23D-068 (2) DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY
Zo
N R'.,f3AMPTONN A M . 01060 BUILDING Q
23D - 68 Code #79 PERMIT
VALIDATION
DATE December 31 . 19 79 PERMIT NO._ _ 741
APPLICANT Thomas Roose ADDRESS 30 Warner
(NO..,).�.....t (STREET) (CONTR'S LICENSE)
PERMIT TO Install stove (� wood-burning) STORY For QOd-vY. tying stove DWELER OF
LLIING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 30 Warner ZONING
DISTRICT URB
(NO.) (STREET)
a BETWEEN AND
a (CROSS STREET) (CROSS STREET)
O LOT
m SUBDIVISION LOT BLOCK SIZE
U 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
Z (TYPE)
re
0
REMARKS: Install wood-burning stove in exis{i chimney
r?..4,.. ..,(1_,0
AREA OR v X ,i, /L--/) \\I
PERMIT
VOLUME ESTIMATED COST . Sf?0.00 FEE $ 10.00
(CUBIC/SQUARE FEET)
OWNER Thomas Rnnee .04
ADDRESS 30 Warner Street, N'ton♦ = ...,..., wte
(Affidavit on reverse side of application to be completed by authorized agent 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 .
PEPAZNENTOP BUILDING INSPECTIONS CERTIFICATE ISSUED
112 ArAlM STREET DATE
N, 'K"• 01060 BUILDING PERMIT -
23D 68 Code #79
CERTIFICATE OF OCCUPANCY
DATE December 311 1979 PERMIT NO. 741
APPLICANT ThOSISS Raoss ADDRESS 30 Warner
p,,.�y�,�,,�*�� �1,., wood-burning
(STREET) (CONTR'S LICENSE)
NUM OF
PERMIT TO InD all L�Ys ( 2 ) STORY For �R '� stove DWELLLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Typo,
AT (LOCATION) 30 ZONING T.DISTRICT JJ.atLS
(NO.) (STREET)
a+ BETWEEN AND
to (CROSS STREET) (CROSS STREET)
P
LOT
a. SUBDIVISION LOT BLOCK SIZE
m
V O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
co
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
CC
U. REMARKS: Install wood-burning stove in existing chimney
Kid Ki( ;id Y 7 riKr1KTi idK+1.►rti it f1Kai d ; 7 MTi%
AREA OR ;1III ;1111 ;1111� •;IIIII •;till 11111 NM, ;1111 ;IIN, •1111. 111111 :t111 a
VOLUME (CUBIC'SOUARE FEET) K' ?� ?I1I III•'1 •� •11 •� • u K' • II -ElS
NM ;1111 ;Ills NMNM ;I111 NMNM 1111 71111 :lIi1 -NM ;I III NM
Thomas Er ern b FdTT T oz. RY TXT? En. A'T11I kr--fI T dTY 'Tl I CTYb C,T/RYR71 ICI[-,, tii ri T'T11CY
OWNER Ahomae .e '-` TO Fi BE 7OSTEV ON/PREM19ES.
4;S ftfts., ipip'FORQNO1Tf0KS (F-GEE1 CATE
ADDRESS Warner Street, r II
I 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
VIII. ZONING PLAN EXAMINERS NOTES , _
CITY OF NORTHAMPTON
DISTRICT OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
�:31.) — Cv 8 BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
SIDE YARD SIDE YARD ) /9 `��`
,�/f"_ ZONING //(�
I. AT (LOCATION) � DISTRIC
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —i
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 7 New building 9 Residential Nonresidential
2 5 Addition(If residential, enter number 12 ti One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 r 1 Two or more family — Enter 19 Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use number units— — — — --�
Alteration (See 2 above)
14 Transient hotel, motel, 20 Industrial
3 I 21 Parking garage
— Enter number
�T■• ■. ��.� , .■r;rrrs runt � �� ■»
_ 4 I Repair, replacement or dormitory
::: ofunits — 22 Service station, repair garage
r 5 I I Wrecking (If multifamily residential,
_,a•Na.N•ra•aNaaNNNaaaa•a•sa■aaaa.Nu••saaaNNaaaaaa enter number of units in building in 15 I I Garage 23 Hospital, institutional
■Naa RNN•aa:Ra.Naaar•a•a■•R••aaaaa ■■ Part D, 13)
NN NN• - ■■■ 16 I-1 Carport 24 Office, bank, professional
aaNNNN••••••• ■ 6I Moving (relocation)
:::s:a aNN Raa ■•■rrr r MTh • 25 Public utility
,+ ••: as :::i a r•:■tar•• at■ Na■ NN N a•N ■Naoa••N F 17 I Other — Specify
� aarassa�rrN:'NR imosim ssr�S'a•s■a:4:::::::::::::.:::: : N�■a�■•s •■Nsaa aa•N•Nsr: NaaArtaaN•aaNNN■Nmi•�r:aaa :; 7 I I Foundation only
iINNaNall:«a•rtasa• sa a• r••■a as aor:NSN •a�w Na x ••RaN■ •N•sara■ 40-6,7-40-0-69
26 School, librar:s:a�raa i•Na i=' � =�S■NN■ s•�a�s•■iiiay� ieiaZw�i�iaiii:Pr'a■.ra■ ��ui ■ 'N' •Rs•rN•r ��■fit. •Nir�iri:iiiii■•� a•■a••a•■saa•a N /�' 27 Stores, mercantile
other educational
■•. a B. OWNERSHIP
roma
=Na::a•a: 8 VI Private (individual, corporation, J ��Q, 28 Tanks, towers
•. N • ass nonprofit institution, etc.) _.�'ICr�'��' — —., 47 29 Other — Specify
:_ • :::: 9 I Public (Federal, State, or
;games aaas3•
•a•: v, local government)
Nr•a• '
aNsr r
a■ C. COST (Omit cents)
Nu•a�aR�la�:aNN�i N•rraaa aar'' tNN••`Na UMW t Nonresi ential — Describe in detail proposed use of buildings, e.g., food
so : = a•• processing plant, machine shop, laundry building at hospital, elementary
rNaNNaNa= _ NNs , � school, secondary school, college, parochial school, parking garage for,
■ 10. Cost of improvement $
department store, rental office building, office building at industrial plant.
•Ra••a NaaaN■■ • aNNU■.-
• = s To be installed but not included If use of existing building is being changed, enter proposed use.
0 N in the above cost
asap NliaN: ,R: :rorwaaa•°"" ._:.'.,a.� a. Electrical _
aNNa■ ■: m •�••aa : •
as r.
� �i::::::•ram•. : ii:s : :ii:a N•i _ sua: aa3::r:: b. Plumbing
Lamm��_ ■3 3a : ::•::::NNRaaa.aN! c. Heating, air conditioning
S:a:■= : _ min : : ............ 11. TOTAL COST OF IMPROVEMENT $ J"V
••Na•a■a•■a•aa•aa•••::::: ::: III. SELECTED CHARACTERISTICS OF BUILDING — For new buildingsand additions, complete Parts E — L;
:: :•:::::0 OMOU ■NNa::s::::::::: : • • 3N■srNNrn aN■: 'a p
sass:_ : :: : ::::8:r::M:a: ::::;aN =��'.:a: • for wrecking, complete only Part J, for all others skip to IV.
firjr.: ::::: • s: •3 =•Naas _ ___ E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ,'j
•a • : 48. Number of stories
•��__ •R:: 30 L Masonry (wall bearing) 40 X Public or private company
:w�i:: s:aN: _ : : I 49. Total square feet of floor area,
_ : 31 X Wood frame 41 Private (septic tank, etc.)
all floors, based on exterior
sass=:::::::r:Na•a:::sa'!: _ _ :aa a::#a.g _ }Y 32 I I Structural steel _ dimensions
a • : r $iaa$NNa.$.rr _ '- 33I I Reinforced concrete H. TYPE OF WATER SUPPLY
:R:
_sass:: r rpee. : : 3 '1 34 I I Other — Specify 42'0 Public or private company 50. Total land area, sq. ft.
:rani ==sass== sans: _: _ 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
:: :.• :r::i : 'r a PARKING SPACES5 t/�
:pee: :a=■:a: __ N Enclosed /"
_ : =••=an=Nsa:s�:::: a ::: : : F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
::: :::: ::::::::::::::::::::::::=s�:==::i= _: : lmuu•rraa■sips= :_ : 3 aN ■ /j�.
N= N::i:: :Na= __ • ar:r•N:n••raN•um: mil _ : Mew' 35 I Gas Will there be central air 52. Outdoors
agiealsg::.aaaaaa.s:::::i:a :as a: : : _ ; v.N= :::_:: :::::::area■ 36 Oil conditioning'?
• a Ra a� :a$:s :Ira nN m : • Na■ ■u* aaa a a:a L. RESIDENTIAL BUILDINGS ONLY
+_•:=:==Za::�a= aSauaaa: a :a : : : nuauaua ::a:::::r : : 37 I I Electricity 44 I Yes 45 I I No 53. Number of bedrooms
•:::::tra■::•::■:: :■:::•:a:aaaa.a.aaa r.. ..rap : :: . :
►rasa:::■1iii:::s: ::::3 ::" :::::::::: N •: : ■N: : 3: : :: :: �i: •. as rr 38 Coal
a• •a ■ • aR • raa • as 39 Other — Specify Will there be an elevator? /
:��_��= �w�ll�r:r■ :: :a�:r��lN!■�r•a� :MUM: • •■ I I p fYFull l l
54. Number of
46 I I Yes 47 I No bathrooms
Partial
BOCA FORM APEBP - 669 Ct969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
411111
IV. IDENTIFICATION — To be completed by all applicants
NOTES and Data — (For department use) Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or 3O QI
` Lessee
Cefaleo- fL
J\
Builder's
2.lJ ^ License No.
I A,"-J Contractor I
cc .zz.rna'L/.
3.
Architect or
Engineer
eZ( 44 rJZA''-"-'/J 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.
Signatu e of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans Date Plans B Notes
9 Fee Started By Approved y
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 19 7
Building 0,00 Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
A•• •ved by:
Drain Tile '
Plan Review Fee $ '
TITLE