23D-071 (5) ;; 4;4 DEPT. OF BUILDING INSPECTIONS BUILDING L°
vor „ii 212 Main Street 0` $403.00
J Northampton, MA 01060 PERMIT Ma-
4
23D - 71-1 VALIDATION
September 6, 85 522
DATE 19 PERMIT NO.
APPLICANT David Pichette ADDRESS Warner Street 00X163
(NO.) (STREET) (CONTR'S LICENSE)
New BuildingOneFamilyNUMBER OF 1
PERMIT TO (_1 STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Warner Street ZONING URB
AT (LOCATION) 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)
permit for the construction of a new single family dwelling with 12 floors
REMARKS:
AOEAMER 1008 sq. ft. ESTIMATED COST $ 53,000.00 FEEMIT $ 40 .00
(CUBIC/SQUARE FEET)
OWNER William Pichette ,/ s/,,/
ADDRESS 300 Elm Street, Northampton BBYU P T �, �/�
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p}NTSIIP
4o9S • . CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES *� ,� ii
•
MASSACHUSETTS�/ D '=* ' " OFFICE of the INSPECTOR of BUILDINGS
DISTRICT ( V3 I•l• %%j? i;"
/
+ .� Page �3� Plot 1 APPLICATION FOR
USE ZONING PERMIT AND
f INSPECTOR
BUILDING PERMIT
FRONT YARD �v L-0 z
'1 t, IMPORTANT — Applicant to complete alla items in
in sections:J/II,, II, Ill, IV, and IX. �f 0
if
/ all irLe ` O S .,62, ZONING /////�/.l s
SIDE YARD `� {{ SIDE YARD / I. AT (LOCATION) (_�f DIST ZONING
Cf� (/J
REAR YARD _ O ` LOCATION (No.) (STREET)
OF BETWEEN t AND L t
BUILDING ( SS STREET) (CROSS STREET)
NOTES LOT
SUBDIVISION LOT BLOCK SIZE
V.
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
1 New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 IXI One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D. 13) 13 I I Two or more family — Enter 19 Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Useof _
number units— — — —30. 20 I Industrial
• 14 3 I Alteration (See 2 above) Transientl,
ii. / Nc.tl/ Lae I hotel,I mote
21 I Parking garage
:: : 'i i:�'.4•inea•. 4 I I Repair, replacement or dormitory — Enter number
=aofunits — . - 22 Service station, repair garage
MN•= al :•ei. : 5 I I Wrecking (1/ multifamily residential,
_= enter number of units in building in 15 I Garage 23 I Hospital, institutional
•N :' Part D, 13)
a... mimiN
; 16 I I Carport 24 Office, bank, professional
a■NNaNNaNNN a•• ta••• • 6 I I Moving (relocation)
:= 2 ..■ : ! •: 17I I Other — Specify 25 Public utility
: • ! 7 Li Foundation only
sass: ::a.aaaan":1: ::u=•::=:: :1 B. OWNERSHIP 27 I School, library
, other educational
27 Stores, mercantile
::l •• •a a• : : 28 I Tanks, towers
•ta:a•: a•Z •a! 8 Private (individual, corporation,
s
_•__ •ta•••UN•a•-. : nonprofit institution, etc.) 29 I Other — Specify
••a= = aNaa: : 9 L.I Public (Federal, State, or
: mean OOOOO•N••llamow••• : local government)
'::a : 41::22 C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
u : processing plant, machine shop, laundry building at hospital, elementary
a: :ai: 10. Cost of improvement $ school, secondary school, college, parochial school, parking garage for,
.•a•a•Na•. department store, rental office building, office building at industrial plant.
••N■■•••N••a•.•a•: ! �:: .mitt To be installed but not included If use of existing building is being changed, enter proposed use.
• in the above cost
: ••N, rn a. Electrical ®1
sass::: . ......',..■ Be
••N•NNNai•Ii:• : : .41013..
•■ ��
i•.•••aa••aar'••a• a... ) :::i+, = b. Plumbing
NalaNlN:! ■•:: :: i
_ 1�•� 1
•:ra'i::N:a::: OOOOOO : : :.; c. Heating, C `air conditioning
s:::�■N• •■••• d. Other (elevator, etc.) J
:• :ilri:::: _ _ : r .fir ...
N ! 1::::::::::::::: ■.. ' '.uPA.•a.a,.11
�•� ' 11. TOTAL COST OF IMPROVEMENT $S3 (56 b
:WOs. : :a• �•N•=.=a! 4• •N:....r i•• , •..r .�1.ta•:
•• j Sia•a• •■ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
:: s :••a. :..■a.•.....N..I a■•a'•..•. •
::...:. :::: :_:..!•.. 'al::N •:.: '.. for wrecking, complete only Part J, for all others skip to IV.
= S :
9::i its • .• .•. ""'�:::::::i::::: "" E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL • J. DIMENSIONS / (
ao::::::•:•••:a: • Nc-. .... ■.uli■N•,a■
_.• ...•i 48. Number of stories
: 2 : :::r, ', •.■.at•, "••I :•: 30I I Masonry (wall bearing) 40 Ii14 Public or private company
: :a!!• • • •••• uNa•. N. .�u • Nar, luN•�o■■rc. uw■ ! 49. Totals uare feet of floor area, �' ��
o:=N•::••.,'_ • " • n.., ': ran �."'' = 31 Wood frame 41 I Private (septic tank, etc.) all floors, based on exterior Q�
MU:
• i ::: ::•:. •.•• _ •Na •.' '.• .. : 32 I Structural steel dimensions �00�
•::: l !!: : :Ma ::la •::::•' :uN:N•:u.
::uu�:l! Ili! ::iall:a"" :':t' ,_'• _ 1:::: : 33 I Reinforced concrete H. TYPE OF WATER SUPPLY
$a •• lN ::•u. ! .'.• •■N•NNO.N6 50. Total land area, sq. ft, /
2�:tia!!l:..:::..u:.•'�il3l as :ow ::'••:iaa•ra�ul�N■No: :�'! 'r••"'�•••••■•: __ ! 34 I I Other — Specify 42X Public or private companylif '7?c
i w •l:::a•.•..: :lass • •:aa• •s•• N• . ::u ..ii= •• .......
:sass lass! tippling_ ■a N ■■ K. NUMBER OF OFF-STREET
i ii . i i � : ! :tell : i ::a•:•■:..N.:... 43 I Private (well, cistern)
_::1: sa'Ss'="' 'Z ! a s■ PARKING SPACES
i mi,
1la :sls:e::.s. ' a ... .. - .� as ami i•::s 9::::::: In: !:1
:•:::.:1 • •. aass �a■ -! Na N • �.- 51. Enclosed
ii� ! r:::$l:i:u:! la::'•: ,ii = _ ':=•i' ::::u: •....ol s■ F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
iillifili • aa. .• • as • • N •• ■a �
ilimp'ua.,saiou '.si's:urn!u mirk.... a.. u.;:::.aria 0a', : '::::::i s:a:: s::••a .N:: ...:::::::::Ne 35 Gas
l: • •r •• r Nraa: ._-_ ::..iE i.• • r<..i • • aNa�.Z : •. as u•iula! li I Will there be central air 52. Outdoors
lllinni• ! u� a al :••'Ia••:.,:.•,•■liaala.1N�rf■1'!�a�i*o• J.' N:•:�SNf���.�a::�1ii\� :t•l :aaa •! . 1 �lu__ _ conditioning
ii i• • is : �'��� :• a:': 'gaY': iiii• •. s. 'N•i ' •=ia �=�N.un n �}S = :sa la•aa:• •• • •• . 36 Oil!'i.• •N• illp-ita,••�����_- _iii:=l_ik �� •• mit•'l�aia:la•■::a.:''•.. •.mi L. RESIDENTIAL BUILDINGS ONLY
a: :! un :ualiia s iLa:B•ud isumuti �aa...Uiiiiiiiiii!•tiiiiia iiffilaZ'�aa�iaillaaaujiiCi=1ti•�"••il•'r•: :••::: 37� Electricity44 L i Yes 45 g No 53. Number of bedrooms
N•a N NN ••a • • N • • as N•• U•N• N ••■•Na
!_#din;lnI18u Mninun:P!:sms fts:i::Ilr:iin a:•. :Rosy;::i:3fl ik..a l i 9Siifl fi :iii.IU!a!a•uaia��l/�aal:ilietei �.•.a= Si; 3f3 I I Coal
flfiuiu "iiiiiuiiii tiiiii iliiiiialaniiiiiiiiNaiiin.i•iiiiiiiioN.•• •...
)mill IEM rasa=s8a4;MPRIMIN ILMaa EMI:Pl ii g Wan :::::=.:::miniall•i i t 39 LJ Other — Specify Will there be an elevator', Full
54. Number of
46 Yes 47, 'No bathrooms
Partial
P NT tf P
IV, IDENTIFICATION — To be completed by all applicants
Nome Mailing address - .\'umber, street, city, an State ZIP code pT/el.. No.
1.
` si�n �Q�GC� 3 cd e �/ //t / ( S-OI7-4/ j7 NOTES and Data — (For department use)
Owner o r lLJ )CJC(,O�U ea, !t'T� /�' �Dx- � ��'�
Lessee
ti �) J f Builder's �_ n/
"L, � W���� `ITS' � /(/ /�f (,�^y` License N o. I[—(�}.� 6 3 t ,
Contractor (�
3. 44„"'''SD /� rr �( )Architect or — / //(.i "� 3� 1--�t I ?• ,2 k---t) VIr �/V lJ P. PP *is 3��J
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
,,�� )
(_e%.64svtG r 300 9- S•5.�
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
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
Building. Use Group •
Permit issued ���' 5. � 19 �5
Building (:? ll Fire Grading
Permit Fee $ �'� V
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ Is,/1 r ,^
fig` L[!!
Plan Review Fee $
TITLE