32C-017 (13) r`" DEPT. OF BUILDING INSPECTIONS Z
:i :,., 0.•.,I. BUILDING �U DO
+"� 'I� 212 Main Street o<
Northampton, MA 01060 PERMIT4
32C - 17 VALIDATION
J l DATE December 18, 19 RZ1 PERMIT No. 691005971
APPLICANT Francis Chicoine ADDRESS 84 Torr y .fit Facthampton
INO.1 ( TREET) ICONTR'S LICENSEI
PERMIT TO Alteration (_) STORY Office Building NUMBER OF DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)AT (LOCATION)
78 Main Street Norhtampton ZONING
CT CB
(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
(TYPE)
REMARKS: permit for interior alteration to opfinrul1 igist office
AREA OR $ 200
�/'�GG
VOLUME ESTIMATED COST $
5,000.00 FEEMIT 0.
(CUBIC/SQUARE FEET) /�,�fB OWNER Dr. Robert Grossman �M (?'ZL
ADDRESS 78 Main St. , Northampton, Mass. 01060 BYIL
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p}NP
0l3 44'. CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES 9�wi , 's MASSACHUSETTS
$•v`7:.;°.iii "ecl OFFICE of the INSPECTOR of BUILDINGS
DISTRICT =,•.s. JO
,`'_ ,` 2 �� 17
Quc � Page �v` Plot APPLICATION FOR
USE INSPECTOR ZONING PERMIT AN
BUILDING PERMIT
FRONT YARD
' IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. ZO
SIDE YARD SIDE YARD `� , ZONING f
I. AT (LOCATION) Ig / i�/Y) —� DISTRICT l__.
REAR YARD LOCATION (NO.) (STREET)
•
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
r. LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rr
IT
1 I I New building Residential Nonresidential
2 n Addition(If residential, enter number 12 I I One family 18 I Amusement, recreational
in new housing units added, if any. 13 Two or more family — Enter 19 Church, other religious
in Part D, 13) I I � � 9�
IX. SITE OR PLOT PLAN — For Applicant Use number of units— — — — 20 I Industrial
3 NI Alteration (See 2 above)
: 14 I Transient hotel, motel, 21 I I Parking garage
4 I Repair, replacement or dormitory — Enter number
_ _ : ! 5 I I Wrecking (If multifamily residential, of units — --� 22 I I Service station, repair garage
enter number of units in building in 15 I I Garage 23 Hospital, institutional
so Part D, 13)
: 16 I 1 Carport 24 Office, bank, professional
:::lu•.••■•••••: ■' 6 I Moving (relocation)
! 17 I I Other — Specify 25 Public utility
7 I I Foundation onlyI
26 I I School, library, other educational
semen:a
■■.■ !•■•!.. B. OWNERSHIP 271 ( Stores, mercantile
! ! = 8 I0. Private (individual, corporation, 28 El Tanks, towers
nonprofit institution, etc.) 29 0 Other — Specify
: •
9 I I Public (Federal, State, or
_ _! local government)
_ : C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, •.g., food
{ processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement s LC j (I 1.) 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 t
:s!!l::ti'•:.•: = r :: a. Electrical JF. - , )/� ,.L...,,, o' `, /, /
_ _ !!• _ " b. Plumbing
■••■ t �L
Nees!!!:: :
:•e•s•••s: _ ! : c. Heating, air conditioning
'"•es .
'_ _ = "
ii:::: _ I • d. Other (elevator, etc.)
'...■•.••.••• •■•■•l:::SS�:'•:■••■: 11. TOTAL COST OF IMPROVEMENT $ ,ti,� (..1 0I,)
!•••!I ! :„ : :..::5:::�: _ _••■"'= III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
i=l::!1::::::::: as s s
::!l::::'! •e•.: s
_ _ pi wrecking, complete only Part J, for all others skip to IV.
I: : !'!US SS•::! : : ::: E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
.•. ••. .
■■ sees _ ' 30 n Masonr 48. Number of stories
I ! ! : y (wall bearing) 40 I_ ,1 Public or private company
49. Total square feet of floor area,
::'�='=ss ! _ : !_ •! = 31 �1 Wood frame 41 I I Private (septic tank, etc.) 4
all floors, based on exterior �/
.:=:s■u••::s::•=s...n. :::....: "•! I _ = 321 I Structural steel dimensions
■::! ! :
'::l::: :: : : _ : ::: 33I I Reinforced concrete H. TYPE OF WATER SUPPLY
1:1ts::::::: : :sees: : le s : 34 I I Other — Specify 42 IN Public or private company 50. Total land area, sq. ft.
:ui:::es: • • • ;pm : : :■■::::: 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
•• ::•::: :: vivo: : _
■■:: r�! �! s= : !. S' PARKING SPACES
12.9 ss:ls::!=".. • $ii■ ienii:■i�::l::::p :l:�: ilifi•oss. :: :_! !: ! : �•■ i_ ! : ! _ : 51. Enclosed
i :.•.!■: .• • ■.. . . i ■ •. ■. .. ■■ . . F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
die::i ::::::iniiiiiiiiiii:"'•' 's::: =_:.._::: :ilad!�•: :.: `:::::: "'_"_.... :s : . e ::::•:.■•.:"S"s':"!":!i!'l:11...: s 35 Li Gas Will there be central air 52. Outdoors
die:::::::::::::ss ssss : : U::•.es s ss.ss s:s.s _ as :ss ss.s'••a!•••!:�•"•' •s •. •
••• a •• p. ■o •. • ■•. a.• • conditioning'
ii ■'1i• •!u •• n• ••• • o• •■�s a• ••!.. ■• • • ■ •■ •!!aii ::: • .■ • :__:::::l::::::1::::..
: 36 Oil
_ " "!:l:: ""ar�_ ' �_ '��i�'i 'P.iiii'��"!'ii '�_�j- !'Z 'i'' """:":"'l::il:' " L. RESIDENTIAL BUILDINGS ONLY
:: ::!isms■:•■ :4::•ii:i > r 1i ::h�:�Hi'•�'S= : _'a�I!�:■�_ • •::ir:latiifib liN : un= =w� 37 I� Electricity
•■ • �iuii�x'..• :'j�:■ • ■u ■SUSS r�r�uu uu•• •■ •■■■■•■ 44 LJ Yes 45 No
'! Si :!=mi�l=C=l:!� ::���_P!■=: :1�_i�H g:=ii �=�:= _ _ �: :�: a!_= siissrs.° ,ie• �•�'U "■.■•■ss:s's'•: 38 I I Coal — 53. Number of bedrooms
!•■•• • ••eii�:::i:.ilii:iin= li:: •.ee• • •.■.•.. :i • • ••■ :N.� ii ■ ■ • ■ •s• 39 Other — Specify Will there be an elevotor��tsa>a =sl� _Ilrass�s: .ss:sz :.:.a ��.,�.s.:....�.. sas:;sssss,_ :�; sr._�a�.:r„� m.sss:.usa�.�.� fee.: :' I IFull
54. Number of
46 n Yes 47 n No bathrooms
PAIN. T H P Partial —
IV. IDENTIFICATION — To be completed by all applicants ,
Name Mailing address — Number, street, ci(\, and State ZIP code Tel. No.
i /(�7��. ) i/ NOTES and Data — (For department use)
Owner or"'r�(1��C`�r l'y /'c)-C$/'Y)C/<l ?Q / ((O/�'? ��''! '^� `'e'Fj
t �.
Lessee
( Builder's
2. Tropic ;S (� L i! O L / Q!' (/ J, o �Glte Q� L cenze Jj I; r9O. 0 O
Contractor / /
Architect or .'eL/^ o -/0y j(- Sr)ih PC 5 e Te (.3�}-bb ,
Engineer fi t
P
BS
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 Application dote
""7�
eff
DO 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
Building . Use Group
Permit issued 19
Bui!ding Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
pro by: ,,(7
Drain Tile $ 2.,,
Plan Review Fee $
TITLE