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212 Main Street•Municipal Building
Northampton,Mass. 01060
CERTIFICATE OF OCCUPANCY
October 6, 197:; f ��
Page No. 36 Plot f
Building (Name) TLnt 5 Address B,irtn Zit: Read
Owner Theodore Towne Address 53 park Hill Toad
Applicant Same Address r �r�
Use: 1st One-family residence Occupancy
2nd Occupancy
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building Existing Building
Elevator Electrical ,
Plumbing, Fire —
Building Other
�• inspector of Build s
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1 SIDE -D SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, till, and State ZIP code Tel. No.
Owner or ""` "'' .... 'K _, a i . L...-�.f. ..�� !'-G�" _, ..{!,�'f �/Q/✓C� �{�6 �n {/
Lessee
Buii IIdeR s
"t. Li=erase 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 -7� Address Ap Ir at ion date
f Lt /�J�L✓ 1; c 74 � _ VY � E d
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
Permit or Approval Check O6 aged Number By Permit or Approval Chec 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
Permit number
Building
Permit issued �`,,�,.� �a� 19 /Y_
Building
Permit Fee $ (?
Certificate of Occupancy S
Approved by:
Drain Tile $
Plan Review Fee
Crxt of Nort4ampton
� � �i lassz3ditlsetfs
Office of the �Ins}lertox of 'Puilbings APPLICATION FOR
ZONING PERMIT AND
Page—,3.S—Plot(— BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX. p
ZONING
I• AT (LOCATION) ¢ i )t4-� t"� \`I�r`--'tom DISTRICT
LOCATION (N 0.) (STREET) ; \
OF fr..�i-�,.C� �� AND �,C�r d—:t
BETWEEN
BUILDING (CROSS STREET) (CR ss STREET)
LOT
SUBDIVISION LOT BLOCK SIZE I C4
i
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ 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, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (lf multifamily residential, of units ——————— — -� 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 Moving (relocation) 16 ❑ Carport
❑ 17 ❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 ❑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
F\ processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement„,•••.......... ` I 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
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
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
48. Number of stories...............
30❑ Masonry (wall bearing) 40 ❑ Public or private company
41 ❑”Private (se tic tank, etc.) 49. Total square feet of floor area,
31 Wood frame p all floors, based on exterior /3v
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 1
34❑ Other — Specify 42 E] Public or private company
50. Total land area, sq. ft. ........... .J' ,,r��
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... P'
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 ❑ Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 F—] Electricity 44 F—] Yes 45YNo n
53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 [�j No bathrooms
Partial.......
Kyl,
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W -
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ZA
hereby certify that the proposed work is authorizes by1he 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) (C)TY)
APPROVED BY TITLE
DATE 19
_CITY OF NORTHAMPTON C.,/ Z DEPT. FILE COPY
BUILDING
NORTHANPToN, MA. o1 o6o PERMIT
VALIDATION
D TE .Tine 12, 19 7 PERMIT NO. 220
APPLICANT Theodore a ADDRESS 53 Park Hill Rd., N'ton.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New residence ( 1 1 STORY Single—family residence DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING SR
AT (LOCATION) DISTRICT
(NO.j (STREET)
rn. BETWEEN ❑ an Rd.
b (CROSS ST EET) (CROSS STREET)
LOT
a
m SUBDIVISION LOT BLOCK SIZE 31.250
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
° REMARKS: Conatruct le— 'ilv residence Per plan
AREA OR P
VOLUME 1352 ESTIMATED COST $ 24,000 FEEMIT $ 72.00
(CUBIC/SQUARE FE 7)
OWNER ThnndnrA Thunp R
BUILDING PT
ADDRESS 53 PaLrk Rill d 'ton, BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)