23D-196 (4) 4 " DEPT. OF BUILDING INSPECTIONS BUILDING �O
“t,:i.4:0! 21fMain Street o< $492.00
Northampton, MA 01060 PERMIT
23D - 196 VALIDATION
DATE December 26, 19 84 PERMIT NO. 70
APPLICANT David Pichette ADDRESS 121 Watner Street 008163
(NO.) (STREET) ICONTR'S LICENSE)
New BuildinNUMBER OF q
PERMIT TO g (_) STORY One Family Home DWELLING UNITS - _1.
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Warner Street ZONING URB
AT (LOCATION) DISTRICT
(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)
REMARKS: X permit for the construction of a new one family home
AREA OR 1008 sq. ft. ESTIMATED COST 50,500.00 PERPERMIT $ 492.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER William Pichette / ,..tee/1
�
ADDRESS 300 Elm Street, Northampton, Mass. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - AS ESSORS COPY PjNi P
' CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES ilia At r`?_I Ii Y MASSACHUSETTS
$•- •,JJ,,:�:M'• el OFFICE of the INSPECTOR of BUILDINGS
DISTRICT V =�.
.'a;_.
a.,,-,. ...,,, Page 3 Plot APPLICATION FOR
usE INSPECTOR Z PERMIT BUILDINGPERMI I T
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
SIDE YARD SIDE YARD
/i� /J a--e 9 ZONING //a3
I• AT (LOCATION) K/Hl DISTRICT ( 1_�
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —1
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 I New building Residential Nonresidential
2 Addition(If residential, enter number 12® One family 18 n A• musement, 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 El Church, other religious
number of units— — — — 20 I I Industrial
3 ri Alteration (See 2 above) 14 I Transient hotel, motel,
21 I Parking garage
: 4 I I Repair, replacement or
'� :: 5of unitsory — Enter number
I I Wrecking (If multifamily residential, 22 I Service station, repair garage
enter number of units in building in 15 I Garage 23 0 Hospital, institutional
+ r
Part D, 13)
%es 16 I Carport 24 I Office, bank, professional
••■•■NN•eoo■■_ 6 I I Moving (relocation)
! • ': 1 17I 1 Other — Specify 25 0 Public utility
:
_ _ • ' = 7 [ I Foundation only
;_ :: 26 I I School, library, other educational
■:••.■:: !••• _ : B. OWNERSHIP 27 [ ] S• tores, mercantile
:••' 28 [I T• anks, towers
: ! seen. 8 P. Private (individual, corporation,_ nonprofit institution, etc.) 29 0 Other — Specify
_ : MAMA
L 1••■n r,
•, 9 PI Public (Federal, State, or
local government)
: : --r C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
.u. processing plant, machine shop, laundry building at hospital, elementary
••• a .• 10. Cost of improvement E413 000 school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
= To be installed but not included If use of existing building is being changed, enter proposed use.
: in the above cost
_ : a. Electrical -e% e
■■ •.■ •
n..._ :On..
in _ ■: b. Plumbing 3. Sz7e5
MI: !::! : c. Heating, air conditioning
uee•: :
__•_: :••::_:::_:_ yea::::::1:::=e.,: •N.: ,in■ri .rr ' d. Other (elevator, etc ) �j
■■.• .......N■oel:::::o•••e::::a-+ - . 11. TOTAL COST OF IMPROVEMENT S ( 0
••.■.:a......:••••::: ::::::14:: =""••r•.•• r I
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
to
:::::::::: ::::::: _ _ --- If
for wrecking, complete only Part J, for all others skip to IV.
S : _ :•: :.•. 1 ::: E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /
_.. 48. Number of stories
: :••::::::u : : 30 n Masonry (wall bearing) 40 Public or private company
���� 49. Total square feet of floor area,
iiy::::::::::_=.■..ue■e•::::::ti. :••• :: t•s''•: : 31 Wood frame 41 I I Private (septic tank, etc.)
�■s.• all floors, based on exterior
:l :•••lr :.N = • N i••1 `••` : ! 32 I I Structural steel dimensions I C)
gs:; s s:....•••:.:s o :
'!_•!__ _ •w- : : : ___ :::: 33 I Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft.
i•i•1::: :.••: '1 "'"' ==zaenr sr e.uae•: _ +_ ` : :ems 34 I I Other Specify 42 ® Public orprivate company S Si:. 11• • • •u■- — P Y _
: : l l::: • i'i..sue:■e•: • e.■::::::• : :■••:!:•:;•: I••::::1:::::::::••• 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
• • N• .e• Nl•:•e• tl ■e ■ •
. _ :•:1■::dill. ..••:•::::::••••: ! :••r•:••■•eae=••°":•: !:!u•:N!••1:::. !• PARKING SPACES
!! _ . ._. .... ._ e.•. _
:•i •. =`'e.l'•!!:: r S!!�•`.L `i_se ..�==rN e= a :: l• .ii•."'•"===ii!!�:•!_: �i=s■e •.� _1;;;:= = F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL::::!:••••• :ai i'.� sii it :illii: �s:•.mbus :� m 1: 51. Enclosed
•_ . �` r. ■•• ••r•e• •. ••:••::::�lN : : .:N ••e ••■ •N• :5/ �•:i •a ••••■•k:::. :e 1Y.::111
•z � ill � iz�ie:el�:alll is=• ... ��. ... ...rs.saseas . • • N■ !•.. sea. a. as N r 35I I Gas Will there be central air 52. Outdoors —.
d ! • ••::•:•::a:•::� �e••N.:!: :s:::uN: :::•. :N::•N. a ■ •!!:. :::N:r::u:::Y : : •:ll:N■: L.---
de • •! NN • ■ .e •• conditioning.'
t. �e: _: : =l: :i:N• • l••�':::::•iii: •■g•:�1::•s:'�N•g::::■•�: ::: l:: : il:ll••e.l::■•:::_::: ! :::::::1::::g 36 I Oil 9
1111 fit: • ' ' as. • ...■ N• ._. e• .:: :. • .. �i::: •:■ L. RESIDENTIAL BUILDINGS ONLY
::: :: : •: :: g11sls.1ss11;1:� :::::ffi:::�:::::et1: :i: •:� 11::1i:::::::11:.:::•:� 1i 1• •::::NN:N:u::•■:: 37 l CI ElectricityLi 53. Number of bedrooms Z
�} ■e•� eel r •�N • • • .• u• uN Nu ■• .e u 44Yes 45 No
:: is t:::::::::•• iMilai•�ssf iN� • N•: • • ••e::::::a:: Will:■•ggywnilsl}N�• �■:al::::::::.■:::1:••a::: .-r� .... : 38 1 1 Coal
MIUD t , ssssis•:d:: HAffsi:er■•ss• is i.■..•.s. ..zs..:':p : :....s :'"i Moil! lsllln•:=■•iiie::=i:1 ahLtan...s•.•.:
;u:ufmnn:slm Iuu lu:uu:n::::••}: ;!••••••:•�:::u:ls::li::::l:iu••�i :11: l:.•.,•SYe! u:::ns:us!:;•ei.! vat 39 I I Other — Specify Will there be an elevator' Full /
54. Number of
46 LJ Yes 47 pc No bathrooms
PROPP Partial _
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I. W/ii I /c-/ 4.. 30o elk S!`/r %/0 A 44 P4�yA /o—c. D/ 0C,o gC ya/ NOTES and Data — (For department use)
Owner or
Lessee
Builder's /a F X ,i° 4 0 3. ?d
2. __p```` of 1 ,,/� (� , ,r'J+�'`- License No. —
Contractor .bPN Ito "PIC RE fE, I 1 V�%INa-�eki sS : {V.X1 1C A� ►1 OC,B f(33 6-8 a Y -` X-- z o iv c5
o r �
3. d d
Architect or — `� f/ r
Engineer (�-e-.---a 04 "'/ 2-
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to 92. e) e
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant T' Address Application dote
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
Permit or Approval Check Obtate ained Number By Permit or Approval Check Obttained Number By
_ BOILER _ PLUMBING
CURB OR SIDEWALK CUT ROOFING
4 — 4
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 _ G, �� ote Use Group
Permit issued 19
Building
Fire Grading
Permit Fee $ 7 Wa . CV
Live Loading
Certificate-ufOk.c.upuncy $ Occupancy Load
App t ed by:
Drain Tile $$
�i /`A r
Plan Review Fee i
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