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Broadway-Spri gfield Office Supp` Z(413) 733-3128
Baystate West —(413) 737-0719
1` AV NT S ,t�V�Y ING INSPEf,TT0NS
712 MAIN STREE'i'� ; BUILDING
NORTHAMPTON, MA.101060 PERMIT Q a
S
23D - 67
VALIDATION
DATE June 29, 19 R1 PERMIT NO. I.''
APPLICANT Raymond C. Dickinson ADDRESS 16 WA'Moor
(NO.) (STREET) (CONTR'S LICENSE)
4 NUMBER OF
- PERMIT TO e4q;};Ap (4_) STORY porch DWELLING UNITS
oVEMENT) 0. PROPOSED USE)
ZONING
AT (LOCATION) 16 Warner DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BL SIZE
BUIL INS IS TO BE . FT. WIDE BY 1 - FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREAO OR $ 200.00 PERMIT $ 1000
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET) rr' J -
OWNER
�//
ADDRESS 01060 BYBUILDING DEP�� !�
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
/4
DEPARTMENT OF BUILDING INSPECTIONS
;12 MAIN STREET BUILDINGd [ /6. ao 6/9 87
NORTHAMPTON, MA. 01060 PERMIT <a •
23D 67 VALIDATION
DATE June 29, 19 R1 PERMIT NO. 309
APPLICANT Raymond C. Dickinson ADDRESS 16 Warner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO �/�►�,y�fyt A ( 2 ) STORY Porch DWELLING UNITS 1
I T�"PE 0011MoVEMENT) NO. PROPOSED USE)
ZONING
AT (LOCATION) 16 Warner DISTRICT 11RR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Porch
'Kum IS TO BE d FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Addition of screened in porch
AREA OR PERMIT
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET) $ 200.00 FEE 10.00
OWNER Raymnnd C. Dickinson f ////j
ADDRESS 16 Warner Street, Northampton, Ma. 01060 BYILDBUI DEgT. elit
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT C —..-P 1 K - ASSESSORS COPY
.-3 ID — -'p 7 _
VIII. ZONING PLAN EXAMINERS NOTES DEFT. OF BUILDING INSPECTIONS
212 Main Street .
DISTRICT /. ' Northampton, Mass. 01060
APPLICATION FOR
usE .—S .'17' PLAN EXAMINATION AND
FRONT YARD 3 y� BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD SIDE YARD ZONING LoRIB
I. AT (LOCATION) /4. DISTRICT le-
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
(CROSS STREET) (CROSS STREET)
NOTES BUILDING
LOT
SUBDIVISION LOT BLOCK SIZE _
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
m
1 New building Re Idential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any, 13 I I Two or more family — Enter 19 Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13)
num3 Alteration (See 2 above)
14 I Tran�lenr ot hotef l, motel,— — — — Industrial
�. � 21 I Parking garage
argk* �t .a.e' ■ - .cementEnter number
niame
�,C" I I Repair rep ordormitory
+; ; §S ia: '-' i tt Y - r , stin,+ ns
f 5 I Wrecking (IJ multifamily residential, of units — 22 Service station, repair garage
$ � � yy enter number of unzts in building zn 15 I Garage 23 Hospital, institutional
,, T, ,_ , , Past D, 13) 24 I Office, bank, professional
_,_,,, r 16 I I Carport
eta -�-¢ f ..r 6 I Moving (relocation) P
� "° r # 1 7I Foundation only 11 Other — Specify utility
25 [ Public'
< 26 School, library, other educational
isi, � .f.�
'. .,.......aqm.,„. .
"1,c...t.__,_________ 27 Stores, mercantile
"' ` a B. OWNERSHIP
•
gewTs
Waisersormommitouttawasteet
4 8 Private (individual, corporation, 28 I Tanks, towers
s
nonprofit institution, etc.) 29 I Other — Specify
-t mau�i��+ 9 [ Public (Federal, State, or
' local government)
4:.....t...t....e.2; --"fr emu r `' C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
1:5?' processing plant, machine sho laundry building at hospital, elementary
i/ ---t r. - ->-, z t.,"^- + - ` P 9 P P, Y 9 P Y
�� 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
Na. Electrical
N.frit...07€4 1b. Plumbing
c. Heating, air conditioni
ng
-HI- g,-' y ) 3 >,we zf
41/4
i # ti d. Other (elevator, etc.)
}r.
11. TOTAL COST OF IMPROVEMENT $ 4 eeZ/1,
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
g TI *' for wrecking, complete onl Part J, for all others skipto IV.
6�nii�r � 9, P Y
. , z igg.it:
,�� �,�� E. PRINCIPAL TYPE OF FRAME G. OF SEWAGE DISPOSAL J. DIMENSIONS 'RINCI
.. aru. wwsr `r my .v . •..'' att1 qq t 1' k d
MI•aur s.ww urns arwaa .. ' OOMO ..a �I��a aS -_ t r ,', 48. Number of stories
a•I" ass wa■a le" a./as ' tsar is . w r S�¢url I spit,"' 30�� Masonry (wall beanng) 1 Public or private company
aaa ass•■ .a°iruaria sa •raslMw■sauwu■Mw.Zaaasawaursie�ssrrniSii•
illns..nn=r=ass alan=■=■ararasau.r■as•aswr•=•r■•aaasar�raasarar•rraawr . 49. Total square Feet o floor area,
■ su.e rr ar.sauuuwuesrwu ar•s•a�aars w.wisa•aua•s 31 Wood frame 41 I Private (septic tank, etc.)
aM .cuss seas •�r.sees asaassauwa a•s•asas•aa..aassars all floors, based on exterior
s■Zsa■aa saw a as r■au■■u$•wr.0 ..... .a •asru .r■.u.a■as■rsal -
a.... a.iaawiira�!•i'iri ...rasa u u.0 tin :uwaa..a a s .. a
Ir. ■r waaaaar wra .rarrwa..s.wM..•s.rwae.M... •Ir war. ......a.awara? 32 Structural steel dimensions
, I r Mwa.a •stow i.a.. ..awaMw taws wa eaaraw ....•.a wr a.i
ua ■ ar a. ua•u •. war■ws..a..•rw. r.•.a u tons as Ma■u ., T„ ,,, 33 Reinforced concrete H. TYPE OF WATER SUPPLY
r r�ar�a s ...M.tosswr•aua.u..rasa..was■wa..a....M. eiti..asetre uisw••.
a..0 ■ n wwas w .U. ..uaaawusaawauwasawrsawus.•asaus•wa. .uw■a■ a . ■ r•..r 50. Total land area, sq. ft.
,air aaall"
S i�.Masi;we 3satortsiaallsr■a.•wa...aw•pfa~t:.a ..�rw.u.......u•..aa a.... ii sac.�iasrfii�i•as iraa�.r 34 I 1 Other — Specify 42 Public or private company
'asr. ens .r•.au�a. • uu asuw... .._tom.Mrar a ..n.saar•urrsu.rrauw.M.Oa.rwM.w ar.ww .i' `"
—
F
saaaaawriaa.P .a annU.iiMaassaawao Na.newsins•w.isaaiaasrasatoes;.risau.a ss.alrniMaisiia asr�ii � rir. 43 Private (weI cistern) K. NUMBER PARK NGOSPACESOFF-STREET
sa ■111 rs Mswraesas ssanas.asw....... ■s...aa.■..a.w...r a .w as�aa.r.u.w a.r..a.■r...■�ew ..... '"
era .swan -... .a .ants. u.Rurwu w.a=w.raw.aa.s.eas.s.asaan. aaa ..r.■us.a arwr ar.ra.ww awn
as a .Mw .sail. uri •s. ..r.alasa..a.ra.ar wruwvaw.u...Uwau .stow. s aYi. as warty. ■ice ■ �a �_ 51. Enclosed
�u aaa r a •a • .awuw.ar.MYM. Mawu.waanu.wrua I ..I a arwwwr aw".aa a.. a..a. ata ; .tins ..
Ms sa�ssiii"r..16 rreiV■sZ•ff aMrfrsM•rwaasw•nrssarsrswwsatoss..•sewn�to�s •�!•aaii.rwa.r_wss.rar.�rawr'iii_ �� �� F. P N C I P A L TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
} u.. 9� i .. a.ai ....... awr�ii.sa■.ss.wi.s.wrist.�`i.n...a.w.ivarwaasisiaa.'iii a"aa1aai+:iaw�i .. s#.=r ~' wsri
• a'Ti ...a.w•uwu.wwu.r ■u. •..•. au. .torts w..g' • 35 Gas Will there be central air 52. Outdoors
ws aa�israapursaaa rwaa.u.aster•ass..aaurwsra•.wa■awaaisaai.assnirwaa=u.wsurr.. ...a.. r.. .a.�iiaw111 -
r•aI w •.. ■.toes II./•w.raaw�a.auu.l •�a.ls. M.a..aa.Y.a...aa....aua io\i ..alai a_ . 36 I I Oil conditioning?
�n"i �a�sa�ir • s.. u I�ii.�ait...aa saran..aei....wia.wirswi=iaaaa.iaa a•s .a.■� .i a a�ai�i' ..a .....aa�a nisi L. RESIDENTIAL BUILDINGS ONLY
L. a n'a�s� na yaa..atilanserIi.0 I=,Ry'.I� ••■■.=Inn fila 37 I I Electricity 44 I Yes 45 No 53. Number of bedrooms
i . . rrus..rl I •. .a5MJews
u MM ....a .I.a ■ . wa.w a rah tttY"'
Y - a. a•,wa- - a.. .aaa.-rww....fww1.■rwa. ■ • r a aw _.—....� ^�i'�. .µ", I Coa
II I as
e-" •. + P,e �t �.. .� ., . ., .m .i_..W 'f-T t^-t Y.
- �..� 3f3
39 1 Other — Specify Will there be an elevator? 1 Full
54. Number of
7.4 46 I Yes 47JI� I No bathrooms
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL - (/��I—���c� Partial—
�
IV. IDENTIFICATION — To be completed by all applicants
Name Ma' ing address — Number, street, city, and State ZIP code Tel. No.
NOTES and Data — (For department use) 1.
Owner or - /4,
kel Lessee *D
� •�I Builder's
2. Y� /� �/ �(� �(/�► 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.
S' e of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans ByNotes
9 Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. 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 Use Group
Permit issued %� ael; 192/
Building go--C.)
Grading
Permit Fee $ /�_ Live Loading
Certificate of Occupancy Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
LE
pkpo3ED RotA6-0 Pr2c1 546 F toole D/fy cpx FLy woo v
j 5,4 (LOW:* cie 0, +►062
Rk 125 2x /0 0.-1 %(+� CI' S
PUS'S 1.i)1 W oa Zy CroLS _ _ _ - _.......
if
D So,sct 1V I
1 - _..,.._.. ....3/ ,,,...„._ i _____ A
1 i i -, __
, ,,, ix
, , ..
,,,, ________________
r
I
1
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1
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