23A-022 (8) FIELD COPY
DEP*TMEII'T OF WILDING INSPECTIONS
212 MAIN STREET BUILDING
NORTHAMPTON; MA. 01060 PERMIT
23A - 22
DATE January 22, 19 81 PERMIT NO. 34
APPLICANT intharferd H. Plitt ADDRESS 21 Park
(NO.) (STREET) (CONTR'S LICENSE)
) NUMBER OF
PERMIT TO � 4
111taratian ( ) STORY Chimney msod stava DWELLING UNITS 1
(IrYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING uRN
AT (LOCATION) 21 Park D STR ICT
(NO.) (STREET)
atBETWEEN Corner Park and W. Center AND
0 (CROSS STREET) (CROSS STREET)
m
LOT
a SUBDIVISION LOT BLOCK SIZE
m
4
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
M (TYPE)
D:
° REMARKS: Cnnstrnet fatal blsta■ chimney and install weed-burning stove
AREA OR /� PERMIT
VOLUME ESTIMATED COST $ 7W,00 FEE 10.00
(CUBIC/SQUARE FEET)
OWNER Edtherfnrd N. Platt
ADDRESS 21 Park St.. Florence. Ma. 01060 BYI I _ /1 _ _
A
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
DEPT. FILE COPY
DEP THEME OF BUILDING INSPECTIONS zo
212 IN STREET BUILDING . _ �� o� cc /
NOR TON, MA. 01060 PERMIT VALIDATION
23A - 22
DATE -limitary 22, 19 Al PERMIT NO. 34
APPLICANT Iutherford H. Platt ADDRESS 21 park
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO �1ltPr .'ion (_ 2 ) STORY Chimney t iood StOVP DWELLING UNITS 1
(HYPE OF IMPROVEMENT) NO. (PRXPOSED USE)
ZON ING
AT (LOCATION) 1 21 Park D STR CT URB
(NO.) (STREET)
a BETWEEN Corner Park and W. Center AND
0 (CROSS STREET) (CROSS STREET)
aLOT
m SUBDIVISION LOT BLOCK SIZE
il
1
0 BUILDING IS TO BE' FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
0 (TYPE)
K
�O REMARKS: Cnnstriitt mPtA1 hPStnR chimney and instAll wnnd•hurning stove
AREA OR PERMIT 10.00$ 700.00 VOLUME � ESTIMATED COSTFEE
(CUBIC/SQUARE FEET) /,
OWNER Ratherford H. Platt9 ? ''�'�'
BOIL IN
ADDRESS 21 Park St., Florence, Ma. 01060 BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
f
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 .
0141141131T OF 1011,01116 ntspitazoms CERTIFICATE ISSUED
• _2'12 MAD SORT DATE
,,, 01060 BUILDING PERMIT -
�, ss CERTIFICATE OF OCCUPANCY
23ADATE .lelifie-+2 2 19 PERMIT N0. '
APPLICANT )i#fait$ M.d. Pu tt ADDRESS 21 e
(NO.) STREET) (CONTR'S LICENSE)
( t IMP�ENT) N0. P POSED U NUMBER OF
PERMIT TO I (��) STORY DWELLING UNITS 1
ZONING
AT (LOCATION) 21 Park DISTRICT MB
(NO.) (STREET)
An BETWEEN cotaorr P.* sod V- coital' AND
m (CROSS STREET) (CROSS STREET) 4
o LOT
m SUBDIVISION LOT BLOCK SIZE
II
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
7 TO TYPE - USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
O:
O
I. REMARKS:
77 y� ,�7 y--� y� y� y� �7 �7 y� 7
�ii�i1 ?_i1 �?ii � fi fi �fi -EL�i.l�� �� ri �Tl�ft •� 1�-Ell
AREA OR __ ;IlSni ;IlsnTl ;IIII 311111 I1U ;IIII( :IIII a
VOLUME ----. . ' 7 'r1 Ef ?Ef •EI 1 R;a,7 .,,.7 i }� < •(CUBIC/SQUARE FEET) `� w•ti �"` -^ '�
:1111 ;IIII ;1111 ;IIII ;1111 :IIII ;IIII P:;; :1111 ;1111 `IIII NW :Ili'. ;1111� ;IIII ;1111 4
V t71 AiTT bT?1 drri A'r.'f1A'YTIRYT? • • TI A'CTI oz. 1 L 1I Ko`1-SI1CIt7I bTtl bCTI r6
OWNER I Remora III Platt 0 BE POS ED N PREMIS�S5
�1'�c� SEE B V �S C 4T O .CE FICATE
ADDRESS 21 Park St., Plan •* Imo, 01060 t �."( ,
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
ft
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
. : • ' CITY OF NORTHAMPTON
t� MASSACHUSETTS
B• �J0• a.. OFFICE of the INSPECTOR of BUILDINGS
cam`.P.1,, '
�` � Page (>2_34 P 1 0 te>2.-.7APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
T . ZONING %� /�)
1. AT (LOCATION) I,' ��� �/ Cy DISTRICT•'t��
LOCATION ) //(NO.)C //'/� /���(SSTREET) /...../..._..1
OF BETWEEN (�i�I%!lX/l / \ Gj AN
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -4
7a
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I I New building Resid Na) Nonresidential
2 I I Addition(If residential, enter number 12. I One family 18 1 Amusement, recreational
ofnew housing units added, i/ any,
in PartD, 13,
13 I I Two or more family - Enter 19 Church, other religious
in
number of units- - - - -0 20 I Industrial
3 X Alteration (See 2 above)
14 I I Transient hotel, motel, 21 I Parking garage
4 I Repair, replacement or dormitory - Enter number
5 I I Wrecking (If multifamily residential, of units - -0- 22 Service station, repair garage
enter number of units in building in 15 I Garage 23 Hospital, institutional
Part D, 13)
16 I I Carport 24 I Office, bank, professional
6 I I Moving (relocation)
17 cg Other - Specify 5 1 Public utility
7I1 Foundation only
�` � ..„...,,,,,,,,,..,1.-
26 I School, library, other educational
B. OWNERSHIP (���L !/ i- _�„,fiCet 27 Stores, mercantile
8 I Private (individual, corporation, 28 I Tanks, towers
nonprofit institution, etc.) 29 I Other - Specify
9 I I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ 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
b. Plumbing
c. Heating, air conditioning
d. Other (elevctor, etc.)
11. TOTAL COST OF IMPROVEMENT $ 7 7 Z de
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 I asonry (wall bearing) 4O Public or private company 48. Number of stories
31 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33 I ] Reinforced concrete H. TYP,t/OF WATER SUPPLY
34 I 1 Other - Specify 42 Nil Public or private company 50. Total land area, sq. ft,
43 I ] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE •F MECHANICAL 51. Enclosed
35 j Gas . Will there •- central air 52. Outdoors
36 I 1 Oil conditioning.
L. RESIDENTIAL BUILDINGS ONLY
37 Li Electricity 44 I I Yes 45 I� No 53. Number of bedrooms V
38I I Coal —
39 I I Other - Specify Will there be •n elevato ' Full /
54. Number of
46 Li -s 47 I 1 No bathrooms /
Partial
IV. IDENTIFICATION — To be completed by all applicants
_*__
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
J2/ ,', N / A-ii-1±- Lc--8-C —.—
Lessee
3 ti ,S�
/ Builder's
2. 7�r, ��� License No.
Contractor f/f��`
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
mak this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sig at reoff plic t / Address Application date
li
/4-,
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 B Notes
q Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
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 ay
Building. Use Group
Permit issued ��,,t,_ c../4 198r//
Building Fire Grading
Permit Fee $ /. 1- lJd Live Loading
Certificate of Occupancy $ Occupancy Load
ved by:
Drain Tile $ D ,/ '�
,4,--14-4
Plan Review Fee $
TITLE
NOTES and Data - (For department use)
aLe/2 -
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD '
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.