23D-152 (3) F- DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS D°
R 2'r'2 MAIN STREET BUILDING as674
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
23D — 152 Code #79
DATE October 19, 19 79 PERMIT NO. 611
APPLICANT Rnhert Her Ron ADDRESS 146 Hi nekl ey
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Chimney & wood stove ( 2 ) STORY For wood—burning stove DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 12+6 Hinckley DISTRICT URB
(NO.) (STREET)
ea BETWEEN AND
to (CROSS STREET) (CROSS STREET)
at
LOT
a SUBDIVISION LOT BLOCK SIZE
m
U 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
2 (TYPE)
D:
IL REMARKS: Cnndttrlant metal bestos chimney 8c install wood—burning stove
'sod e/eQd44COS Q dc. Frk -Sr c Y tic 710 be ewe r -04y ei 4,41,4' avy-1 s .e,-o a
/ (r a
AREA OR
VOLUME Eo ESTIMAT OST $ 925 0a FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Rnhert & Susan Hinckley A
PT
ADDRESS 146 Hinckley St. , NI ton. �`1 i 1
(Affidavit on reverse side of application to be completed by authorized gent 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 .
DUPARMNT OF UD INSPECTIONS CERTIFICATE ISSUED
212 MAIN �"T DATE _
NORTHAMPTON, MA. 01 BUILDING PERMIT -
23D 1512 code #79 CERTIFICATE OF OCCUPANCY
DATE October 19. 1119tIre79 PERMIT NO. 611
APPLICANT Robert 8 ADDRESS 146 Hinckley
� (NO.) (STREET) (CONTR'S LICENSE)
NUMOF
PERMIT TO Chimney & d stove I 2) STORY For �, et lr DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO.Hinckley (PROPOSED USE)
ZONING
AT (LOCATION) D STR CT MB
(NO.) (STREET)
al BETWEEN AND
a (CROSS STREET) (CROSS STREET)
LOT
d
a SUBDIVISION LOT BLOCK SIZE
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)
CC a REMARKS: Conktruct metal aesta e chimney & install wood.burning stov
e
iriicy 1 7 ?=1 it 4cfi . -4��ikeia it ii K-4 ''-II ? K-45.
AREA OR _ 7 'IIII( :IIII :1111 p,I.III •IIII, ::IN ;IIII ;IIII )I' I :1111 3
VOLUME . 7 ' Ti 7i1 '1 7 1 ri '1 1 7:741 ).* '.i '11 -� 7�.• 7 ] '-}il
(CUBIC/SQUARE FEET) :IIII :IIII :IIII ,IIII ,IIII ,IIII 1'III11 :,~IIII :IIII NW, IIII) :IIII NW IIII :IIII
�.a_ I2_16-4 e/, dTTIbTTI,dT71A'T'rIOTflA' TTI` VTIA'Cr Ti X7T-41A'TTIC'..IkYTTIRYCfIA
OWNER rt > &loS1 'E�' 0 0 BE P S N PREMIS-
ADDRESS /46 Hinckley St. N'ton. .IrE F)OF D O)(S �..:C I�A,'I'E
t 4
r
f 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 USE NORTHAMPTON,AIN MR EET A. 01060 '3D !�G APPLICATION FOR
PLAN EXAMINATION AND
FRONT YARD BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD SIDE YARD / L (p / ZONING /,/ lG J
r.
I. AT (LOCATION) DISTRIC77""
REAR YARD LOCATION (NO.) (ST ET)
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
x3
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 ui n
I New building Residential Nonresidential
2 RI Addition(If residential, enter number 12 57I One family 18 I I Amusement, recreational
of new housing units added, if any, 13 I I Two or more family - Enter 19 I I Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use in Part D. 13)
number of units- - - - --> 20 I I Industrial
3 f I Alteration (See 2 above) 14 I I Transient hotel, motel,
21 I I Parking garage
4 I Repair, replacement or dormitory - Enter number
5 I Wrecking (If multifamily residential, of units - .-0- 22 1-1 Service station, repair garage
enter number of units in building in 15 I Garage 23 I I Hospital, institutional
t .. r"44.74«`r,. . '' Li. rr ,..,"tsI. -+s ,i,L . 1j i , Part D, 13)
} F ., � .t t + 16 I Carport24 Office, bank, professional
,-a- r i ;c '.}- #-a-i`'e.. :` ...a- �-d- H- ,--, -t.. r.4,. . Moving (relocation)
2"1 iu , 6 t 25 Public utility
•.�Ir> I 1
a �-t-t -� � 17 0 er Specify
^a-Y � ry a-.Y ?.� q;-t y e� a< a t 1-aF �),.>�r- a-- a, t r� � r, 7� ? r#r t-a- ,4---I 7I Foundation only
1 k,1,;.,t st t i - tp ,1y g� '44"/ 26 I I School, library, other educational
§-"%�' -:<-F -'`.a r S_3-§_r Y `P q"&'�' 'r--r t § �' '?'§' - 744444, i .�' _-°..}' "5.�.c 4 a t s '6�,� a.,,...w..,.i' 42.w,�._-. w..� ..:-, � � 1. OWNERSHIP t t
B. OWN E 27 I Stores, mercantile
e
8 RI Private (individual, corporation, �D-I ,—�--`'''���
28 I I Tanks, towers
nonprofit institution, etc.) fir.' F I I Other - Specify
9 Public (Federal, State, or fff
�'-•} r •r g� $ - local government)
r--}-p it"4 .-t-,.5p 4 $:"; p� 1 r ..-a r ,-.§ -- { t 5 ' s. T t f i r"
?-?' P I— -t .,.. <.y_ --,,r.�M °�.;/- rp .} 1 T ?. , .g....t }' a ~t1. 4' li. A- {�<_ .�*...-Y..c+. _ ..'-f"3 1 Y --:...y k ..F s +r...
re-a »! --?rr '',' r '_ - r , '., t _+ '• °:*seimasmiis? °�`^-+ C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food
1 �'-t r' sms '?le /mil -, processing plant, machine shop, laundry building at hospital, elementary
lats." Z ° II � school, secondary school, college, parochial school, parking garage for,
r e ar sir 10. Cost of improvement $
Isa, a/a r Nvolitisareallilleit rau 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.
-- t 1
w ° a r w 1 - in the above cost
1•+-i' } r _ - 4-t )l !� t -t, - t 1 .�t > -r �-. 1 at 1-7-
- to +• --' a. Electrical _
4 4"
,4� t t* -I ,-, - i 1 ; -s¢, r4. - 4 si. „t b r . b. Plumbing.#, } 4 -; a-;-;-t # -!}-, 4-r r + -rt -„rg-'`-i•-t-� �f-t -<-I- -�' t -'--,.. �.t }: r + ,- _,,,a▪ ,�1. i:
.�. -a -+- t� 4�r d 3 ,a•t -i "+-'-{-� � t i-r}-.i ,4-b°�f- -+ r :�" if .,? ..s-s t -j -k--t- -i?t -t i- r-t-
�-{ r
i Ft a s ? a° ' s: " t r t1k. t *, . ? i_,iit y r t .. e e. Heating, air conditioning 9 9
g,� a t -i -t -3.... +., 44.
t_ .c. -r,-t-d-+-`- a. -r-r-k r t
i. 31t --S r�P �� -tSi.. 3`r-I.:: .��. ,t▪ _.....
1: ? t -r 1 T, i + i- + + 4r .,, d. Other (elevator, etc )
"" " ' ' rt r"""` ,-"-r ?"1.• TT's-§-r t-r:-` `-fi : " '-a �s.�2 {. —t' t -'� �-". I f t,
-t s j- ..y.{ ,„..,,-n .},.t, �`�., y,,;_�r ,y�� . .so moss q t._"�... �-s a t 9.-t r �_d-.. Itoossmoo �j'
4-' r,.ra. ,: _.s.i� +q,., , ,.. .ta - + a . __ f , 11. TOTAL COST OF IMPROVEMENT $ 7��V
'',4-'-4-,__.4 ; `4 t. ,_.9 --'-h k e,4*A-,-- 1-...4-t_y .,.. 4,, i .`:-„4„4- r e-n-a-. -,,,,,,T , .+.,-r y tt r r—r+- } -t` �-r1 :-.;ti.T,
4."4•, - .,-4,. ..ems `f i .,� 1 ..ae ,T -, 4,';,1- _ .+: ... : ;.s-1- ,.: - .4.. :i. m .- -r- .. .--r-- a- -, "4 ' - ,- — III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions complete Parts E — L`
��r� v ..�-a-«-#- r z -,... -0- r y, -sue. .<.a+-., :.:�' -l..t. ..w`. YaYC� 9 i p i
-d+# +: + r.'-k r »r-S-i -4ti-itt-H i-f- -1-}--". +=}. .. . t,. e T:-` .a :..r. l ;- f b , +- tt -d,.,t_1:1-p_,. ,1,:„. l-i -T.-*-,4 b- , 1.
., - . .. t.$_.r , , r , _ , ;1T - -r ° + 4 for wrecking, complete onlyPart J, for all others skipto IV.
r +- , wY -r$ -` a°s " v, #:41 . ,-ram rass t. .- # , aii -,-e-' t {. , .n, — 9, P /%�
. - .-' Y -' 7rk v`a- nirelin a.1.4, ... t .�1. .y.,. #, `.-t-3-r- ;-r. ,fit.- h./
` r s r - E.�, E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
r 4-
4 _ .4-
• _ 'r le- j-i-- _ r in
- t s• • a e . � ........ 48. Number of stories
InTiiiiiniiiiNFARIIMItiejne 30 Li Masonry (wall bearing) 40 Public or private company
gg 4911#11 . Total square feet of floor area,
}rill • 1-10"..:11111,0101ildiril millip� 31 Wood frame 41 � Private (septic tank, etc.) all floors, based on exterior
ir grammms, gpmrdirdrifflisirglibp,........f.rom,..3..ke
IL.... .„...„,,.............. 32 Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
.ngi gbiriBuitivelidpi ISO i enthailigaingrap„ir•s• • . • • _• 34 I I Other - Specify 42 Public or private company 50. Total land area, sq. ft.
iiiii:::::n:i:::nt:ti:1 tie:::::::::::::s1:::::::l::etsciell:::::::e::>I::::::::::::::e>En i sI : IE
_ :: = 43 Private (well, cistern) K. NUMBER OF OFF-STREET
��� � " :::::::: _ PARKING SPACES
S.::::::: _ = F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
•ss s ::::::::t:::
:•.r•:r:::=::::::t:::::::::: _ ::= 35 I—I Gas ill there be central ai 52. Outdoors
::::stet::::: ::::: co • Toning?
i:::1S1EEi1:11:: ::::::::::•••=:tt:s•s• a•r•nn ••r ' try:': 36✓_' Oil L. RESIDENTIAL BUILDINGS ONLY
lilliiiii�iiiliiiiiiitlii;;;;ig:t:Hill::i iiettee:::tiittlliiases ::i::::::::::::u::::l::i::test:::n:::i€iiu:::in:::tK:G::::::::::::::1<::::::n::::H 371 I Electricity 44 I Yes No 53. Number of bedrooms
:::::t;g!i::::'•:::::ss•s•nl: gs: ::.:5 :: 12:i mum s:•� t t: :: : 38 I I Coal
:::::tits:n:::::::::s=sra: : : : : 39 I I Other - Specify Will t re be an elevator? Full
54. Number of
1-1 Yes 47 I No bathrooms
Partial
BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
- IV. IDENTIFICATION — To be completed by all applicants
• Name Mailingaddress — Number, street, city,
NOTES and Data — (For department use) �. _ n 0 y, and State ZIP code Tel. No.
0. 944° C ,Qu�u.., /tLG 29 O!0 L O
Owner or `����
9L-0--de
Lessee /� ��/J - _ �/v /�7�tA.tTW Builder's �(J
7r CC } 2. License No.
7-.-a-,pkt) `r'�' 1/ Contractor + +�'4,1
�j 3.
A/ e0 Architect or
'�/
LL��� 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
Wirt it Uit( frL rt
DO NOT WRITE BELOW `JTHIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
-
BUILDING $ -
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dote
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 f// FOR DEPARTMENT USE ONLY
Permit number CD
Building yUse Group
Permit issued (14/9— 19 G7
Building Fire Grading
Permit Fee $ /0
Live Loading
Certificate of Occupancy $ Occupancy Load
ro d by:
Drain Tile $
�-":
Plan Review Fee
TITLE