32C-067 (35) DEPT. FILE COPY
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DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING
NORTHAMPTON, MA. 01060 PERMIT VALIDATION
32C - 67 Code #79
DATE August 20, 19 79 PERMIT NO. 389
APPLICANT David Clark ADDRESS 471 Bridge Road
(N0.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO Addition ( 2 ) STORY Mixed Residential NUMDWELLLRING UNITS 9
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 2 COnZ DISTRICT NB
(NO.) (STREET)
BETWEEN ConZ AND -ple Ave.
. (CROSS STREET) (CROSS STREET)
LOT
d SUBDIVISION LOT BLOCK SIZE
Additions 40 24
O 1
O �IS TO BE 32 FT. WIDE BY 24 _FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
co
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E (TYPE)
K Addition
L
• REMARKS: of 5 new residential units and 5 units for commercial offices
Phase I
ARA OR
VOLUME 4844 ESTIMATED COST $ 50,000 REMIT $ 150.00
(CUBIC/SQUARE FEET)
OWNER David Clark
BUILD l(9 014.0.....a.y.0
ADDRESS 471 Bri dgP Rd., N'tnn. BY
(Affidavit on reverse side of application to be completed by authorized agent of 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 .
dv/P49.11r
li
f CERTIFICATE ISSUED
rEPARESISIPr OP IDILDING INSPECTIONSDATE
21`2 NAN 31 ?
ra , MA. 01060 BUILDING PERMIT -
6� ode CERTIFICATE OF OCCUPANCY
DATE .1ugu.Rt 20, 19 79 PERMIT NO. 389
APPLICANT I vid Clark ADDRESS 471 Bridge Road
Addition M�.� (NO.) (STREET),S (CON(T]R'S LICENSE)
NUM OF
PERMIT TO Addition ( 2 ) STORY Nixed Residential DWELLLRING UNITS 9
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
p.�.,,,
ZONING
AT (LOCATION) 2 ConZ DISTRICT NB —
(NO.) (STREET)
rn BETWEEN CO= AND Maple Ave.
0 (CROSS STREET) (CROSS STREET)
LOT
a SUBDIVISION LOT BLOCK SIZE
co
' Additions 40 24
00 11HA9IS TO BE 32 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E (TYPE)
¢0 REMARKS: Addition Of 5 new residential units aril 5- sr.for cozessercial offices
Phase I
AREA OR ��,�l�7�ykp _ :NHH7 :mit ;1111t „„„ .11111 ;IIU :II�U7 y� 7 ppp;1���1���11777 p;�tiiIIl7 „„,, •Un. :1 II a
VOLUME `49.kk 7 T1 •=i ;II • 7"`D'14''1 7Lt �= r1 7 1st ,•`i-i'„-�`�'� r1 1
(CUBIC/SQUARE FEET) •'-�^i �"^i
IIII ;II11 :II11 ;1111 ;1111 ;1111 `I111 '111I ;1111 •1111 ; 111 ,1111 .1111 .1111 ;I111
� n d1'TI.aI"71IVe-7lbeRllD•e-T1A'rT1.vT-TIr>1.11IO'Cf1,VC'71,vc T[YT f1CrT711CrT11O,TITp'C II '716
OWNER David Clark TO BE POSTED ON PREMISES
ADDRESS `t
}�71 Bridge Rd., Ni ton. SEE REVERSE SIDE FOR CONDITIONS OF CERT1F'1CATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY arid COMPLIANCE
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
it
:/ /,4 }
VIII. ZONING PLAN EXAMINERS NOTES s
CITY OF NORTHAMPTON
DISTRICT OFFICE OF THE INSPECTOR OF BUILDINGS
A6' 212 MAIN STREET CoAPPLICATION FOR
USE S`- 1 NORTHAMPTON, MA. 01060 3�C_ ( 7 PLAN EXAMINATION AND
BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. o
SIDE YARD SIDE YARD �J—`l/ CON Z. ST, ZONING N
I•� AT (LOCATION) DISTRICT _
REAR YARD LOCATION (NO.) (STREET)OF BETWEEN CO ti Z S ,✓�T AND 1 1 A F L a A\.,/E
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION ~"' LOT_ °� BLOCK ✓ SIZE
Vs
II. TYPE AND COST OF BUILDING — Al! applicants complete Parts A — D —1
Xi
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
V 1 I I New building Residential (5-)
Nonresidential
(Se' 4 7%4 L� t'1'E� 7S 2 Addition(1/residential, enter number 12 Li Onefamily `�[f,(/ 18 I I Amusement, recreational
of new housing units added, if any, ^
IX. SITE OR PLOT PLAN — For Apprlicant U e— in Part D, 13) 13 I x_1 Two or more family — Enter 1► 19 Church, other religious ( `
number of units— — -->�
asnti�«... �. � ,. �. ��... ..��;■������. . ... .+.............■........:.w...■..+.ar f-1 — — 20 I Industrial �•.
r ssrsa■ursiassasuruwea ■�au■ru■uaanaatrue.rsassrua■•..■.■■■r■■sr■■■r■■ar■rrr■s■aa�i 3 l Alteration (See 2 above) 14 I� Transient hotel, motel, "
tiara■aaaae aUaaea r
■ 21 I I Parking garage
4 I Repair, replacement or dormitory — Enter number
ra a.
5 I Wrecking (If multifamily residential, of units — —0- 22 I 1 Service station, repair garage
► enter number of units in building in 15 I I Garage 23 I I Hospital, institutional f 10
r p Part D, 13) 16 I 1 Carport 24[XI Office, bank, professional
a 6 I I Moving (relocation)
17 I I Other — Specify 25 I I Public utility
7 I Foundation only 26 I I School, library, other educational ✓'
1 B.rOWNERSHIP 27 I x Stores, mercantile (3) —I
a Vi
8 FN. Private (individual, corporation, 28 I—I Tanks, towers (�
nonprofit institution, etc.) 29 I—I Other — Specify rn
9 I Public (Federal, State, or
111
• local government)
auauauuau■u■uuml, C. COST (Omit cents) —
! aasasa■�a■r■aa•■srasrassaa■aa■swsassuaaasuss■sanasaasaaaaaraas■r �I onresidential — Describe in detail proposed use of buildings, e.g., food
anatesass a■ a •a sm. a a.. *ow am a u u a ■avulala 7,
r g processing plant, machine shop, laundry building at hospital, elementary
aseasaaaaaasaaa ease.. a ■ TC " =ij",-t r w " j ..,. 10. Cost of improvement $ 6df000 ' school, secondary school, college, parochial school, parking garage for,
as 0 1 , h� <ro department store, rental office building, office building at industrial plant.
i n pyym11 r1 To be installed but not included Call IEGlu' UG�
_ �a;�.3 tr ,) ,., , r - amai If use of existing ulld� gis being hag enterproposed use.
building n changed,ed
r
at in the above cost
s r r14 I t . .f l a. Electrical
!!reds a. 3 ISP .-
m .-l" N 5Pnc 7n� La�e•1z
! } ' i-} �# �jra ) �, ''""*- t b. Plumbing /
! 4" i' ,e4i 5H0 F -u
use raa =us! • L aSS SWEE g, air conditioning
u■alua! ! c. Heatin {� X
_ ! a �"• dirwri d. Other(elevator, etc.) — esZ *'Ln �S'p �61 / a 9
Inegargrd
::::: : : •` } ' t 11. TOTAL COST OF IMPROVEMENT $ ,j O oO c �- 3'X`Z V
! '" 1 _'„ , `- " III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L;
I: a ,+;?-s4, .. • - i . / for wrecking, complete only Part J, for all others skip to IV.
'� !•! :Ur EiPRINCIPAL TYPE OF FRAME (V, TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
tneurnrimoungt
f/
i ■ S • a ` # 48. Number of stories
!; ea 30 LJ Masonry (wall bearing) 40 IxJ Public or private company
ll
49. Total square feet of floor area,
• 31 ly l Wood frame 41 I I Private (septic tank, etc.)isu!•luua! l!!! !l!lllll tall floors, based on exterior r ,. '
lass aspri 32 I—I Structural steel dimensions
Ila ! s uea" i 4our
'?4 33 I I Reinforced concrete TYPE OF WATER SUPPLY T
a as 50. Total land area, sq. ft. 2� G�L?—
re,..:....:
asraa.a ■aa a aaas 34 f 1 Other — Specify 42 Ix/ Public or private company
a ■ es!!!l ' 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
•;;*aria: !•!•!!!! ■ ■ a
41
PARKING SPACES +
: a.aua ! 1
a !!!l!!! { PRINCIPAL TYPE OF HEATING FUEL�TYPE OF MECHANICAL 51. Enclosed 1 ( 2, .t
11 a!=!l!!!!!! ! u !l! eau � �.,� ,s,.c ,
!!!!!!!!!!! lsa.! ! ! ! 35 I I Gas Will there be central air 52. Outdoors ?0,.,.....
ip::l!!!!llla! !!! ! ■ ! 36 n Oil • conditioning?
!!!!:Llal:!!!!!!l! err! Soo ara ! _ •• • _ ! '" L. RESIDENTIAL BUILDINGS ONLY
au _ !a�!!a! !us ! ) 37 IX Electricity 44 I 1 Yes 45 kI No 53. Number of bedrooms �o
nr!!! !l ::::: !!!l a 1!!!!uu a
I!!!!!!_!=!!!!Z!!!llus! ! rite
! l! 1 38 Coal II.
:ll l!!!! : _ l : 1! a!r a ? 39 I] Other — Specify Will there be an elevator? Full....�C....
54. Number of
46 I 1 Yes 47 ICI No bathrooms
Partial
BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. `
e
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use)
1. DAVID CL_ARK- L1l ai2k )6E 2bAD ►iO T1-Irolyv‘P-rbty o► &t0 SPE — f3y;'
Owner or
Lessee
Builder's
v t e
2.
License No.
Contractor ✓ C/
3.
Architect or
Engineer
hereby certi • hat the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this app ' . ion as hi authorized agent and we agree to conform to all applicable laws of this jurisdiction.
S ature of ap•licant Address (4.71 Qki)b� Application dote
rt-M f T e' -)3-7
�ir J 1
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 S
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 p� FOR DEPARTMENT USE ONLY
Permit number .?8
Building Use Group
Permit issued 19
Bui[ding ! .j Fire Grading
-- - Permit Fee $ s ^7 . O1 Live Loading
Certificate of Occupancy $ Occupancy Load
App ved :
Drain Tile $ I
— Plan Review Fee
TITLE