23B-014 (22) DEPT. FILE COPY
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DEPARTMENT OF BUILDING INSPECTIONS BUILDING D d
212 MAIN STREET
NORTHAMPTON, MA. 01060 PERMIT VALIDATION
23B - 14
DATE April 9, 19 79 PERMIT NO. 115
APPLICANT City of Northampton ADDRESS City Hall Northampton
(NO.) (ST.BEET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration ( ) STORY partition & fire door DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 125 Inpust (Board of Public Works) ZONING
DISTRICT GT
(NO.) (STREET) (Engineering Office)
a BETWEEN AND
a (CROSS STREET) (CROSS STREET)
LOT
a SUBDIVISION LOT BLOCK SIZE
m
a
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
co
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E (TYPE)
I
0 REMARKS: New partition & fire door
AREA OR PERMIT
VOLUME - - ESTIMATED COST $ 500.00 FEE $ N
(CUBIC/SQUARE FEET)
OWNER City of Northampton 7...-----)
BUILD G D
ADDRESS Northampton, Ma. BY
(Affidavit on reverse side of application to be completed by authorized agent 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 .
t CERTIFICATE ISSUED
IINPAMMIN OP PITILIIINO INSP9 CSS DATE
212 14031 SISEIM BUILDING PERMIT -
szsenumem, la. 01060
CERTIFICATE OF OCCUPANCY
23R - 14
DATE April 9. City
9 PERMIT NO. 115
APPLICANT City ofNo than ton ADDRESS City Hall, Northampton
are
(STREET) (CONTR'S LICENSE)
NUM
PERMIT TO Altaration ( ) STORY partition & re door DWELLLRINGO UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) Works)t 13olardi of Public
ZONING
AT (LOCATION) 1 25 ��j��� �]1�� DISTRICT (U
(NO.) (STREET) ( ring Office)
o BETWEEN AND
�`++�
0 (CROSS STREET) (CROSS STREET)
cr.
LOT
a SUBDIVISION LOT BLOCK SIZE
m
V 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)
/ t1�
I REMARKS: New partition fire
a door
Ifni it 1 4 Ti K-ii • 4 +-ri 1 4�i.1�.c.1 it It i�rl .?it 1 1 K-4
AREA OR p'1r111 ;IIII{ '11I1 ;II11 .1 II. •IIII •III ;IIII{ .1111I�. ;IIII{ 11111 a
VOLUME (CUBIC/SQUARE FEET) 7 1E '� T�.t ?� ' 71 44 , ll '� ' 11 X, '^^+ ''11 X
.1111 1111 :IIII 1111 ;IIII ;IIII 11111 '1111..'1111 11111 11I11 11111 :1111 11111 11111 a
df7I TI bT/I ErrIIR]oT.7Ib'T 4 TI IIYt1 �"�1 1 R)'cl 1 bTTI RATTI A7VVLOTTI Ac.. 'n
ptt
OWNER Northampton,
of No SEE REVER5 -`S{RE FOS J O,N,PREMI F S IFICATE
ADDRESS 1�E3 $i)na. Na. /CP"4.' /.
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
4 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
VIII. ZONING PLAN EXAMINERS NOTES
OF NORTHAMPTON
Y
DISTRICT OFFICE OFT THE INSPECTOR OF BUILDINGS P 3 ,13 -- / //
212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
FRONT YARD
Z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
SIDE YARD SIDE YARD / 7
I. AT (LOCATION) D v D ZONING
CT1,7 P
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 —I
70
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 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 fl Church, other religious
number of units— — — — -0- 20 I I Industrial
3 I0/ Alteration (See 2 above) 14 Transient hotel, motel,
I I 21 I- I Parking garage
'rue• � .
I replacement ordormitory — Enter numb _ Service station, repair garage
4 Repair, repl
y -_., _ �..-� _ ,., -- �, -;_ ,.:_ .- +:., ,. .s y . ,i. <------r sunits — 9
or number
i slr . auu• uuuuuuurraosseeOs.ra rur.::•sosasu•■ss■rnr■wrs•r■a•u•ros■ uuounb■rrara••ra•.au•■
5 I Wrecking (If multifamily residential, of 22
i • enter number of units in building in 15 I Garage 23 Hospital, institutional
• - i Part D, 13)
•• • 16 I Carport 24 I Office, bank, professional
0011000 ii rr 6 I I Moving (relocation) 17 I Other — Specify 25 1 Public utility
ail O7 I Foundation only 26 I School, ltilbrary, other educational
•u=•u.asau - a.
: Aed o� p�- ic.. w '_,l
• B. OWNERSHIP /� v bf /�127 Stores, mercantile
ss.■ •. .. ■us.
8 � Private (individual, corporation, al Tanks, Towers
s; U.S...us • �• a- • • • UM: nonprofit institution, etc.) Cry- 0 F i I C e 29 I Other — Specify
oil a■rsaau.•u.a..••..a•••a.• 9 Public (Federal, State, or
: •.eau �u•u. ■
MOW uas uusuausa
.0 s aces
■anasu rrs.0 o u u a•a .ss •s.• ■asowawa a ■ u.us••. : local government)
MOUS :
:as u s• ■•u: • u
a _• 4i00•. ■ ■ au rssssus■e.uuu:: C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
Imam� ai■N.
u.es■. • : processing plant, machine shop, laundry building at hospital, elementary
aarou.■._ _ use .�
as.pa a • 1O. Cost of improvement $ school, secondary school, college, parochial school, parking garage for,
rem uassua •.sssss•s de artment store, rental office building,sea•a •■a p office building at industrial plant.
• : : uua To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
Ili a. Electrical 22..j:_.,c.,_,,
suu n.ra. :u•ri: ��
a:u::a::: : :osn: = b. Plumbing
: c. Heating, air conditioning
::::::::: • e eI
: s =.=•==awu•S d. Other (elevator, etc.)
4. rr I I: : 'J ■r." Sig _
a a*U:usa= _ : :MI: = a • ■ sfar�� iaaar.■•uasuul ss 1). TOTAL COST OF IMPROVEMENT $ �
r■: ::I::Iil•aa...s..a•a• sass.• ::::: ::::•s.•ae•a: : =•.a00tu.. III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
:rim" a. s : mire .nKo .5l:::i:i •sua�raaaas•N. :1tEmo.+•sUsas 9 P
::::: : :; ....pi . for wrecking, complete only Part J, for all others skip to IV.
_ = S:= _ ; E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /L r
�f
48. Number of stories Hire/
iis.G 30 Masonry (wall bearing) _ 40 Pahli,_ar_private company jJ
::: :IMEM 49. Total square feet of floor area,
_ 31 I I Wood frame 41 I I Private (septic tank, etc.)
• all floors, based on exterior
n : . o
.:e=a:e:s■:: _ _ �• 32 I I Structural steel dimensions
_ __ ::::: :: [ I H. TYPE OF WATER SUPPLY
:::a:: • : •u.=e ::: 33Reinforced concrete 50. Total land area, sq. ft.
:uu eu ua
: 34 � I Other — Specify 42 Public or private company
• : ::::::: _ : ! _::::■a 43 Private (well, cistern) K. NUMBER OF OFF-STREET
ts:ui::r:::Ilea: • • • •
_ : ::•:■:•:: a _ :Im ii PARKING SPACES
•suni:
slit=::=:::::: :s:: es • s : Mini:
i *a
51. Enclosed
SSe•a==:•: : F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
ssiaii�siseei ::I: ::: �s:s:a•� : srrr•� a::::::: : °rr �1
35 Gas Will there be central air 52. Outdoors
}:_::: :=ii= su : ; : =■esl�= : : 36 I oil conditioning?
::e: i :srssssrse== L. RESIDENTIAL BUILDINGS ONLY
::::::::_:_:::: : : ::::::::::::::"""a: 37 Electricity 44 I I Yes 45 I I No 53. Number of bedrooms
`._:::::!::�::::::: I:::: ::.:: : • =i::: :::::::
Z=:a :: 1:::::::::::::: :i::: _ • : : : i:e: :: .L.,..... 38 Coal
;_; _ :::::: ,::::::I;::: s : : ::::riirhs•ul!arasas 4■r:::::::::ause1 39 I 1 Other — Specify Will there be an elevator? 1 Full
54. Number of
46 I I Yes 47 1 I No bathrooms
Partial
BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed 6y all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use) A � �f. '''7.4...t."..-.0. ,../627..../4.2 4/...
Owner or63 Y'1 % .eZZ414-I4-'4..c./1::;2....LI A-- L2,...t ,
Lessee lll...
Builder's
2. c .A/ License No.
Contractor
3.
Architect or Engineer46.,„4„1„.
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 appl Address Application date
WiPAL
/ __7*.#:‘ Li— ?-- 77
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
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 /lr<
Building Use Group
Permit issued 19 7
Building Fire Grading
Permit Fee $ /' 2C/ Live Loading
Certificate of Occupancy $ Occupancy Load
At. o by:
Drain Tile $ / // / ( 4,
IINdraimdda
Plan Review Fee $
TITLE
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