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23D-068 (3) DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY I- 212 MAIN STREET Z0 NORTHAMPTON, MA. 01060 BUILDING Qa 23D - 68 Code #79 PERMIT VALIDATION DATE FPhroary 6, 19 80 PERMIT NO. 63 APPLICANT Ron Hadley ADDRESS 38 Harlow Ave. , N*ton. NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Alteration (_2_) STORY Bathroom Close* DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 30 Warner DISTRICT UBB (NO.) (STREET) . BETWEEN AND * (CROSS STREET) (CROSS STREET) a a OT co SUBDIVISION 0 BLOCK a O 2 u BUILDING IS TO BE FT. WIDE BY T. NG BY T. IGH. AND SHAL ONFOR „IN CONSTRUCTION m C. Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION E (TYPE) 0' L REMARKS: Interior alterations - alter or add bathroom, closet, add door AREA OR $ PERMIT VOLUME ESTIMATED COST '900.00 FEE 10.00 (CUBIC/SQUARE FEET) // ---. _I OWNER Tom Roose BUI � EPT ADDRESS 3 Warner Street, Northampton, Ma. B ' (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 . DEPARTMENT or BUILDING INSPECTIONS 212 MAIN CERTIFICATE ISSUED DATE -i NORTHAMPTON, MA. 01060 BUILDING PERMIT - 23D - 48 Code '9 CERTIFICATE OF OCCUPANCY DATE_rebnit&II .19 SO PERMIT NO. 63 APPLICANT Ror Hadley ADDRESS b. 1laiiot.:. T T), ;Wu• N ) ( TR (CONTR'S LICENSE) NUMBER OF PERMIT TO AltPratl Q{i ( 7 ) STORY Uthroroj, closet DWELLING UNITS j, (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ryy�y ZONING AT (LOCATION) 30 Warrior _ DISTRICT tag (NO.) (STREET) a+ BETWEEN AND 0 (CROSS STREET) (CROSS STREET) 0 LOT °' SUBDIVISION LOT BLOCK SIZE m a 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 2 (TYPE) Ir •�. a. REMARKS: Interior alterations - alter or add bathroom, closet, add door AREA OR ;II)I .III) 111111 •;IIIII ;INI :Il�u7 y� ;I lyu� ,p;I�I�U7 ;Ilu ;hill .ull y VOLUME ' 7 'E1 • E1 ;T1 ' 7.`' 1 i1'it ,r1 �I T1 7 Nal • 7 ,1 1 1117i ?1 (CUBIC/SQUARE FEET) ;1111 ;1111 '1111 ;1111 ;1111 ;1111 :11111 :1111 31111 :1111 •1111 :1111 ;1111 ;1111 drel col"TI core;core;core;A`1'111dfT11OT,T1 OetTI R7C:TI c,,1Tl tp•RTI,0,E-71Y7LT1¢rel A'cTI A' OWNER Tom Rose i. TO BE POSTED ON PREMISE$/ SEA:= E DE FOR coND'1d4ONs OF'tERTIFICATE ADDRESS Isi II-- ''.". '' • DEPARTMENTAL APPROVAL FOR CERTIFICATE l of OCCUPANCY and COMPLIANCE r 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 U /C j OFFICE OF THE 212 INSPE SOREOF BUILDINGS ET APPLICATION FOR 1 u s E ---"?.."*.t:V.>� NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND FRONT YARD .` L . BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O SIDE YARD SIDE YARD / ) I. AT (LOCATION) r�G �T/ D ZONING CT REAR YARD /-2---1-7' LOCATION (NO) (STREET) /J OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) NOTES LOT SUBDIVISION LOT BLOCK _ _ - SIZE _ V1 H. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I 7.1 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 [ New building Residential Nonresidential 2 I Addition(If residential, enter number 12 j„..--rOne family 18 Amusement, recreational of new housing units added, if any, IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) 13 I I Two or more family — Enter 19 Church, other religious number of units— — — 20 Industrial .....". 3� Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 I Repair, replacement or dormitory — Enter number 5 I Wrecking (1l multifamily residential, of units — -.. 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional irresuur•a' 6 I I Moving (relocation) 17 Other — Specify 25 Public utility 7I Foundation only 26 School, library, other educational • B. OWNERSHIP 27 Stores, mercantile Ro■rose.■s•e.*.*e**r*e rr..rrrr.•et 28 Tanks, towers r is,ss 8 Private (individual, corporation, S •= nonprofit institution, etc.) 29 Other — Specify fy am •• r �r' eo***i; 9 I Public (Federal, State, or its local government) AM ... C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food eeeuu riaeer • r es In' ski processing plant, machine shop, laundry building at hospital, elementary u■u.rrsrrerrr■ eu �.saamr• 10. Cost of improvement $ /�� school, secondary school, college, parochial school, parking garage for, /� department store, rental office building, office building at industrial plant. ■a.•rue.o•r=•a•e••au•roasararraa. ass aa••aa rasa moss.u. 1, To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost s • *Se: 7'.'e...1____ 1111 Na. Electrical .• • •••s•••••••••.rurRa , eea■•s: :::: a b. Plumbing rr.rgrar•u= o= • c. Heating, air conditioning me*uau•rri* * i = • d. Other (elevator, etc.) �//�/J 0: Surro•a*.= 11. TOTAL COST OF IMPROVEMENT $/7t/t' _ '� _ 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. •s.oiL..r.•..rar..r..r•iiilss•..r........rrer......1.r...r:...•sr.rra•aaaaaa.a•a.a.ara sauna ;i ua. == e _ E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48err * 30 r Masonry (wall bearing) 40,l Public or private company Number of stories ■■= 31 I 1 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, base enter r, i= ____=====1Cuar.ar* 32 I I Structural steel dimensions .. ... ■*_ _ 33I Reinforced concrete H. TYPE OF WATER SUPPLY _ ee Le: a ■. 34 I 1 Other — Specify 42" Public or private company 50. Total land area, sq. ft. _■ = r ■ I K. NUMBER OF OFF-STREET •so••rannolus•u••o • ••• • 43 I Private (well, cistern) _ ==eee=e= � PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed i=a=== _ _ _ = 35 I Gas Will there be central air 52. Outdoors '2__ '== U ==i= ====i conditioning? = * •e=i'== ==:=sun=u■** _ _ ==*ife=.= _ 36 Oil L. RESIDENTIAL BUILDINGS ONLY ii===i===i==n :me a•aa■ _• ■■■_ =its ■= 37 Electricity 44 i =________ =tiro=====__ !==i ; ■ a ■ ■it I Y Yes 45 No 53. Number of bedrooms : == ==ss:is:i:�s �. �; i•..e ° ii �; _ _ •I I I Coal .r a 54. Number of �ri==r •uar . h. "`�-"" """""``� a.. :NM 39 I I Other — Specify Will there be an elevator? Full..: 46 I I Yes 47 H No bathrooms Partial BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. NOTES and Data — (For department use) Owner or 41:7d—et- t Lessee ifi/A4-- ter- _ ?Y , ' Builder's /, 2. ) )4e. . License No. �1 " / Contractor Gt , 3. ade- 41-7f— I 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. Signaturyef applicant Address Application date )/di-' 45/X . J-6-W DD 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 Permit or Approval Check Obtained Number By Permit or Approval Check ObtDained 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 6 3 Building �off � 19 FY Use Group Permit issued c Building (� / Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee $ TITLE- --2