37-022 TION — To be completed by all applicants
ne Mailing address — Number, street, city, and State ZIP code Tel. hro.
i
Builder's
License No.
-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 t s application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signal« a applicant . Address r
� � tj � Application date
D NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check y
Plan Review Date Plans B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number By
Y pp Obtained Y
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
Permit number /
Permit issued 27( j 19 77
Building
Permit Fee $
Certificate of Occupancy S
Approved by:
Drain Tile $
Plan Review Fee $_ f
TITL -
o� 'ro
°�,, J Cris of Nortilampten
iy VS'v4.1447-, ea$ Alassarimsetts
*, =eO Office of the ns}�ertor of uilbifgs
APPLICATION FOR
ZONING PERMIT AND
Page L' 7 Plot t,, 2 ^ BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. G
I. AT (LOCATION) 4.2..2 ; ZONING
_ DISTRICTS R
I
LOCATION (NO.) (STREET) L^
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
.-------. Cl)
II. TYPE AND COST OF BUILDING — Al! applicants complete Parts A — D MI
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I I New building Re idential Nonresidential
2 I I Addition(If residential, enter number 12 One family Y 18 pi Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I 1 Two or more family — Enter 19 Church, other religious
number of units— — — — --> 20 Industrial "
3 I I Alteration (See 2 above)
14 I _1 Transient hotel, motel,
4 I I Repair, replacement or dormitory — Enter number 21 Parking garage
5 Wrecking (If multifamily residential, of units —.— — —> 22 Ii Service station, repair garage
enter number of units in building in 15 I I Garage 23 Hospital, institutional
Part D, 13) 16 I I Carport 24 Office, bank, professional
6I I Moving (relocation)
17 I I Other — Specify 25 Public utility
7 I I Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 I I Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 [ 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 $ school, secondary school, college, parochial school, parking garage for, ll`
department store, rental office building, office building at industrial plant. i.To be insealled but not included If use of exis building is being changed, enter proposed use.
in the above cost
a. Electrical "Ate'
__ �
b. Plumbing
c.Heating, air conditioning
d. Other(elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ 6 o(3(-7 •
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. y
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS O
m
30[j Masonry(wall bearing) 40 I 1 Public or private company 48. Number of stories
31 I ] Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other — Specify 42 I I Public or private company
50. Total land area, sq. ft.
43 I ] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
'O
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed - Ir'
O
35 I 1 Gas Will there be central air 52. Outdoors
36 1 1 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY \
37 I i Electricity 44 I I Yes 45 I I No 53. Number of bedrooms
38 I I Coal
39 I I Other — Specify Will there be on elevator? 1 Full
54. Number of
46 I I Yes 47 I I No bathrooms
Partial
F- DEPT. FILE COPY Zo
CITY OF NORTHAMPTON BUILDING 2 a f
NORTHAMPTON, MASS. PERMIT
37-22 VALIDATION
DATE February 10, 19 78 PERMIT NO. 19
APPLICANT Richard Keefe ADDRESS 51 Henry Street
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO fPflmr11 i ti or (_) STORY Camp DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
622 Florence Road ZONING
IC SR
1 (NO.) (STREET)
. BETWEEN _ AND
(CROSS STREET) (CROSS STREET)
n
LOT
L D SUBDIVISION LOT BLOCK SIZE
S
U BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
n
z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
re
F1)- REMARKS: DAmn1 i ti on of naTRTI
AREA OR
VOLUME ESTIMATED COST 000
f FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER R4 Cha'"ci Kzef2 BUI ING EPT. �� �
ADDRESS 51 Henry Street, Northampton BY . /�� , ,
(Affidavit on reverse side of application to be completed by authorized agent of owner)
CERTIFICATE ISSUED
CITY OP NORMAN ''OM DAT E
> 3 n i 'rC , MASS, BUILDING PERMIT -
`2 CERTIFICATE OF OCCUPANCY
DATE February 10, 19 78 PERMIT NO. 19
Richard Keefe ADDRESS 51 Henry Otreet
APPLICANT
(NO.) (STREET)
(CONTR'S LICENSE)
�� NUMBER OF
PERMIT TO I1t1on (—) STORY_ Camp DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING ' ,
AT (LOCATION) DISTRICT.
(NO.) (STREET)
a BETWEEN AND
,o (CROSS STREET) (CROSS STREET)
cn
— LOT
a. SUBDIVISION LOT BLOCK SIZE
m
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O USE GROUP BASEMENT WALLS OR FOUNDATION
2 TO TYPE (TYPE)
CC
E
2 REMARKS: _ Demolition of carat)
K-ii10 ',�'I ; fi iilK�MitQCn1c 9(4 K�I 'Et '; 2 9( I
__ _
AREA OR •1111 ;1111 711111 :MI( .1L1 ;1111 N W :1111 III, ;11111 11111
VOLUME
(CUBIC/SQUARE FEET) ;1111 ;1111 ;1111 ;111 ;1111 :1111 71111 :1111 :1111 ;1111 `1111 Nm ;1111 ;1111 ;1111 ;1111
r dYTI Xi+71 bTTI Orl-,l dVRI A'CI I re TO i1771T1107t7l O/ 1IIdTI R7 T.'TI.[]'r1lIo,CTI 7:0 TT]X7C1I76
E;- OWNER Richard Keefe TO BE POSTEq ON PREMISES
51 Henry Street, Northam t SEE REVERSE„S DE FOR_GONDITIQNS,O CERTIFICATE
ADDRESS
,