29-468 (5) 6�
(Cxtp of Northampton _
$ e Offirt of tht )lnsptrtor of Pnilbings = "
212 Main Street•Municipal Building _
Northampton, Mass. 01060
V V
"'ovember 7. 1979
CERTIFICATE OF OCCUPANCY
Page No. 2<2 Plot 466
Building (Name) Lot iil Address Cr(-stvi eu give
Owner tio.rrnG_i i=aulsen Address 48 'v i ldwoacl Large t So. Had1gy
Applicant ;3ar `e Address Same
Use: 1st 3intile—farrLily residet.ce Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District
Required Inspections:
New Building Existing Building
Elevator Electrical
Plumbin J Fire
Building Other
Inspector oll Bu di s
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee ?1404&- ? � A�q �" u s
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 Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Obta ned 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 136.3
Building Use Group
Permit issued 19
��
Building
Fire Grading
Permit Fee $ r,a egQ Live Loading
Certificate of Occupancy $ Occupancy Load
Appr d by:
Drain Tile $
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
,rte
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET � APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) .�C/��C• r L.! �`� D STR CT
LOCATION (NO.) (STREET)
OF BETWEEN A6aIQ6 2r)1_9
BUILDING (CRO,S�S STREET) (CROSS ST EET)
SUBDIVISION .L1 C) �/ / LOT�BLOCK SIOZ 1-00 ( '
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building 9 Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 E] Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — -+- 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 Transient hotel, motel,
4 ❑ Repair, replacement or dormitory — Enter number 21 ❑ Parking garage
• ------- — 22 ❑ Service station, repair garage
5 ❑ Wrecking (if multifamily residential, of units -i
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 4L1 27 ❑ Stores, mercantile
8 ® Private (individual, corporation, - C((�j� 28 ❑ Tanks, towers
nonprofit institution, etc.) 7/ 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, parochia I 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
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............. �f
11. TOTAL COST OF IMPROVEMENT $ aG
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
30 C�Masonry (wall bearing) 40 L__1 Public or private company 48• Number of stories..............
31 EX Wood frame 41 Private (septic tank, etc.) 49. Total fl square feet n floor area, �`;��
all floors, bused on exterior /
32 F-1 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... /
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors........................ X
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal /
39❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 47❑ No bathrooms
Partial.......
I hereby certify that the proposed work is authorized by the owner o record
and 1 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
DEPAROGM OP BUILDING'INSPECTIONS Z D DEPT. FILE COPY
212 MAIN STREE'i' o a
NORTHAMP'IY?N, mA. 01 oho BUILDING a
29 - .468 PERMIT VALIDATION
Code #79
DATE August 6, 19 2_ PERMIT NO. 363
APPLICANT Norman Paulsen ADDRESS 48 Wi l dwond T,anA r-n T48dl Ay
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO TAW rP.� i dP.Y)C?P. (�_) STORY� P-.Fa j(ji l c�r+e^�i dpnce DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. 11tt (PROPOSED USE)
AT (LOCATION)
Crestview Drive Lot # 74 DISTRICT TMA
(NO.) (STREET)
a BETWEEN Brookwood Drive AND Off Florence Rd
'o (CROSS STREET) (CROSS STREET)
a
a SUBDIVISION Brookwood LOT_74 BLOCK
LOT E inn X Inn
m
0 BUILDING IS TO BE 24 FT. WIDE BY 42 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
W
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Z (TYPE)
K
REMARKS: New residence - wood r m e oil heat, =n»bl t . sewage di s osa.l and water-
3 bedrooms and 1 full bath See plans for Lot # 45
AREA OR PERMIT
VOLUME 1008 ESTIMATED COST FEE 66.00
(CUBIC/SQUARE FEET) -
OWNER Norm n Paul gPn
BU D(
ADDRESS 42 Wj d,=od Tans SQ. Hadley, Dda. 8
(Affidavit on reverse side of application to be completed by authorized a e t of owner)