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CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS 3 Q c — `l y t S/
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
/ //�� rr���� {'��/(, ZONING
I. AT (LOCATION) 7� /47-6/7/Let.-AIV S DISTRICT '_ S
LOCATION « TTTT :T°erT' /��
OF BETWEEN PG.IX(Z�' AND Y{
BUI LDING ICR055 STREET) EEL/
LOT
I SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I I New buildin e Residential Nonmzid -te
21 I Addition /residential, enter number 121 1 One family 181 I Amusement, recreational
of new housing units added, if any, 13 Two or more Tamil - Enter 19 Church, other religious
Part D. 13) L� v
((��tTT umber of units- - - - y 20I Industrial
(pl
3 Alteration (See 2 above) 141 I Transient hotel, motel, 21 1 I Parking garage
41 Repair, replacement or dormitory - Enter number Service station,5 L.J Wrecking (I/multifamily residential, of units y repair garage
enter number of units in building in 151 I Garage 23 I I Hospital, institutional
Part O, 13)
6 Moving (relocation) 161 I Carport 24 5(1 Office, bank, professional
17 I I Other - Specify 251 1 Public utility
71 I Foundation only
251 I School, library, other educational
B. OWNERSHIP 27 71 Stores, mercantile
8 Private (individual, corporation, 25 Tanks, towers
nonprofit in etc.) 29 I I Other - Specify
9 1.J 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 $ -1.-05(2 a 5cho01, 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 d�f/tdx. r �� �� (� ��
71-
Le,L2�^t. /ILL-4-Ck1t•w e.Y ,Circ
S. Plumbing
e. Heating, air conditioning d " c.eZ
' ! (! L
r / i"77i di-
d. Other(elevator, etc ) �1 � � �, r
11. TOTAL COST OF IMPROVEMENT $ 6 D 0 6 ✓✓✓
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories
30NMasonry (wall bearing) 40 XI Public or private company 49. Totals area,
31 Wood frame 41 I Private (septic tank, etc.) all floors, based on exterior
32 n Structural steel dimensions f O , CO C
33 1 Reinforced concrete H. TYPE OF WATER SUPPLY
34 1 I 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 SL Enclosed S.`-
351 I Gas Will there be central air 52. Outdoors
conditioning?
36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 C Electricity 94K Yes 45 I I No 53. Number of bedrooms
381 Coal
39 1 Other- Specify Wi H there be an elevator? { Full
54. Number of
46 I I Yes 47 I I No bathroom.
Partial
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name / Moiling addres.5— Number, street, city, and Stare ZIP code Tel. No.
Owner or f 02^Ci'_J N ' V /.S 7 (‘YA.��r /�/I ,./2,„„-.727�-, -yi i 517, =S3 i/
Lessee JJ l/
Budde s
p, "---no License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I hove 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
,2-14, d � _ i<'' 7 , . I /_)- JJ- 79
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review
Plans Review Required Check Feeeew D Plans Date o
Startede By Approved By Notes
le
Plans
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Permit or Approval Check Obtained Number By Permit or Approvol Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT I. ROOFING
ELEVATOR I. SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING I. USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building / FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued _.-,.,. ray 19X!5 Fire Grading
Building
Permit Fee $ /7. C (1 Live Loading
Certificate of Occupancy $ Occupancy Lood
Ap /ed 6y: �)
Drain Tile $ ///� G/' n‘/�
Plan Review Fee $
TITLE
VIII. ZONING PLAN EXAMINERS NOTES +
DISTRICT
USE -4
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN - For Applicant Use
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focA F*IM APEOP — 6P9 C1969 PUILO IRO OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
t (n'i (Lily of Northampton
w )IlnuohmeHs I +r 1. �t
t .I .,
.d Office of flit 31nsputox of Onilbings e
ssr E
•
=_' 212 Main Street•Municipal Budding j--
Northampton. Mass. 01060
\ir.
CERTIFICATE OF OCCUPANCY
Page No. 32C Plot 44 & 51
Building (Name) 7R P1aacanr crraar Address same
Owner Mallard Shan Address 117 Ftm crraer
Applicant creme Address same
Use: 1st 10 0*'ficas Occupancy
2nd 11 Rani dant-TM Ifni fa Occupancy
3rd Occupancy
4th Occupancy
Zone District FR
Required Inspections:
New Building Existing Building X
Elevator Electrical
Plumbing Fire
Building Other
Inspector of Buildings
-anise mis
•
11 fat-t4
of Northampton
Sassatlynsetle
Ait
F of Office of tits Jnspestnr of !nilbings
212 Main Street•Municipal Building -1_ �
Northampton,Mass. 01060
CERTIFICATE OF OCCUPANCY
Page No. 12C Plot 44 & it
Building (Name) 76 P1 t Street Address c.ma
Owner Bt...herd Shea Address 137 Els street
Applicant Sam. Address sue
Use: 1st in Off{ewe Occupancy
2nd 11 R.aid.ntial Unita Occupancy
3rd Occupancy
4th Occupancy
Zone District CB
Required Inspections:
New Building Existing Building
Elevator Electrical
Plumbing Fire
Building Other
inspector of Buildings
a^.=2 pK.
_i"`_salp of Northampton
$1 ^1 XanmcI n.rff f
t i d�
Office of the �nsptrtor of utlbzngs _ f,
=23' 212 Main Street•Municipal Building �� _(_�
Northampton.Mass. 01060
CERTIFICATE OF OCCUPANCY
Page No. 1?C Plot AWL_
St
Building (Name) 76 Pleasant Strut Address came
Owner Rieh.rd Shww Address 117 Elm Street
Applicant Sam. Address cams
Use: 1st 10 0ffi-es Occupancy
2nd 11 Pesidatial omits Occupancy
3rd Occupancy
4th Occupancy
Zone District cs
Required Inspections:
New Building Existing Building 1I
Elevator Electrical
Plumbing Fire
Building Other
Inspector of Buildings