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23D-066 (6) DEPARTMENT OF BUILDING INSPECTIONS 1- DEPT. FILE COPY O 212 MAIN STREET NORTHAMPTON, MA. 01060 BUILDING o 23D - 66 Code #79 PERMIT VALIDATION DATE June 3, 19 8n PERMIT NO. 285 APPLICANT Mirhael .lanes ADDRESS 170 Federal (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Chimney & stove (_.2-) STORY For wood-burninc stove DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 170 Federal DISTRICT URA (NO.) (STREET) a BETWEEN AND 0 (CROSS STREET) (CROSS STREET) a a LOT m SUBDIVISION LOT BLOCK SIZE a V 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 X (TYPE) K 0 REMARKS: Exterior masonary chimney and installation of wood-hurning stove AREA OR VOLUME ESTIMATED COST $ 1200.00 PERMIT FEE $ 10.00 (CUBIC/SQUARE FEET) //A OWNER Michael Janes B DI ��PT. U ADDRESS 170 Federal Street, Novtbamp-rov., Ma. — -c%`'�1 ���/// (Affidavit on reverse side of application to be completed by authorized age t of owner) I 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 . DEPARTMENT OF BUILDING INSPECTIONS CERTIFICATE ISSUED �2�1ri2 MAIN STREET DATE NOR1HAM !ON, MA. 01060 BUILDING PERMIT - 23D - 66 Code #79 CERTIFICATE OF OCCUPANCY DATE June 3, 19 An PERMIT NO. 985 APPLICANT Michael .1QfP. ADDRESS 170 rederel (NO.) (STREET) (CONTR'S LICENSE) NUMER OF PERMIT TO Chimfts & tDWELLLIING UNITS y' stove (�) STORY For �DOOt���l11Z�'!�1'If+� stove 3. (TYPE OF'IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 170 F d ref DISTRICT UB$ - (NO.) (STREET) m BETWEEN AND ID (CROSS STREET) (CROSS STREET) rn LOT a 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 03 O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 7 (TYPE) C IL REMARKS: Exterior t'scn iry f_himnoy xre instaltatirm of ooA hnrpf,. stove. iil ii \A .iil KEI 1141K-gl 7 K11 la K/I ,--EI Kii Kilt.', 7 Kil 1 AREA OR :11u :IIII ;Alit :IIII )1111 _ :nll y7 111u11 7 :nn_,'111y11� :1111 11111 a VOLUME .-- . 7 T1 ; m ; 7 ' 7'�1,j:111Z..11' 7 •=1 =1 Ti -Er t«. `Sf lX (CUBIC/SQUARE FEET) :MI "1111 :IIII :IIII :IIII 11111 :1111.L1111 :1111 � �:1111 11III :IIII :11I1 k D tI x>TTI OZ"RI tYTT1 IVT TI ID'T.71. 1. _ IA'CII RY IVT'TI RiR'?I,VT`TI L'T11d c'f1J0 OWNER MirhaUI Jones _ I. - TO BE F ST ON P E S, ADDRESS 170 Fpderi1 StrPpt, Northampton, 4a, R �' ';00 SIDE R-R�j IFICATE DEPARTMENTAL APPROVAL FOR CERTIFICATE of OCCUPANCY and COMPLIANCE To be filled in by each division indicated hereon upon completion of its final inspection. BUILDINGS Permit No. Approved by Date • Remarks PLUMBING Permit No. Approved by Date Remarks ELECTRICAL Permit No. Approved by Date Remarks OTHER Permit No. Approved by Date Remarks OTHER Permit No. Approved by Date Remarks - CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET ‘J 'D. APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: I, II, Ill, IV, and IX. O _ -/�O�B /,� ZONING I.I Q I. AT (LOCATION) �Y`,Q �C./ ZONING .1 LOCATION (�') (STREET) OF BETWEEN AND BUI LDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -i 71 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m rn 1 L New building Residential Nonresidential 2 I Addition(If residential, enter number 12 ISIOne family 18 I I Amusement, recreational of new housing units added, if any, in Part D, 13) 13 I I Two or more family — Enter 19 I I Church, other religious 3 Alteration (See 2 above) number of units— — — — -÷ 20 I Industrial 14 I Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 1 I Wrecking (If multifamily residential, of units — -+. 22 I Service station, repair garage enter number of units in building in 15 I 1 Garage 23 I Hospital, institutional Part D, 13) 6 I Moving (relocation) 16 I I Carport 24 I Office, bank, professional 7 I I Foundation only 17X Other — Specify_ �g a� 25 Public utility /� 26 I School, library, other educational B. OWNERSHIP 6 27 Stores, mercantile 8 I I Private (individual, corporation, 28 PI Tanks, towers nonprofit institution, etc.) 29 I Other — Specify 9 [ 1 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 $ 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 $ /c-(J/,f/)l) 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 4830 L_J Masonry (wall bearing) 40XPublic or private company Number of stories 31'KWood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 pi Structural steel dimensions 33 I Reinforced concrete H. TYPE OF WATER SUPPLY 34 I 1 Other — Specify 42 TXCPublic or private company 50. Total land area, sq. ft. 43 I I Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed 35 L I Gas Wi ere be central ' 52. Outdoors 36X1conditi ing? Oil L. RESIDENTIAL BUILDINGS ONLY 37 T1 Electricity 44 I I Yes 45 I I No 53. Number of bedrooms 38I Coal 39 I I Other— Specify Will ere be an eleva 7 1 Full j 54. Number of Yes 47 I 1 No bathrooms Partial NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or -•' --.6I '"g./ / r'J / Lessee 'Y1e�� J. 07$ 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 Application date // ^8o /// ` 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 Date ate 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 ram[ G Building Use Group Permit issued / ' O .- 3 19 8O Building Fire Grading Permit Fee $ /4.OD Live Loading _ Certificate of Occupancy $ Occupancy Load Approved b_p Drain Tile Plan Review Fee TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.