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23D-155 (4) FRANK A . GUGLI ELMO A. 1. A., A RC H I T E C T 109 FALLEY DR., WESTFIELD, MASS. 01085 AREA CODE 413 TEL. 568 824 NATIONAL COUNCIL NO. 5749 562.6767 MASSACHUSETTS NO, 1555 CONNECTICUT NO.2264 VERMONT June 6 , 1978 NEW HAMPSHIRE NO. 415 Residence for Dr, and Mrs . David R. Jackson Northampton, Mass . Proj. No. 312-A R values SURFACE ELEMENT R_ FACTOR Wall #1 stucco 0.15 masonry block 1.11 insulation 8.34 gypsum board 0.45 outside surface 0.17 inside surface 0.68 Total 10.90 Wall #2 tucco 0.15 insulation 11.0 gypsum board 0.45 outside surface 0.17 inside surface 0.68 Total 12 .45 Roof plywood sheathing 0.78 roofing SIS or equal 0.44 insulation 30.00 Total 31.22 Glazing Total 1.54 Wall #1 Masonry block U 0.09 Btu/Hr/Sf/F degree Wall #2 Frame U 0.08 it Glass and Doors U 0.65 " Roof U 0.03 " UQ- Uw t Aw i+Uw2 AwZ+Ug Ag=0.09 x 1180+ 0.08 x 434+ o.65 175 1789 Uo= 0.14 VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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'�.+-1 t F_ d d l£ L # { ? tt d — a .. ... v� ,-k :.p t �" w. 7 Y ra- § '. °a+'�"f�"I"'£ d- "t t- 1,.- b t ,.�,.£, s .y �.. .� $9 i "i' vrfi 4 £.air f r 4 �[. .iF 1 o- e �. } �.-PA> r P -r s + k} 3 r r .. tit Ir" �'�, ,-.1. -� §_ TJ al re �T f T � E P" f F. -�. �.o-p t y� wq r a m t e _ .-�.k { -t a- a-t� --;-rY�'-r -:. -A_a�' g-»-�' •--�o �4 g .p a BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, strut, city, and State ZIP code Tel. No. Owner or Lessee Builder's —S 2, a"-- is fj D License No. Contractor A f/7, /� 3. Architect or 64A A4 Cljvje&,-a 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 ca.d li 3,?o 179- 00 NOT WRITE BELOW T S 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 $ V1. 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 / FOR DEPARTMENT USE ONLY Permit number Building q Use Group Permit issued 19 _ Building Fire Grading Permit Fee $ tz, :i2L od Live Loading Certificate of Occupancy $ Occupancy Load Apppvved 6y: t Drain Tile $ T i Plan Review Fee $ \TITLE NOTES and Data — (For department use) CITY OF NORTHAMPTON 1 / OFFICE OF THE INSPECTOR OF BUILDINGS 40 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT - Applicant to jcomplete all it/ems in sections: 1, 11, 111, IV, and IX. O ./7 lf/1'` �- W t'f©GL a 44 e it ZONING 1/ B �+'.� I• AT (LOCATION) J DISTRICT txT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -� A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im 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— — — — --)o. 20 ❑ Industrial 3 F-1 Alteration (See 2 above) 14 l t l t t h i Transenoe , motel,❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage 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 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 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, Q 40 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. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry (wall bearing) 40 Public or private company 48• Number of stories.............. 31 Wood frame 41 ?9 Private (septic tank, etc.) 49• Total square feet of floor area all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 2-100 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 F-1 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........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 F—] Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... pz 54. Number of 46 ❑ Yes 47❑ No bathrooms Partial........ f ' 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 DEPT. FILE COPY Zo .-ICITY,�,OF.NORTHAMPTON BUILDING Oa NORTHAMPTON, MA. 0.1060 23D - 155 IT PERM C !VI 1 VALIDATION DATE MaY 30, is 78 PERMIT NO. 196 APPLICANT Edward Malnowskl_-_ ADDRESS 40 North Street, Hatfield (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO New r .Ri den NUMBER OF (�_) STORY One-family residence DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) DISTRICT IM { ,) (STREET) a BETWEEN AND -- - 'D (CROSS STREET) - (CROSS. STREET) a LOT IL 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 Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION g (TYPE) 0: LL REMARKS: CoTistruct one-family residence as per plans on file AREA OR VOLUME 21 nn ESTIMATED COST $ SO,OOO FEEMIT $ 150.00 (CUBIC/SQUARE FEET) OWNER David d R_ Jackson BU D04 T ADDRESS Ron Avenue, Nor .Yla=ton, Ma. BY (Affidavit on reverse side of application to be completed by authorized agent of owner)