17C-249 (7) 4
of Xort4amptan 3C.\
• Offirt of tilt 31noptrtor of 'Pnilbings W
212 Main Street•Municipal Building
Northampton, Mass. 01060 = �:
CERTIFICATE OF OCCUPANCY 71503
Page No. 17C Plot 24"
Building (Name) frWee Pa'Aly 1A'X 111'1¢, Address 01 `orth Nain at., Florence
Owner )rb:ew Qnm-ch Address 61 A crt:;i >t., Flo.
Applicant Same Address S
Use: 1st Residemtial Occupancy
2nd Re ide teal Occupancy
3rd Occupancy
4th Occupancy
Zone District Wb�
Required Inspections:
New Building Existing Building X
Elevator Electrical 3 Y 4!R\
C' I
Plumbing � X "1�. , ,�". _.. r"" ,� ra
CAF/ // ~
Building ! Other
i
Inspector of B) Idings
ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants Jr
Name Mailing address — Numbrr, street, CttN, and State ZIP code Tel. No.
Owner or
Lessee
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 Applic tion date
ly
1 f^
00 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
Date D
Permit or Approval Check obtained Number By Permit or Approval Check Obtta t ed 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 19 .E
Building Fire Grading
Permit Fee $ 1 °L Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
$. MASSACHUSETTS
$ f OFFICE of the INSPECTOR of BUILDINGS
0
0 -- Plot
Page APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) 17 c r t ! !!�1Z� tV DISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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 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-PUTwo or more family - Enter _3 19 ❑ Church, other religious
number of units- - - - -0' 20❑ Industrial
3'faAlteration (See 2 above)
14 D Transient hotel, motel,
4 ❑ Repair, replacement 21 ❑ Parking garage
p p or dormitory - Enter number
5 F-1 Wrecking (If multifamily residential, of units ------- - -- 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑1 Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other - Speci/y 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 EV 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,,,,,,,,,,,,,,,, 7 G7C'6"P 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 ..................... GLGP
c. Heating, air conditioning......... Z5—C,
d. Other (elevator, etc.)............ 15V'
11. TOTAL COST OF IMPROVEMENT I$ v,�;Gco
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 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 X 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 Electricity 44 ❑ Yes 45r No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other- .Specify Will there be on elevator? Full..........
54. Number of
46 ❑ Yes 47 4 No bathrooms
- Partial ......
s a DErT. OF BUILDING INSPECTIONS gUiLDING z-
+ 212 Main Street 0-4
Northampton, MA 01060 PERMIT
17C - 249 VALIDATION
1, DATE August 26� 1g 85 PERMIT NO. 503
APPLICANT Andrew Church ADDRESS 61A No. Main St., Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBE OF
PERMIT TO Addition (_) STORY Thee Family Dwelling DWELLI
Three NG UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSEO USE)
AT (LOCATION)
61 North Main Street Florence
ZONING IT T U B
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
ermit for the conversion of an existing two family dwelling into a three famil
REMARKS:
er ZBA Approval
41000.00 PERMIT 16.00
AREA OR VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
Same as Applicant
OWNER BOIL
ADDRESS ame as pp ican s BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p}NT IIP