private (well, cistern) K. NUMBER OF OFF-STREET
1C : :aa::=S:•: - .a..f•W� n PARKING SPACES
I:4ruaaiGiii'a ■er ' ri :: : �Q.u tat !. aaw::::::::::::::: i::ff a•r:2arrs•raa ■aruGaw{ :iaii.'iea is .raa.i' : 51. Enclosed Iv•r
• 2 =::::::::::::::::::::::::: :":::::::::::"• ' =4:401414� `� d ''^,°'•■ ,ar __ _ F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
rI1••gxurauao
Sii .$: : :::::::::■:::•n=:122,1 r::::•:R:i.:■:a•tsh.--.4•_..iva•iirmeaue••a. ■ oa\'�r - :::::'::: L■•ri 35 ` Gas ____Will there be central air 52. Outdoors _
Is:: :■:Iii'itau....,..�...■..auuauauriliiTiruuu•:uu■•}'iuu.mra: _�•= atu:\u•a � : conditioning?if : ': •■■ r • fmr:•::::■'::: ::::'r':i::: tin'::::'■"• u• fu:: : : 36 I Oil L. RESIDENTIAL BUILDINGS ONLY
A i11 .ii'ia :Gi::■:um:r:: :6rr. \ •a'r _ _ _ _ I I I 53. Number of bedrooms
f : I)I:'is::::i:.�i:: :::::i:e"•rl ::a:■i:a :u.sa:I : :.�'r :• _•: ::i� �:i::::::::i=:�i:: aas�f :::: : ••■••• •a••\a••••• 37 Electricity 44 Yes 45 No
:�::::'Q:: :::::::::::::::::::: . .::•rf: . a \a :::::g•aa■: • tt . :tm�"""'•:::::::::::::::::
:iis:: :i:� ::II:i:: ■•: ■f:eur=:a :f • • S' :�:uY':::::�i::: : •:. r�:a::::rn:m:::::::::: • ■ ■:•■ a ::i::'uuu■■• •
38 Coal
101�11:1111141:::s::::::::::::1: a�=�6.e. •t• :ra• •.t inlitig:... • • ■ ::.11 SDP � 39 Other — Specify IId��d Will there be an elevator? FuII 0
__ _� �. •L■u••� :i•n' :s■•\:a ::::�i■I"li::ff•� I��ri_� f::::•::r:■Ti�i■:f� •i� m
54. Number of
46 I I 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`'code Tel. No. _
1. ,j _ `3,��� .1. Q G��L J GLUIoc) S L:ei, NOTES and Data — (For department use)
Owner or `'CX/►'+'v"� / -e1Te'X-}�-Y -
Lessee
2, t" cl v 'f C ? 114-0./\ I Li'2 lL"!k(di I S 4•1"-cA- Buildes
License No.
Contractor -
ay i‘ct rt.r4-0N , MA ®2-7474-
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. -
Signatur o ;.pPcant Address Application date
�.• lNz t ivGlc •/ a-r. t PcSkr k} iivvi(D.A) 101 Co J 03
DO NOT WRITE BELOW (THIS LINE ( •V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans Notes
9 Fee Started y Approved By
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL .. $ .
OTHER $ '
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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 419 �
Building Fire Grading
r1'ir"
Permit Fee $ V. Live Loading —
— —Gertifi-cate--of-Occupancy Occupancy Load
Ap ed by:
Drain Tile /
`
r
Plan Review Fee
TITLE