31B-118 (6) 0.S P
;' . DEPT. OF BUILDING INSPECTIONS BUILDING ZO / )
:�t: 21 Main Street o<
r ; Northampton, MA 01060 PERMIT Qa
31B - 118
p VALIDATION
DATE November 2, 19 87 PERMIT NO. 734
APPLICANT Marybeth Home ADDRESS 15 Edwards Sq. owner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Repair/Replacement (_I STORY Kitchen Area DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 15 Edwards Square DISTRICT NR
(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
r } ��'�.,.,{.,,� (TYPE)
REMARKS: permit for the repair/replacemao.t of e�sling kitchen
AREA OR 1350 sq. f t. ESTIMATED COST $ 1 ,200.00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant F1�v,, y///�J/�� • e
ADDRESS Same as Applicant's BYIL�� �^ 1 �i¢ l/4'.'N` 'C..
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY PAN P
till" , CITY OF NORTHAMPTON
�" ,)r. MASSACHUSETTS
VIII. ZONING PLAN EXAMINERS NOTES i►At`�_ jt';,, _
�J ,_ t OFFICE of the INSPECTOR of BUILDINGS
DISTRICT "i `� + LJ Plot /
_`�,, � Page 3 I ! ; APPLICATION FOR
USE ZONING PERMIT ANC
INSPECTOR
BUILDING PERMIT
FRONT YARD
z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD SIDE YARD
�/�(�� AIL_
I. AT (LOCATION) t� ���'7 "'"7�� ZONING / I t�
DISTRICT 1!I I
REAR YARD LOCATION Alfj(No.) Is REST)
OF BETWEEN Si- 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
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 I— e family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family - Enter 19 I Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use number of units- - - - --p.
3 I Alteration (See 2 above) 20 I Industrial
!• •i
es: •: •_ 4 I✓ Repair, replacement or dormitory - Enter number
u::: ..N..::ie::.:... _ '!l:ar•::::....t...p::N■HaN:HeaaH!■Na=.! : r 5 I I Wrecking (if multifamily residential, o/ units - -� 22 I Service station, repair garage
mg _• ! : !' : : enter number of units in building in 15 1I Garage 23 I I Hospital, institutional
... ::u.ss.ue •OO e.N•N•■e•I■■•OM OOOOOOO„N:■N■Ie•■e::isr■ :•.il •■••u■•■■■■•: Part D, 13) 24 I Office, bank, professional
■•
e■•i:•...•:�i:••:::::ii: i ! il• :::::: ! ! : 6 Moving16I I Carport
■N • eHswN■ I I (relocation)
_: ......::•r.'ti::::e !!■.e•: ::r■::l:se: : •lei!! _ rem: 17I I Other - Speci/y 25I Public utility
L ! _ ! 7 I I Foundation only
::1::l::::i■e■..:•r:••••rcc.... •r•r : ......:::irr•':•: _ = 26 I I School, library, other educational
ais:..:s:.■::.arrei g:f: lial:i::s=llisaii""ii:::::a:u:: ■•areHN:NNN■■■i :inn: : 27 Stores, mercantile
• r B. OWNERSHIP [�
...... i•::i .::i:i:::l:: :.::�.. ■• •■■ ■• Inca Ni s:i y P 28 I I Tanks, towers
8 Private (individual, corporation,
■•:••........!li..•lsii::S le.:■N:e•:: :mess: : l■••■eN•■N.eeuaea■a••■.: nonprofit institution, etc.) 29 I I Other - Specify
r!•:i !!! i•..Nwli■.■I ! e.■ 9 I I Public (Federal, State, or
::.:.! :■C!■::_::•••■al:::•Z!=r::y :•!s• ••......�:•:■.N•■:�•......:_•:l::l::: local
:::::NNN.•a e•N e•::::::::■e■eN N•NINN•N•N■•Hsiss=•::e :It■■■NN: : government)
. ...'•'• •• • C. COST (Omit cents)
...•:ae:•l a... i.■N■il:!l::= • �••■•= 7 Nonresidential - Describe in detail proposed use of buildings, e.g., food
••■• •r••• _ N■ ••• .. processing plant, machine shop, laundry building at hospital, elementary
.. ■N •■■.!N•se/a•N . .!•... ..en •:i! !■a! : •
e.:.e..a • •eN•■eN•eNarH■N•■•e■■e•■are■a.•• a• • school, secondaryschool, college, parochial school, parkinggarage for,
•••eei..•i::e■a: •!:: •.:Nen•••.•NC••■•■r!!••■•■■•••••H■•H••� 1::::�i!'•!' 10. Cost of improvement 9 9 9
'•'• r.■r■. iNeeNeN■il department store, rental office building, office building at industrial plant.
in=::::SP•":lli:::i:::i:::r•i: _ :Jean !!■ I : r■:! ! To be installed but not included If use of cx�rNrtgbvifdi-ng+ b �si s being changed,enter proposad _
emis as:
::::r::::err•::::semi ■ese rule:••:•::: : in the above cost y�
:::l:::::::l...�.iia::::al:::.......•N.NHr I. lH.N•r! : r .. a. Electrical �V(J x �L / T )�
ii:::s■::relc:i:i::iaii■•■•N•i::::l:li r =! : i■r.: : ! • I. b. Plumbing
il■.....a.•:■.l:ii�:eilli• :■ �� .:• .••.���jjji:•s.::.i
yyi::••■•. ~..SS.i.....U• N s..si....:S.i......NN■r s.•. .. iii Nre•ereOOOOOO�•H•■•.i:i•i c. Heating, conditioning
•N:e• uN.:ris.: ■� _ rNriN ! air
!il=1Sii�1il:�ii:is li:::=s..! __■ _:::::_.•.•! i i : i : : 1. d. Other (elevator, etc.)
:::::• : •:r•• .=��I::.i.:.�Neill......... ......::■.a■ a: :N a:iiil:: i.:a■:r•: : : : 11. TOTAL COST OF IMPROVEMENT $ a (f V
:::s:. imassia:::::::: ii 61::s::li:s:::s: aOOO•Ne•. sss.: :MOOS l
:!•..S OF UILDING — For new buildings and additions, complete Parts E — L;
•..u....::=i:r:::::i fits:::•i .,..... l:/:••■ •a :r RUM !!lil::! :"••"'••'•'•ll�li�:; !•■•:i:! for wrecking, complete only Part J, for all others skip to IV.
�y• e ! III. SELECTED CHARACTERISTICS
.:•..5::.::.:i i' i sSu•:S•::•H!r•!i s ; !s : :
__::::::::::::_::l.:.lalr::::::.:::!:liia :iiilii:l:aiiilrr'•r:::: ......iiiiuiS: : i E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
•. • •al ••:.::: s !ours..:.. i : ::: : I 48. Number of stories 3
S ::_ r::■■!!! i:i=a!leiiira ::r a=+•N::•SSU• irl•:::a: :ir•'is•rr:e.•as • ! :::s■■■= r■ C•u••ue■:::: 1 31 30 Iv1II '4CoodMasonry frame all bearing) 40 I rivate (blic rsepticte tank,npany
etc ) 49. Total square feet of floor area,
s. 3i. i�LHNN.ieuui■eii•1:. :.: : ! .:•:! ' = all floors, based on exterior /3�/f`,
Ui erl :iiiiisen a ::: ::::: i::C:: :: ... a•ee eee _ :■. ■see ■.. . e•■ . •■e .a.. _ 1 / l!
r : :ree i •l : l:: 3i: ! : : =:l■i:a ••u !■r :t•: !::l:::•e ==•u•i•:■•■ ■e•■ •■ : • :! !!!!: ! 32 i I Structural steel dimensions
isiss s:as ! _ —
'ii !S:• ••!r • • ■ir •• iir••■•N•:::i:ii•::1:••:• N :::: :: : ::: ! •■e i:: :: ma. 33 Reinforced concrete H. TYPE OF WATER SUPPLY
bill::lis::S:::i3::.::h ii.l .s....lisi•!•ri:....s.....ia•' .p....:•� • •lit:::••::�a5'•:i:Sis: ■_ ~ •ii`S•ailii 1....: I ISpecify 42 I- Public or private company 50 Total land area, sq. ft.
r� NN 34 Other _
1•.i::•l■rl i• l i li:::=lii •li::•■!::•i' e• r:' re :!: 'i:: •••sr s i•ssil:si::::i:::: 43 I� Private (well, cistern) K. NUMBER OF OFF-STREET
:::: i ¢ l: a ss :lls s. i i i is ssli::lli... !l !•sl::si
:l OM li2l • is l Ilia::ails::! r■•• iii : •■•l•••• •• l•• •aUUUiSi•■•• ' • llis:!!illia: i• PARKING SPACES
_ •l•••s••• •::: •• : as sass : • iss ! s:: a lass•::i ssss•sss••s••••••Usst:s::••U li....s. ii•
• • ■ •■ • ■ • 51. Enclosed
• • a au��• ■ • H
1: iliilsf:riiiiiol lilt hill:: _li
iss i lr': lssi'•'s:l'•:s'lassss"!•:: •rrslS i! si•SC • ! ii F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
• • ..e • •.• .•• • e. ■ • .•aH
••• •• • ■ • i' N :: rite •:••i ia•!i!••i:tiaH: i 35 Gos Willthere be central air 52. Outdoors
1 i .#:::: 11 !i liiIZZ� $f� s:i :::' :i:i• l i'"�l ■.::�'i as ��R •■ iN •■i■■• i:■ ■s•
III 1 + +. :all::li:::ls :: :: li�'l'•l:i ...4 1" :: ll::aiii:i:lino"li:isii:li:ii'aiiiil='!•:i1'aesllaHa:!■::i I I conditioning? /
i• •iNe=ii r� � Mil t' 'tT ;S •
i!i i :l S iiai-ir�::li :il:!!ai • a i i:aail::: i 36I1/I�OiI L. RESIDENTIAL BUILDINGS ONLY
f I' F"'11 :Milii!l:: li: l0� ::1 0
r i iT * 11111 •� iii�i �iilirii_..... ...slit'•==•=s.aU.U...0 37 I I Electricity 44 Li Yes 45 �0 53. Number of bedrooms• !■■ •a N■ • N •e.N• 3
1 1 r ! ! ; T{I I *+$ l ;.. 1 i .:! :iii:iili i�lQl�� i! ' .. i:::::lei■ l 38 Coal
',I 1t hi i si i li:� lli *'T" • i• iH i'.. + �� l: l:::i'a;•itii:mill'!lii• aigi l'•=:laiei:�•liiur 39I I Other - Specify Will there be an elevator?
t ,. t' _ iilil:�; rl�" l� t .. 1� � ''lra�=g�'�ii illiiaiiii��llE'�'! �!�!!ii:�a ::rN:•NN: Full r
54. Number of
46 H Yes 47 1.4-No bathrooms
POP f Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, arirf State ; ZIP code Tel. No.
I, 1 (/t/ //b
�� gOlag'rC �� J �p QjD`() s��/ ���� NOTES and Data — (For department use)
Lesse or / -/f� f /t/ rty0P7r� /j _
Lessee 1
Builder's
2. License No.
Contractor
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
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address �/ Applic tion d to
111q11,c7- 7/1577,)- /5'
,/,„77,4„ ,fh
DO NOT WRITE BELOW IS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes
9 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 � 1 FOR DEPARTMENT USE ONLY —
Permit number 7
Building 1 (� Use Group
Permit issued ' L / 19 11 2-
Building -�� Fire Grading
Permit Fee $ l/ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: �, �� ,
Drain Tile $ �� r''"a#."{ c' \
Plan Review Fee $
TITLE
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