24A-029 (7) DEPT. FILE COPY
IP
. &tr €"46 " `1 ''" BUILDING .a
441„..(kee,„,e,L,40,— /.1-4.e-A-44 PERMIT VALIDATION
t,R t../4 — c4 7
DA FE a-A-4-'7 •"�L �, /19 C PERMIT N f'�. ef-
7
APPLICANT• 93.cet A RESS J T - 0 'C "`
(N0.) (STR ET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
/��/JJ�� �'12, -i-( 4* ZONINO //�'/ter
AT (LOCATION) ._��'�..'c' DISTRICT I•
(NO.) (STREET)
a BETWEEN AND
.0 (CROSS STREET) (CROSS STREET)
ch
LOT
m SUBDIVISI N LOT BLOCK SIZE
I
OO D4TCQnt IS TO BE 7 FT. WIDE BY o FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
co
O I
Z TO TYPE _ USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
O:
0
IL REMARKS:
AREA OR LCJ`�J ��- PERMIT 16 .�-
VOLUME ESTIMATED COST FEE
(CUBI OUARE FEET)
j OWNER C1
✓ BUI PT.
ADDRESS `��^ BY
.)0.4j.....L.LO
(Affidavit on reverse side of application to be completed by authorized agent of owner)
r -
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 .
i CERTIFICATE ISSUED
Ir .�� e.....ek,i, , p Ste " » DATE
--7
�_� BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
/F DATE6°4'4 / `7 ry- s c 19 7 PERMIT 7
APPLICANT ,� i�,,, ,R..w�` Pf�G3 D R E S S Fk . ,,'%`l',: ;' ,J,4,,...,^.-.AIC,-4,
(NO.) (STREET) (CONTR'S LICENSE)
ti NUMBER OF
PERMIT TO '� (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) )rti -_"' DISTRICT Pf f�YY
(NO.) (STREET)
rn BETWEEN AND
rn (CROSS STREET) (CROSS STREET)
4 LOT
coSUBDIVISION LOT BLOCK SIZE
U O BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
B
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
w
0
L REMARKS: _
i
4,3 KI:1 KE ,-id 7 KE 3'1 Kl �I K M M MIKE id ; 7 KE
AREA OR NW mil Ji1111 ;till III!! �j. �f y7 ,g11y11� :11y1171 `1!yl l7t ;IIII
VOLUME (OM QUARE FEET) ' 7 'y-r •? 2 'y-r\ ' '7 i ' i+ �'+ '1.�+1`' i `�1 '�l E1 '-1
;1111 ;1111 ;IIII '1111 ;1111 ;IIII ;11�1 1111 :1111 `IIII '1I11 ;IIII ;IIII ;IIII
d TTIKYVTIRYT71 brllp"T'TI Afl TRI ������''''''******IRY T'TI Id R-T1.d Ipvilkr IKrT71�O
OWNER . �^ +... NIA.
B O$TEEDD ON PR I IIFICATE
j 7 > -...42�^1r."' SEE.. �!" -I D porn,
ADDRESS
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
`17
VIII. ZONING PLAN EXAMINERS NOTES
CITY OF NORTHAMPTON
DISTRICT OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
FRONT YARD 1-�4.-- ;;—? BUILDING PERMIT
IMPORTANT — Appplicantt to complete all items in sections: I, II, Ill, IV, and IX. /� O
SIDE YARD C �l_ y ,,,.► ZONING !`7V
SIDE YARD I. AT (LOCATION) ��'�C-���' DISTRIC
REAR YARD LOCATION- (NO.) (ST EET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -4
7J
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
1 I I New buildin -I
9 Residential Nonresidential
2I},Addition(If residential, enter number 12 FRI One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family - Enter 19 Church, other religious
IX SITE OR PLOT PLAN — For Applicant Use numberunits- — — — -� Industrial
"la .-;_ ,i_ -. -..^ • --- ^ •_ Alteration (See 2 above)3 I � oft - 20 I d
sea Y • *ewes:•' urreau�rsraa ` '"`'` ^ ' 14 I I Transient hotel, motel, Parking garage
• seeassea■war w.ww was rreurss■aror■r■■re 4 I I Re air, replacement 21
•■imosemea•weaa t ■ r serum reams I ■•••m r••esssrarsa••a Por dormitory - Enter number
:OR •ras•aseamouarmu aeawr wa•r �, wars r■sr•errurr 22 I Service station, repair garage
• ■weareaaaearumor wwa$ was• A It user rrraaasseraw• 5 I I Wrecking (I/multifamily residential, of units - -M-
::raa • J. www maw _ I •sire arwrms■er■ar
u• resew ra•r ■a�1 •weer rrresmereseere
es. ■ 'a swear ream :In a■•■r rwo•rsse•ar enter number of units in building in 15 I I Garage 23 17 Hospital, institutional
misswew•■ee ewer rear rwraarea•rw
seasoeawwe■ •": sus , C • •' • can wseraeaanse■•rw Part D, 13)
mow mosrww■uwemowar• -,_■ arLuw raw ,a� •were wwwrmuawr 16 I I Carport 24 Office, bank, professional
•wweee www ■ asrr rww■awu•■wr P
■ream mare arra ■maser 6 I I Moving (relocation)
■r rr wrrw ■ •sa•w wasm•■rr•awr
•seas w a se _ • •y� aeaams sro•sea••w 17 I Other - Specify 25 Public utility
arum seam �� ■_ ream awrrawur•s•a 7 I 1 Foundation onl
•••raw urea. • • asuaw •er'a•'r'•r'sw y 26 School, library, other educational;_
r■sew w•w y U U muss ■ OOR srrr■■r■••■Mar _ Y.
Si arse■•■ raw •■raw wwwsar•a•rer
w Y ■ w■awe wrrw y ■ •weaWaimea www■•r■:•arse
::•MM
• eineele ass a • ■ea•r swwaawo■rw B. OWNERSHIP 27 I Stores, mercantile
waxen s•w MIaeaaw ■■rweawea••ene
•e•w■swe • . a■aear r•rr Mai ■•raw ear we•weataar
u■■raw•:ea•■ ■eeww saw a • aeaim rrrwwoaan•■ 28 I Tanks, towers
eaasearasaaa■:: asrr • aaaow mess •,_.• reuse sasw■smarsure 8 I.K Private (individual, corporation,
es :wow as•aeawraw•erw raw www • s 1 ■ reams sass■■mi•a•wr P
aeea■emrria ■ a•..:r weewee • r ss:sw rrwearean Mee 29 Other - Specify
•sasa•r•rearsea ' ear r••r I •••er rr wa•r•rrrr nonprofit institution, etc.) Y fy
■asrr son a••a•amuss 1 s.uw miser -■ 'r • ■ •ease rrwow•u■re■
amassers•earaa•rsa a ear www ■ U. •suss, ■werm wwr•Swrr•■ea•
eaarasarwea•eaea•a■•a■Sa 000 a•••rwuea ■ awa•as rear • WOO II •ears wmw■•wrs■w 9 I' I Public (Federal, State, or
■s■ •rrseaa••rrse•N■s■• 4 •r•.m ranee • • arras rmsrsare•se ne
reau••aer saaasas■weaeawas' • asaw wear ,. wMl U. ■sure wser■■w■■as•w local government) - -- -
warraa r■r•r eas.•••a•aw wea•ea•aesw•rs ar•■r ••sae■ • I A •ease asrrrar•■•aar
• IMMOW
.r:a::a.:uus.:::r:i:::r■s •rut ■::::w:• ' i 1•I a ar::w .r.•awwa • a use s a erase •r•ameassarar C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food
awwwrr•sow : •easse•w■es ■ armor raw M *rum wrwur•rren
*mammas se*Ora■ eawur miser rear ,.,,, wI serum war:mroe•w
arra eir•eaiwea . s.wr raw • SO •sew aewa•awr■ew processing plant, machine shop, laundry building at hospital, elementary
sera _ ■ I I w■awe resume ■ w` aware airw•erarearn school, secondaryschool, college, parochial school, parkinggarage for,
.uwuau: :. siuseurru• wuw war -" w ea•am. ear air re•w•a■saw
asiw we uea■■wwrr■ wear maw �;,,, ■rase wrrrwr■wr 10. Cost of improvement $ 9 9 9
awe maim wear C ewes aswsureaa•ar department store, rental office building, office buildingat industrial plant.
•sew - ■ was raw _ Nas — assaw wrmamwrsmarm P g.
wow r■wars aa•ar rmaow•■■••r To be installed but not included If use of existingbuildingis beingchanged, enter proposed use.
: arras raw no "� ••}li� swim sww■•reaarar 9 P P
ea ■■•! ■• ■ w■mowru■ ] ■ arse as maw ■ar
■,■ i _ ` ��r ■ a�aa : C •,wrrw re -■a9 `ul- tabs:: LLr••7i:" It/t in the above cost
'�•. •■tt i i
•� ■,_ waaw sir —
_:::::::w:::: arrur war `• ■ :■•as 12....
:::■Zia ea■a aa■wr■ae ■ areas w •w Ire • saws rma■ a. Electrical
r•r■• rea aaearrsieea••ewe :el arsar r w :rise Realign mr■■ yN
•war■= ^■•r ■ wren w w wI SWUM www ��1
`. ■ore arum r ar `• ■ www► was
•rrwra ■ areas w w ■ ■ ss>•w3 sss••� ssrw b. Plumbing
run : m • wear as ■r■ •■ ma■rsaeas•w rmru san•as
r so : I ■ re r a■ w ■ rrar•reer www••rr••rr
• areas r men
■a•rre•Seaw ear r•■rwrwra
. sir::::ii: = s w • arum r ami _■ ■ ww■e•ea•s wrruw•aerw
r I •
■: •asrr■ w w MiemeMOIROMI WO Wen : : r••wir••i:a:: araww:aw:::•'r• c. Heating, air conditioning
wrrw r :C I �: •• ■ a:::wawiw:■Mar.••••e•::• __
q. •••wa a•a i an r wara•w w ,J w•w aearwww•ar■•• —
•-■ear _ • I war as s w •eeww•wwr•wwr■■r•a■•a ei■• d. Other (elevator, etc )
ui.Ya ruwrseaweaea: ea ern a M war as U. are■ r *errs• wwuwea■ww
wmoa area • r • m ■ 'i •r mm■:a•miaa:••::■OO. _, ' ::::a:•re■rw::■eeMIRDae•a• ,�
usru•=••.•:sear:a = r r I rwr arms as w WOO. r ,4 aromeraiarra•ww••asw■a,=„sw 11. TOTAL COST OF IMPROVEMENT $
�..•-eamaa••■ =rear r ,M :..... ss....i,:w■ au & •w'r••in::a: ram■:•:■•:::::■ear
'••r••a: III. SELECTED CHARACTERISTICS OF B ILDING — For new buildings and additions, complete Parts E — L'
r r - ■ war www,r srneaeneaeaw awmeasearemsa
o•• war ea re w r _ •rssaearms u•aar 9P
:: ::ar••:moea t wrrw w rwr■•raw rwmi•awearwa■a•r
:::: :•sea• w asrr : wewaw as••r•„�iI 9•i .'. wr■■•�s••aa•r rasasa•w•aawww for wrecking, complete only Part J, for all others skip to IV.
::eawwseusu•uurwu■ : wws•as war • • •wear wasrmoreairw
seasreseea •S■aa■ssse■ II awmsr•rw err • `• •asrr armire■wearrar
: •• • . , sew= arsesea�iu i•r:ara:a ss:awia alas •a• m••:•ass rar•■r■ii::ia•�ra•■swi■
:W •eediiw■aras Were lire ■■eaeiaaa■•as a'Seasw•■r•a■a■r E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
me se iwwauas raw :MAW asaawi■SU waw■srrsi•ww
_ w es _ w•sr ■min A ^e_ere,'wwsre•um raw■srrsamaww 48. Number of stories
• _ .emer rrreawear•ww
•O s N ,•Tree r sew 'a ■rar•saa■w wmwsasmo■awar - - g -.-_.. - 40 - -- --- _ ._
■■ . ■::........ ...................•.www = c c1aEiic'ltiii Wmrearearmaramea :a- — "::• •uIic. :: � �iI
49. Total square feet of floor area,
==i�usiiaaiii � r•t:u•t==:iai:::■rioa •• awe, awe, ■■ 31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior � ^�
as re ass r ►s ■N "•�'w a w•wrusaw•waw■•w■eararr• ill"
y
Asa warur r w••aryr'ep R aa, ,'•••wrrarraaaa:a��::aa:marwirr• 32 I Structural steel dimensions ill
: a era : m ■a I•:<s ara•••iruar■ sari a: •• `.r. wrwrearrw ra■muaanr
w arras m w r aurae•■: owrwasasrawoawr H. TYPE OF WATER SUPPLY
s==::as s ::x ,-■rrr■•:eawrwmi:■rmoasr•w 33 I I Reinforced concrete
•mrmarai w : wwiase s ■ ,, ••i•waw•rr••r•ea•raw
useu■or ,• �■ wwsaw w was ■ •ruaw• r•sawrmo •war 50. Total land area, sq. ft.
a� a •wawa■w en ass • -r mrrrra•ewrwwrmo••:w•■si:ar 34 I I Other - Specify 42 Public or private company
::arras ■• :u:::'s:s:: r•elm • ►IL :F M area■ war 'wI reawrrwrea
r '■_ min s w.se w ^ se ,e R a was■. rwr
r. •sass = ::::::: ff22 ii_ }. � • r Itriasasu 43 Private (well, cistern) K. NUMBER OF OFF-STREET
••• • •• ::: •a•:•:: • An .rr_• ■�„e,�a�wes w Ir�jl+ylarra re
_ •wr•rasm.. re
•�s • • w sere": • •wa•::w i awaa C -r w••ar••w •::iiaamr wrrw■a:•resew PARKING SPACES
a■•■�•r.ea:•iuea::�:air r `••
emus... as w / . "'w•wa•uw•wasaseawili••arw 51. Enclosed
:::a•a:::u:::::::::::::. us :■ : •• M: e■rar::aas■ w •.M Sir,,:..:.. ` 'r"":i.::::www:maser,•sari■
: : asa:: : e arrewew ee w r ■ • me Weena•••waaeasarrwr•r■r•w•ne F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
mo•�I■ M• w_arrw r ar.ISIO R :se_ .'^'■•Ira■•■ow ear:•■::•sea:::oaswn
, SOO ei::iuu:::::::e :awe::: _ :uea■o•rse•sew•w•s �•ai`ss •i•w::w era •T' as: • '• '• i:::::■ri wawi■wi::sra'i:�� 35 I I Gas Will there be central air 52. Outdoors
:::a:::::■:::_:::: ■ w war r •a� U et aarrmeases rrwmow•u••ww
:: :t ,: OO is sea • air w ar.—mm, •awry •iar rrwurseararar conditioning?
_ : rei■ . . ......•as as w_ m :::•www wMwa•w_■a■••:::: 36 Oil
ii Ii ii: ii •ii:i■e!s lte:ssiiuiiiiiituint3itiufttuitititttiaiit r"wwrthtitfist �.___.'_:--,�� t_ iit:! vac situate, 1--]
� I I I L. RESIDENTIAL uer of BUILDINGS ONLY
- • � Q= S� 9 • 37 Electricity44 Yes 45 No
Ys
ai ...■, a •• rear • ■ Wei::::u■:: ■ a : _-__._ wearrrrw�ar rear ea•■a•aar 38 I I Coal
U �! !- .• raeawawa wear rwr amerrerar
.-- .t iiiiiii uui �{ ialiauiutttIiu.:uetiiuit.:. w••ass• -••--•••mem rrw■■wis•w•••w
! . . :i . war amen mar raressatY
tillt0i�1 ear sew r
". a sour re�mow• M :-a;,,.��r_„.„,.. ••were `:_t.■w asmirsewusraww1 39 I Other - Specify WIII there be an elevator? Full
54. Number of
46 I I 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
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
NOTES and Data - (For department use)
1.
Owner or
Lessee _/� p ,i 1-+ (� /, el ,'/M//i1 h, L
a '` 11`O'1"i+.�-4` �I I ��'�y� /�.�J�..�J�Lti t � / s�
J #.41,til'A_J----•.
Builder's
2. License No.
Contractor V-v
3.
Architect or
N 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.
_
Signature of applicant Address ryJ t Application date
d
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
q .Y 4BUILDING a
PLUMBING S
MECHANICAL S
1 ELECTRICAL S
OTHER S
I
-®Le../4-
«<...111
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
a + y� Permit or Approval Check Obta need Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
-rt'
j CURB OR SIDEWALK CUT ROOFING
--(... ... ,
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
„� GRADING USE OF PUBLIC AREAS
� OIL BURNER WRECKING
OTHER OTHER
( _,,-
C.L ' it‘ ``
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Bui[ding Use Group
Permit issued C !� 1-4 19�
Building �/ Fire Grading
Permit Fee Co'"G d
Live Loading
Certificate of Occupancy Occupancy Load
Ap0 by: -
Drain Tile $ Ze.t-ellialtb
Plan Review Fee
TITLE