31B-173 (6) ;' otPT. OF BUILDING INSPECTIONS BUILDING ° t
� ..• 212 Main Street 0< 4 �
Northampton, MA 01060 PERMIT Ea
<
31B - 173 VALIDATION
DATE Sept_ 7, S PE ITN 576
APPLICANT Robert Walker ADDRESS b� on amain . , Florence MOW 0347E
(NO.) (STREET) ICONTR'S LICENSE)
PERMIT TO Addition I_) STORY One Family NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
26 Barrett Place ZONING
DISTRICT UKt,
(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 the addition of a 6' X 16' mudroom
AREA OR 96 sq. ft.
VOLUME ESTIMATED COST $ 12,800• FEEM 48.00
(CUBIC/SQUARE FEET)
OWNER Tom & ELizaheth Caine
BUIL ilaPal /414-'..""......"...
ADDRESS 26 Rarrett Place, Northampton BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY rap slip
e zt, -* CITY OF NORTHAMPTON
MASSACHUSETTS
�'� ,� +�"r.P OFFICE of the INSPECTOR of BUILDINGS
c> ;
= � Page :51 (2-) 1-t APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, Ill, IV, and IX. O
/7
I. AT (LOCATION) 2 .to e-it. ZONINGDISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
to
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -1
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 { I New building -1
Residential Nonresidential
2SI Addition(If residential, enter number 12 One family 18 I Amusement, recreational
of new housing units added, i/ any,
in Part D, 13) 13 ?Ki
Two or more family — Enter 19 Li Church, other religious
number of units— — — — --0. 20 Industrial
3 I I Alteration (See 2 above) 14 I I Transient hotel, motel,
21 Li Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I Wrecking (11 multifamily residential, of units — . . 22 I Service station, repair garage
enter number of units in building in 15 I I Garage 23 I Hospital, institutional
Part D, 13)
16 I Carport 24 I Office, bank, professional
6 I I Moving (relocation) 25 Public utility
26 I School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Zi4 Private (individual, corporation, 28 I Tanks, towers
• nonprofit institution, etc.) 29 Li Other — Specify
9 L_J 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 $ t 1- coo school, secondary school, college, parochial school, porking garage for,
To be installed but not included / department store, rental office building, office building at industrial plant.
If use of existing building is being charged, enter proposed use.
in the above cost a. Electrical V O '..,- - %/p&rAt ?, {GttL7nf A
—
b. Plumbing /
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ `42t 0 r'.---
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
(
48.
30 IRI Masonry (wall bearing) 40 K I Public or private company Number of stories )�
31 Wood frame 41 1 j Private (septic tank, etc.) 49. Total square feet of floor area,
Q/ ` U VV
1.�
all floors, based on exterior
32 I Structural steel dimensions (l0
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I Other — Specify 42 Public or private company 50. Total land area, sq. ft.
43 II Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATIN UEL I. TY OF MECHANICAL
35 I I Gas \rnt?al ere ce air 52. Outdoors
36 Oil nditi n
i L.L. RESIDENTIAL BUILDINGS ONLY
37 Electricity h V ^Y 45 No 53. Number of bedrooms
38 I I Coal 'l
39 I I Other — Specify Will there be an erevatorl 1 Full
54. Number of
46 n Yes 47 !, ,No bathrooms
/\ Partial
4-
IV. IDENTIFICATION - To be completed by all applicants
iNName r���a.� Mailing address j—�Numbberr,, street, city, and State ZIP code �TTeell.. No.
Owner or ToM �' "`�`/TAT � •".__�_{{- -�� �f- \ V U
Lessee C /�rU� A l p-�-01,), w _ CROW) t ri.C33
�1 ,�J l!^J— Builder's C
2. fjpQ.�� (C ( �) 1 u S._ License
Contractor
t .4/74 Ot c�L v o347 3 l uA
3Architect or
1JL (
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 licant Address < Application date
�
9, I .qiir
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 Permit or Approval Check Obtained Number By Permit or Approval Check Obtainedt 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 /7 FOR DEPARTMENT USE ONLY
Permit number �� 4 (p
Bui!ding Use Group
Permit issued t_CP,/(T2 -
Buildin Fire Grading
$ �f
Permit Fee Live Loading
Certificate of Occupancy $ ccuponcy Load
Approve
Drain Tile $
,Plan Review Fee $
TITLE
NOTES and Data — (For department use)
f"��c
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT L/i_,L t
USE C"2U t,ika
FRONT YARD ,901
SIDE YARD / 5! SIDE YARD / 5/
REAR YARD "�l
r'�s t i 1_s j / � � �.,,.�
NOTES lAs i� / f Q„ ,`�1'Jj) ��Cs� .t Z jz+,�,
0"1/11PA14.4 ""
IX. SITE OR PLOT PLAN — For Applicant Use
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