17C-223 (20) Location``--`—`—'------'--'—`-``----`
Permit No —_'---_-_—_-__.
Application�
for other than a Dwelling
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Permit Granted........................................... 19......... '
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NOTE:IN ORDER THAT THIS APPLICATION MAYBE ACCEPTED,TIIE DATA CALLED FOR BELOW MUST BE SO SET FOR'T'H THAI'
WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDMONS ARE V-41)
WHAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,mustbe filed with this application before a permit will be granted,one of which,upon issuance
of the permit shall be kept at the site during the progress of the work.
New...............0
Addition........0
No.................-D, Zone...................., Type.................., Map. ................, Parcel...................... Alterations.... 0
Repair............4
CITY Or NORTHAMPTON Demolition....0
MASSACHUSETTS
Application forotherthan a Dwelling Permit
;
(To be filled out in ink OR on a typewriter) rr-yy
To the Building Inspector:
Date......................It e:?.1.............197? .
Application for a permit is hereby made according to the following:-
/1. Location, Street and No...., . ...: ... .% '. : . .e ::.......................................... ....................................
Nearestcross street ...... .................................................................. ........... Lot No....................
J3. Owner's name...1...l1'j'L.. s. �l4 .:................................ Address .....C.':..c'.r , 't e'C_
Architect's name... ...................... Address ........... .............
�'6. Builder's name . <. ...... ra..�cf ............................... Address•l.—,..Use of building, Present .f.�rlt '..-.. Proposed ...s,. F?t"l?.,!..................................................
1. Building fronts on how many Streets?
.....................................................................................................................
S. Is building in fire district?...... .....................................................................................................................
! Size of building,Width in ft................................. Length in ft..........................., Height in ft...........................
111. Distance of building from Street Line................ left lot line............ right lot line............ rear lot line...........
h. Type of construction(check one): 1-A.......... 1-B .......... L-C .......... II.......... III.......... IV......:... V ..........
Stories B 1` 2 3 4 5 6 7 Roof
Story heights in ft.
Thickn's of walls in ins.
i --
Material of walls
Material of floor/roof
Design live load
Design dead load
Occupancy or Use
;— —
Na.of persons/families
No.of stars
Q. Soil under footing is..........i(��t.. .....................................................................................................................
X Depth of footing below grade., ..................... ft. Will piles be used?...................................
14. Area of entire building(Present plus new) ...A�6................................................................................... sq.ft.
15. Type of roof--flat.../. QG ......... pitched................... Material of roof covering..................................................
16. No.of elevators/.I./ ... Method of heating W..A.... System ................................. Fuel .................................
17. Are live loads noted on drawings?AZ ..... Are all other structural conditions noted on drawings?...................
18. Building(will be)(is)equipped with sprinklers?./VJ�..................... With sprinkler alarm?..............................
19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons?
.....ll/...1'...................................................................................................................................................................
20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding houes,,lodging
house or tenement house having 8 or more rooms above the second story? .f...
21. How many exits(per floor)to street? .......... .°............................................................................................
22. Is building a"Place of assembly"as defined by the General Laws? ../il l.`:..........................................................
23. Will building conform to the General Laws? .....�..::.:........... Building and Zoning Ordinances? .
24. If a garage,distance from nearest building? ..Z 7`.' .....................................................................................
25. If an addition,alteration or demolition,when wa uildin erected?.................................... .............................
,/'26. Estimated costs: ✓ unders' ned certifies that the above state nts are true to the best
PlumbGeneral$.... ; ?4 ................. of s/h/er.k owledIDISTION li
ing......................................... ! .,,.,1 .. ...ALA-.l
St wner,architect or engineer
GasPiping.......................................
Sprinklers........................................ WRITTEN OF WORK TO BE DONE
Heating (Use blank half of reverse side,if necessary).
Electric............................................ ...............................................................................................................
Other............................................... ........................................................................................... ................
Total$...1.1.f. ... '.'...................... ...............................................................................................................
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Date Filed File No,
ZONING PERMIT APPLICATION
Zoning ordinance section 10 , 2
1 , Name of Applicant : t i WA
Address : Telephone :
2 , owner of Property ; Wirt-010,Y, IF SH F-A
Address : /ji� Shag Eta r:Njo?E FL- 342-9 Telephone : z`3t?, •_-*se- F1 16
OC,AL C-1 lAc j k ,SRC- ��28 oa b€�i- j,l 1-
3 . Status of Applicant : owner. Contract Purchaser
Lessee other (explain : )
4 , Parcel Identification : Zonin Map Sheet# 1 C Parcel# Q--U,Gr
Zoning District (s) GEM64,iL guSiriP'55
Street Address 6` r/Z MAeLC- 5i APT MA C%
DEPARTMENT OF PUBLIC SAFETY
COMMONWEALTH 1010 COMMONWEALTH AVE. - -
tj OF BOSTON,MASS.02215
MASSACHUSETTS ENCLOSE CHECK OR MONEY ORDER
L CENSE FOR REQUIRED FEE,
EXPIRATION DATE � �\ CONSTR. SUPERVISOR
MADE PAYABLE TO
06/30/1991 EFFECTIVE DATE LIC-NO. °
RESTRICTIONS "COMMISSIONER OF PUBLIC SAFETY"
0613011989 003665
m RICHARD J T}iCY - (DO.NOLSENDCASH).
158 NO MAPLE �LEAS� �CT�~ FEE IN IRE
SS 4 025-4R-0264 FLORENCE MA 01060
PHOTO(BL�B�'"' FEE:
EFFECTIVE FEB.W 1 , 19F9
a= ` HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY
{ STAMPED -OR-SIGNATURE OF THE COMMISSIONER
TN
DOB:
04/24/1958 v / c� /
X� THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE
CARRIED ON THE PERSON OF
�t THE HOLDER WHEN ENGAG
OTHE Ryl' PRINT ED IN THIS OCCUPATION _ COMMISSIONER
200M-2-87-S;a29'
City of Northampton REQUIRED INSPECTIONS
1 . Footings and Walls
�..
Struc
BUILDING DEPARTMENT 2 - Placetural Components in
3 . Complete Building
No. 37 Office of the Building Inspector
Date FEBRUARY 1 19 91
BUI . DING P RMIT
THIS MAY CERTIFY THAT RICHARD TACY Insp. on Site — Foundations
has permission to REMOVE PORTIONS OF NON LOAD BEARING PARTITION Insp. of Plumbing — Rough
WALLS.
situated on 76 Maple Sf YPPt, Fl orpnr_P Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspector
NaiN a�N^r