23D-076 (5) DEPARTMENT OF BUILDING INSPCTION:
212 NAM sTRE -* BUILDING D-
N0RTHAMPTON' MA, 01060 PERMIT a a / `/�•DQ , r %;
23D - 76 ""
VALIDATION
DATE " 7,rtn-+ `r ?fi,, 19 PERMIT NO. 547
APPLICANT ,IA Pie+he tts ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO '- (..2L) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 1 OF,' DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: r A, reahui 7
of wood burning stove in basei nt, :�rru,i.. ,.i i.c..�►,-
Gcrxvt.ii.....64 .. .. e.....„
AREA OR PERMIT
VOLUME ESTIMATED COST $ 101000 ^ FEE 4Q_'
(CUBIC/SQUARE FEET) / _ ./
1 /1/::1:415,11,k}
OWNER aDGVi Pic. �tv „ J
u ;et k' e4 BYBUIL�ING DEPT.
ADDRESS 300 Elm Yy/
WHITE — FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
DEPARTMENT OF BUILDING INSPECTIONS
212 MKIN STREET BUILDING Z e
NORT1Z PTON, MA. 01060 PERMIT as �4 y�. 7 ��`��/
23D - 76
VALIDATION
DATE Sr ptemhpr 25, 19 R1 PERMIT NO. 547
APPLICANT David Picbettp ADDRESS 100 Elm
(NO.) (STREET) (CONTR•S LICENSE)
NUMBER OF
- PERMIT TO A'teration ( 11) STORY ResidenCP DWELLING UNITS 1
TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 1 21 Warner DISTRICT URB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK _SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Repair & rebuild complete structure - 2 new interior masonary chimneys, installation
of wood burning stove in basement. Remove & replace kitchen.
AREA OR VOLUME ESTIMATED COST $ 10,000 PERMIT
FEE $ 40.00
(CUBIC/SQUARE FEET)
OWNER / David Pichette BOIL LNG D T. , '/2
ADDRESS 300 Elm Street, Northampton, Ma. 01060 BY 6 .........4„4
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPT •PINK - ASSESSORS COPY
-3 17 — 7 - ' 4
, CITY OF NORTHAMPTON
r� MASSACHUSETTS
VIII. ZONING PLAN EXAMINERS NOTES ''1ij
��i ` i(� - O1FICF of the INSPECTOR of BUILDINGS
DISTRICT �� it....._�J �.
,/ a<�„y� Page Z3 D Plot 7 .6 APPLICATION FOR
USE ' �/� � �) INSPECTOR ZONING
BUILDING RPERMMIT ITD
FRONT YARD'`
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
SIDE YARD SIDE YARD ZONING
I. AT (LOCATION) tel-'/ �/� „ DISTRICT
REAR YARD _ LOCATION (No.) (STREET)
i _/yJ ./)
/ / ` ��� 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 —1
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
—4
1
[ I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 It One family 18 Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN — For Applicant
in Part D, 13) 13 I l Two or more family — Enter
numberoJunits— — — — � 19 Church, other religious
Use
• 3)crAlteration (See 2 above) 20 Industrial
14 I Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory — Enter number
of � 22 Service station, repair garage
: 5 Wrecking (I f multifamily residential, units — ..
enter number of units in building in 15 [ Garage 23 ri Hospital, institutional
N
Part D, 13) 16 I l
6 I I Moving (relocation) Carport 24 Office, bank, professional
: : 17 I I Other — Specify 25 Public utility
! 7 I l Foundation only 26 School, library, other educational
•Neel::
:::: !� ! B. OWNERSHIP 27 Stores, mercantile
: 28 Tanks, towers
: l::: : 8 71 Private (individual, corporation,
s nonprofit institution, etc.) 29 I Other — Specify
•am! _••••= 9 [ I Public (Federal, State, or
local government)
:u■.u•a.••••:
:s C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
: : I processing plant, machine shop, laundry building at hospital, elementary
_ _ 10. Cost of improvement $ 10 C�
1 OO school, secondary school, college, parochial school, parking garage for,
;:.= department store, rental office building, office building at industrial plant.
I I _.= To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
VI : I I a. Electrical � a—
••::: :•:u •• : _ I
r• : I _ _ 013:••
•• b. Plumbing ���J
a•uu•o::::::: : : :
a••ati.•!=::::::a: ! _•_ I :u=•! c. Heating, air conditioning `.�
......:::!!a la::::::l:::: ! ! ! !: d. Other (elevator, etc.) �`
:a::::::•■u•:
a•• ... sssa..uu.as ..s...a:::::: I : I 11. TOTAL COST OF IMPROVEMENT $
s...:s.:(all: CH •••t ••■ •■a
Las':as..S.a■...•. .s u■:S=lssum_.• _ : : _ __ ! : •■.=•S III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
"'_' ■'• for wrecking, complete onl Part J, for all others skip to IV.
::...5. !: MU:: :su ram:: I.
9r P Y
:::i :::i••: .a. •. ..• s : I E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
sass:::::::::::::: 4111::a.:..•: : i:: _ : / ..
•• •• : : : : : : 48. Number of stories.
a.:..:: : : : s ::: ■■ 30 I I Masonry (wall bearing) 400X Public or private company
u u!! uu ..• �� a :ma: 49. Total square feet of floor area,
�:::ua:asu.........u. u.:i _: :: :_ = 31 M Wood frame 41 I Private (septic tank, etc.)
YC all floors, based o ext rior
gl __ �:: li=a aa::sus::::s I : : ..uau.!!:! _ a •ss.uuu ua=■•••_ 32 Structural steel dimensions
I I ��.. �....
• 33 I I Reinforced concrete H. TYP OF WATER SUPPLY /TX/3
�.:! :::__ ::=�:s:: ! !._ I ! a=i!!= _�__ 34 Other — Specify42 Public orprivate company•
50. Total land area, sq. ft.
'iCia::: sa..s::::: :a = I I P Y _ —
a1■■■•:■•■ ••_•!•s::s=��::s:=�=;• ■••_ _: ! : 1•1_::::::::::a::: 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
U • ss.a 8.1::: ::: • •• • . • .a! PARKING SPACES
.ss.:■.!•ss...as:s ! ! :a. :•
:.:•s ss.uuu.:l==o. _!_.• •s• •u: ::arts = i:== 51. Enclosed
! ■•• ••►:sl::�'::9l::Sls::ls s:: : I :u::::::: ! F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
11:111$$g:11111• •:lass:s +� e .'.• .. ss:.... . a:::as:::;:.e....::ass s : s :! :: '. • '. . .'.
.a • a • .. • u. _sass(: : •C••• • ■ =■a:=aiiai:.!■■■: 35 Gas Will there be central air 52. Outdoors
! :::l:l:: a! :�a::: .s.:•:r�..t•!: ! :a:::al::.:.I::aa••!•:!:!.■a a•!!.•..•:!:•l.i.••.!.•■!
• • •• u■.• • conditioning.
! seas:.: sass:: :l:::::: •• • •t.::! !::':':::: 36 I Oil L. RESIDENTIAL BUILDINGS LY
.ss•!:s::sssl::�s •s•�as•sa•s! ' s !: :,•�=• ••as .. . .
::a:::al:a:aa:u . • • u ::a:: : : (.:.ease:::::l:la::::::: ::• •!•t.•!!t!•n•: !:a■■= 37 Electricity44 I Yes 45 No
• al • :::::::::: ■uu• .u.ua • u• • u ■ • o.a • uu un• a muss.... 53. Number of bedrooms
's: ::uass�a a��g e: aisai s s ' s�s�lsaa�al..Y:a:::aa Iesssaiecs�sa _ ssa'siisss:s a ei=s:!!°:i=a .....:es:::u■ •. u. is 38 I Coal
•■•• • u ■ • t •.w au • • ■ • 39X Other — Specify / Will there be an elevator? Full.
_� :::::::a::::::::nu � �si ::.:.::•u.::: :::::::• iu!•�.�.� :u■•u::::•!•:1:�•�i p ��ZC^ 54. Number of
f
461 l Yes 47No bathrooms
Partial
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — :Cumber, street, city, and State ZIP code o Tel. N .
1' .1sAUIQ ?ICt*el-M 1. 1 WPsdLvN2L ST / Soo Euyt +ST 5` -YSECJ NOTES and Data — (For department use)
Owner or ` 1 _ �/y��/� 1�1 00(30 ,
Lessee •109—* A0111 h Y t 1 Fy NY Il 0-l1^C
L_ •
Builder's ram/
2. 5m2 RS �J�Ve License No. d2�� ./l A
Contractor
44 v
3. .
Architect or
Engineer rde---c-a- e.,_.,,,_)
/
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
• - e this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
'ignature o applicant ' Address Application date N
;47.4.41IN 1.:‘ VA Lt(W_ik, 4 1\/kk*YV''10 ,9L/Aeci- ic(8 1 .
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 c� i"_0/.5 19 "/
Building Fire Grading
Permit Fee $ y6'. ''7 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ _ -
1
Plan Review Fee $
LE