24A-019 (6) v C- .61,...d...„..4...eerkitz DEPT. FILE COPY
BUILDING fa
PERMIT
/ y /� i(.I VALIDATION
9/1-01
DATE 19� PERMITj' O / ��
APPLICANT ti ADDRESS/ 7v l_
(No.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO .L�vfi (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
� ZONING /ViC`�/
AT (LOCATION) -
/ � DISTRICT 78
(NO.) (STREET)
a BETWEEN AND
O (CROSS STREET) (CROSS STREET)
a LOT
® SUBDIVISION LOT BLOCK SIZE
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)
tt
O 9‘4...4.... .4..." .,,,,j,e.,4_,„„„, IfQ4?-41-
LL REMARKS:
AREA OR 3oCi L7 ESTIMATED COST .� �U 0 FEEPER
$l U �.
VOLUME ---JJJ
(CUBIC/SQUARE FEET) //^")
OWNER /
��i 1 ,� BU DI P
ADDRESS / �� v^"�'�-- 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
, . 91j7 .
h4V4'elL11.1
✓KJCERTIFICATE ISSUED
DATE
- .1 )y-A a-I y BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
/ i DATE//f " 19 PERMIT NO. - /
APPLICANIL4(... * ../P,,,,,et.17 " - ADDRESS/_ +3 -
(N0.) (STREET) (CONTR'S LICENSE)
��r gg//rr NUMBER OF
PERMIT TO 4'.,. -e....L O STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
y �.... r / ZONING
AT (LOCATION) / '")?•-.�:. j --`? ,4-' ` '-'6 ! •- .,^-.. DISTRICT
(NO.) (STREET)
o BETWEEN AND
m (CROSS STREET) (CROSS STREET)
en
LOT
a SUBDIVISION LOT BLOCK SIZE
m
O
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
E (TYPE)
E-• REMARKS: .,--'9.✓{ .: _,..�..,j�'w-,.. f
01 IV],:id • 7 Kid NK�I '-�I 1! fi ,1,19 K-E1Kt' • zfKi3%
AREA OR 2�q :1HI y} IIIIt ;11f1(t 111�111r )1111 :I1y11� y g ,111Iy11 'IIII '11111( 11111 ay
VOLUME _.....`V S Ti 1 Tl 1 ii Ti • y T1 •Ti .E1 ll l ll 2 u Xl
(CUBIC/SO DARE FEET) NW 11111 .IIII ,IIII )1111 11111 11111 11111 11111 )1111 `1111 `1111 ;IIII 1111 `MI :IIII
�J / 4_` �T /' OT71CTl"TICYTTI . tICYT71C)-i-no.TY1Crt'T11D'•ofiisC?ICYT71.CSTTICPT1IC7TTl1d�o0'Y'=TI,O
OWNER .k.f-L4.-14,4....- .t'-G{..lI'+''�-'�•--.4L-K, TO BE POSTED ON PREMISES
ADDRESS/ '-.s '1"r-' .. fr ems+- _ SEE RE E5SE gjp,E;FOR CONDlTI.ONSAf.etatu''iFICATE
6
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
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
a
VIII. ZONING PLAN EXAMINERS NOTES
CITY OF NORTHAMPTON
DISTRICT OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060
a J /� PLAN EXAMINATION AND
FRONT YARD !� BUILDING PERMIT
IMPORTANT — Applicant to plete all items in sections: I, II, Ill, IV, and IX. o
SIDE YARD ZONING
SIDE YARD ��jj�j q r I��(��//���
I. AT (LOCATION) / `•-� ✓ t ���C G� ���`-� DISTRICIIA//
REAR YARD LOCATION' (NO.) (STREET) /
OF BETWEEN AND
BUI LDING (CROSS STREET) (CROSS STREET) `
NOTES
SUBDIVISION LOT _ BLOCK SIZE /J 7 —/ ,Z
t/r
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
--I
1 New building Residential Nonresidential
2 r' Addition(If residential, enter number 12I),,One family 18 I Amusement, recreational
of new housing units added, if any, 131 I Two or more family - Enter
19 I Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13)
3 I Alteration (See 2 above) I number of units- - - - > 20 Industrial
tr #+44. 14 Transient hotel, motel, 21 I Parking garage
1.-"--' .44 '+1" - .., ''. �. ..y, �p i- r c.f�s.. (' z 4 I I Repair, replacement
�7 $ *- - -- �- -r r -r or dormitory - Enter number
it i _ 1 (T t of units 22 1 Service station, repair garage
,4-7- `s , 1 's 3`1:31 I Wreckin (IJ m tiJamily r — -�
�' (t. I enter number of units in building in 15 I Garage
23 Hospital, institutional
g "� � • r h r Part D, 13) 9
a1 Carport 24 Office, bank, professional
t- 6I Moving (relocation) 16 ///���
17 I Other - Specify__ // � 25 I Public utility
7I Foundation only J
26 I School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
t" _ r 8 28 Tanks, towers
Private (individual, corporation,
£ r- i nonprofit institution, etc.)
29 1 Other - SpeciJy
( , a ri44k +4 9 I I Public (Federal, State, or
f -a r ; ' t +44
local government)
r
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
einr:6
■ processing plant, machine shop, laundry building at hospital, elementary
ea ,,., . a ; ` 10. Cost of improvement
$ school, secondary school, college, parochial school, parking garage for,
as ,..417 .... t a- w - -4 _�,v,µ.. .µ. "i, m i w." ,.I-�.a, b. 4.( } M-,«. p..+-�. ...t ',a 1.�.:... M„..,...t..- ;',_. -.k-. P
�� a.�,.w. ,.b ,.t, j. - e t.¢ $.A. .., ¢ department store, rental office building, office building at industrial plant.
a• ; " ° '""" r .i" �' P ?. ""-`*- "' ,._ `$" _sr.jn. T" fg. �" ,�'a-"T4 �.r.L' -n� -` ._ �,�..; wr. F4:=-i '; r ; To be installed but not included If use of existing building is being changed, enter proposed use.
gr r r *.-.-{ r ,,4 _v 4 4 -4.4".t, -"-s-,.i l--S.t�,.:.. y s +. d# -t.i,a. s,-4. "�.}. j._ .p �6a..e. .� t,." '
a11 { i " '." ''4- " `j74 " - .4 - § ,E § s` °...,.;_z. $(.-.�* z . J )I N in the above cost
as I L.-r4- 4±1444: t4. - j + , 4444 s -=-7- to +-r a. Electrical
4477-
II I , "' ▪ > � t - ` I a, a r-` b. Plumbing
4,7
IIII:- t t i . F * -4 4-+� a z ref t >r -i `11
$"4 r 4� _ -I,'^„,,„,4 .x.,4„r -t ^0^ _t^°'.-f' .S m« c :'-,47:1:3,:-' ice. i •t 't
ag "- {. $ "-- t _ , i r, -'^"^ ;, -�-4 ! I-b.. jitt= o y: .=" a _a,E C ' ' I ..;..t. -t.�-"„-
•r ,p g r g � r i § y 4_, r �*47:41.4. � •� , � �„ � � '{7 c. Heating, air conditioning
•gaaa g.. aw■s•i\w•r•�. - :� -'- t -�^-) ' `��,, w Tt'`'- - 1 � t a $ ,,t g E I_ :f,
s • •u•• matr r d. Other (elevator, etc.)
p , } {t, .P▪ 7- -'--.� -§ r-.-.. 1 *. I " .6 r. e-r r t' bx 1. '. P t-.-1-r
1KII@R !NIAIIIII■C' �P t;� � t i- -s-i-s�'• �3-r 4-r-P k- t y 9 �.:�y s b � � .. I �.-S •� ,��
t °+ a . �, 11. TOTAL COST OF IMPROVEMENT $
_ 1147=4rt III. SELECTED CHARACTERISTICS OF B ILDING — For new buildings and additions, complete Parts E — L;
nrwa• p.- e e f a • r ,-e ,--,
•••a __ �fi„ for wrecking, complete only Part J, for all others skip to IV.
• a = ';, '"',�'-', "" '-"14• 4 "gym ";a("1"', - �t"I- t'ry , a?
• + _ ; + ,•,j �" _ _ -} A ;�'-� "- E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /J
aaai� sa z 4'Y }' f .4 q 4�d�k "''''44F il, 1-t t'g_4 1 t' 1 t I S '�
k T `-` r 48. Number of stories
# s -'"z ( } ) • <f 30 Li Masonry (wall bearing) 40 Public or private company
r•i••r�• �ir•s• f. i- s i 1 cF4 F ,. ,, 49. Total square feet of floor area,
• ga si■r•■a 4 c T .a b <-.-«-d -.". 4- .Z
u •as . r 1 i � d »�
Li
• � a_ , �; 31 ood frame 41 Private (septic tank, etc.)a.i r till. t=s I s . all floors, hosed on exterior
masaa•g•aua�srt■■••� t z a �t 32 Structural steel H ATPLY dimensions
iii�ifF ,�a ?-1, 4 a 1`tIi-4 f,' 4 i"4 4
I gives � ,?txEs'4-174 it-)-+ )fie 331 I Reinforced concrete . TYPE OF W ER Sc5U
� � g 2 s:\ .- . aHit„�- $' r 34 I I Other - SpeciJy 42 I Public or private company 50. Total land area, sq. ft.
ter.■»a•a rat i .4 a-,.
�� aaaaaaaa _� f s T$j 43 I I Private (well, istern) K. NUMB R OSPACE-STREET
:it
f •a aaagata a•aaa:alaaa ... ir
. .„y k :^ $. ^-d^.;...r -
rizrrt
a g•a�ag a a r tIMO
IX* �;1-4 51. Enclosed
3 ski a • • ;�;aaaaggaa;a I '� mot_»- F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
i = a�aaga aaa:aa�� • ata.=�; N r■aaaaaa a•.r■as { `"t'" } # -,- .t... +
ii aaaaaaaa■aar•.aa;�"= _ a a■►a garuu•t ■ilr�wt■aagrraarr i• Ira•: 35 I Gas Will there be central air 52. Outdoors
rrru•asraa■aaaataa" a raa aaaraara•Ht
ss �.a •iwaau.aa.a.aarraaaa a.iar•wiiiitrrpaaaaaa�•aaa 36 I� Oil conditioning?
a aiuuaiaiaaaaaia aaagagaia�ia\•==••= g = ■.awaaa gwao•r•■rrwrstaua\sarur\u■■ L. RESIDENTIAL BUILDINGS ONLY
aaaaaaaaaa:aaaar........ra \a •• wee
�•a ga■aa a:agagagaaaga■•raaaam's''':Maaaaaa! 37 I I Electricity as I I Yes 45 I No $3. Number of bedrooms
,I;gm:: as aaaa�•• • • • a =a artoarr■��=saaii�a•; � Zaa111111111111111111111111111 rrisaitaiwaaZ a�aiaaiiaaiiS I
• • rrnr•osr■••arg■aaa arr stave• a a • 38 Coal
gays sag wg• ag•aggag nonage rgarar...........
•aur•• ■r ••• tas•aao• as .eUa\tasarrasa\arsa••aa\a•\
i uaastta s r� ■t
I *--14. •\rs�aaursrrraauttsaoa•\au Full
asararrrasrarrwrau•r•masarau• 39 I Other — SpeciJy Will there be an elevator?
54. Number of
46 I Yes 47 I I No bathrooms
Partial
BOCA FORM APEBP — 669 CI 969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
• IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address Nu er, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use)
1.
egt.Mr. 4eXiso'fft ge c.:7"/00 e
Owner or
Lessee
Builder's
L. �me License No.
Contractor
. r�1Architect 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.
Signatu of p icons
Address Applicati n date
deg ,71
DO NOT WRITE BEL THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
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 �y Use Group
Permit issued /�/Z41. 3 19 ,7
Building !l /� Fire Grading
Permit Fee $ 0. CQ Live Loading
Certificate of Occupancy Occupancy Load
pproved y:
Drain Tile ei2
Plan Review Fee
TITLE