31D-143 (16) DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS D-
'� 212 MAIN STREET BUILDING a
NORTHAMPTON, MA. 01060 31 D-1 4 PERMIT
VALIDATION
DATE March 6, 19 79 PERMIT NO. 65
APPLICANT Daniel W. Duffy ADDRESS 76 Florence Rd_
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alter Residence & off,2 ) STORY Residence & office DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 1 Amber Lana DISTRICT CB
(NO.) (STREET)
a BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
a
LOT
D. SUBDIVISION LOT BLOCK SIZE
m
a
O
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
E (TYPE)
CC
0
L.-
REMARKS: 2nd_ flnnr apartment, 1st. flnor offi(IR
AREA OR
VOLUME ESTIMATED COST $ 16,500 FEEMIT 00
(CUBIC/SQUARE FEET)
OWNER Dan Duffy/Marianne Zurm
BUILDING EP .
ADDRESS 76 Florence Rd. , Florence, Ma. BY
(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 .
DEPART/WC OP BUILDING INSPECTIONS CERTIFICATE ISSUED
212 MAIN SW / ,; DATE
NORTHAMPTON• MA. aia6Q 31t-14 BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
DATE Marcia CJ, 19'1 PERMIT NO. 01
APPLICANT &skied W. Duffy ADDRESS 76 ipraonce Rd_
Alter
.`. /�" �j (No.) (STREET) (CONTR'S LICENSE)
NUMOF
PERMIT TO Alter R eidence & Cifti.2_) STORY Residence & office DWELLLIING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) I Amber fret DISTRICT CD
(NO.) (STREET)
a BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
a
LOT
a m SUBDIVISION LOT - BLOCK SIZE
4
V 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
I (TYPE)
K
0
IL REMARKS: 2nd.. floor apartment, lat_ floor pfflee
iK-ii •,:lifcid�-iil . -4KEE 7KafaK�I ��Kid ?-EL Kai
AREA OR MN YIUU NIU NW ,III! :Iilll ;llIll 7 7 ,gNIII :III11 ;Unl :11111 pa
VOLUME . 7 -1 '� � 7 r1 (J �R 'T1 'r1 * Ail . 7 MEI = '\
(CUBIC/SQUARE FEET) NM NIII NM AM NM NM NM,:IIII :1111 :1111 :IIII :IIII :1111 ,1111 ,1111 :II11 a
y , Zurn kY O ?I T71 'C11TI CiTT AT T IYI TT .d ivT71r1lbT71A,T71KY1"110,T71A7
OWNER Dan Duffy/Marianne Zurn TO BE POSTED ON PREMISES
76
C ;; . * SEE REVERSE SIDE Pole CONDITIONS OF CERTIFICATE
1V
ADDRESS FlorenceFlorence, Ma.
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
I
VIII. ZONING PLAN EXAMINERS NOTES 2.
CITY OF NORTHAMPTON ' I DISTRICT OFFICE OFTHE INSPECTOR OF BUILDINGSH212 MAINC STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: 1, II, Ill, IV, and IX. O
SIDE YARD SIDE ,im Lii ` DR /,
DISTRICT
SIDE YARD I. AT (LOCATION)
REAR YARD LOCATION (NO.) (STREET)
//7�// OF BETWEEN AND
�� (CROSS STREET) (CROSS STREET)
NOTES ) BUILDING
LOT
SUBDIVISION LOT BLOCK SIZE
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 73
A. TYPE OF IMPROVEMENT D. PRO POSED USE - For"Wrecking" most recent use m
to
1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter number 121X One family 18 I Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN — For Appltrial
icant Use in Part D, 13) 13 I Two or more family - Enter
19 I Church, other religious
eration See above)
1 I l number units- - - - ParkInduing garage
" . '' ,. i t p.: . I. -, .,ri. .- �. y. . - -v" --�-� - T .T - -., �..,,•�dw- ,.,.. ,.�-�-.« ;- -� - .�.I. .,. ..,.. .�-�:.. ..v...�.. S" � ,1. -.. Repair, replacement
Enter number
20
3 Alt S 2
.,-I -s..11 ... ....,_„-�,,..� 4 t."_h..t-' :'rrl,7 a, -Uh"<-,--_;. -$ ,t. - .� ..y r-1-e-+ -I : *- 3.,,: ,_ _. �r �-�--r -�_ r`• f' i. erviee station re air garage
.,v .,,..NF. ._..p � ., r. z r t_� of units dormitory - --1• S P 9 9
4 hotel, motel,
"rr
�il* y,, z ter. a _.r ,.v,." . . ...' t �. r_ �i 5 L Wreckinre(IJ multifamily residential,
-14, .t.....„ v - gar . .+. p d >- .a. "c, _L.,;..:.-.;. --r* 4•' ;:j'.z:.._(., .:...'&,.44i,.'a.":`. t�- �n..b .r tinstitutional
s a "� enter number of units in building in J 23 I I Hos ital, i Ytu 'o a
b s- 4 15 I Garage P
g
,„� ,,d-a-. - .v.b 4 - 7 k ,,`, -1 �-^ _ -r- -I-, t-' 1-i ) i..,,-1,1 rF4.4 :c,44--.� �i--
,-,. ., 3 t r. -r xS �bd-s zJ-9 `" ; z- { 9 Part D, 13)
a 1 anti 1 ;11 r14; 4. 4,r '4 + -r� �� s �+ 16 I Carport
24 Office, bank, professional
�. ( 3 6 MovingP
-_.i "'' `1'� - _ S; �-. 1' 1,w€ -< -�-` 1 ti7' s ( r- 17 I I Other - Specify 25 Public utility
�-.- 1 -1 t 7 Foundation only
y
4 4-� c library, other educational
� € 26 I I School,
B. 27 Stores, mercantile
• 1 s + 28 I I Tanks, towers
r4. "' k - "'-ta 2i.<: , .� � 8 Private (individual, corporation,
k 4 1a�t ` , r ti ;� 29 Other - Specify t nonprofit institution, etc.) P fy
t; r .t '4 ) t: 1 " ( 3" 42 ;�'r-1 'a '- - 44 '� d a .. ,. -.and t 9 Public (Federal, State, or
■� . ( t �' a ) �. ( y fi 4� y . p.. local government)
-' - , , -F-i -i ,ice ,. ,+ 1 F 4 r ," ) « "
•i
r ' ' - C. COST (Omit cents
i ,
1! i � •,,,..., pt.P...;,- ,"'4 1 , t- t y,) i , Nonresidential - Describe in detail proposed use of buildings, e.g., food
.aaaalii I • * ,"r s v m a. ,"",) +_ ,4 „.,.. ! e .a. P g P P, Y 9 P y
$, „ -- . 7 ,t_ 1 ,. rocessin lent, machine sho laundr buildin at hos ital, elementar
ru•••:: ...Rrraaa■w� .,.5 s..+ -II:-II.; ,u„T....., s- - r..,.- .a., , E-,- ) _L t .;-,{, !- - -p a-r -E r �-) i t ,-.-i
,- . ; - ..�.-r.a a.ira.r -- ;a r ti--- 1 t i -, - ,F-�,-tt +-d- +- _ -""t d a •- 10. Cost of improvement $ school, secondary school, college, parochial school, parking garage for,
r - •.r•r�■■..prr■.r.•. .'1.,., ,1, .�.;", 7-11-t r`' . +- t- "+t .� '.-f".It, 4.. department store, rental office building, office building at industrial plant.
,, a i-
�� - � To be installed but not included If use of existing building is being changed, enter proposed use.
r ,- y in the above cost
" -a.. '3 } "`= - -,- .-s1i i '� 1 � N •
'7:—.*:1;1--t/.a. Electrical ��7 �
a
tr 7
[ 1 •�a. 41: 1- }... Z1 -ia a .$'4 t , a�- b. Plumbing
c. Heating, air conditioningitte L t
-r-rr�-; • d. Other (elevator, etc.
r
::::: : 1-4 ,i-j. :4 - 7 `•�' ,_ I, a 11. TOTAL COST OF IMPROVEMENT $�6
.ram-�-�� � � � � �-,� _„�� t =i� =, 4� III. SELECTED CHARACTERISTICS OF BU DING — For new buildings and additions, complete Parts E — L;
: Lt , -. 4 '- f• , for wrecking, complete only-Part J, for all others skip to IV.
+•■w.•..i:same •222...r******re a c r..aae - • - - t t i�..f
S•••■�*• - gin, + � T , � � gii E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
sass :•••
-d^ !F 1. t ,-` 48. Number of stories
- a 1 L4- �i t+ ' 4 30 Masonry (wall bearing) 40 Public or private company
{-[•aa • •... ••s 1'"`o 4 49. Totals uare feet of floor area,
.■.� s:::..•,= 1 -i;4 7 `,,-.g +-i- g. t -:t. em '. - 31 I I Wood frame 41 I I Private (septic tank, etc.) q
7 . • • • •u• -.. all floors, based one ter�l f
il[srr •Z.:•:••••:: .r�r •I• •r■•• 1 } .,. 32I Structural steel dimensions ....... �. jQQ
.. ■.■■..■■••fir ± .- :, G��....
[[[! ...VI :i:::� �>.' 33 I Reinforced concrete H. T /E OF WATER SUPPLY
=•[•.i.•w■■•! Iilll111119 '� [■••••i.11l![[I11M![! , I JQ 50. Total land area, sq. ft.
,.sr.•�su.•...■■n■u..ca•• 34 I I Other - Specify _ 42 F ���Public or private company
's:i:•uu::::.••il: • • r �••���• go
_ 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
1111101111111121110.1111111
5::.:•:•: —5.-- .
.. PARKING SPACES
■■•�_w 51. Enclosed
i
•
[•• :.: ::.::•: arromiamearwast..a..�._■. F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
r.-..w.—
=•:::a::: ::::•
i1= :::•.! am 35 I I Gas Will there be central air 52. Outdoors
u••:s••:::::or••=
sass ■.r r M.i. •. r�i w 36 I Oil conditioning?
_$==:is�[s: 5::1 PI :: :�+r•..'r:•r•w■1 L. RESIDENTIAL BUILDINGS ONLY
�::::::I::�:::: _ :. :••[�s'i[ IIIlIIIIILI!!lllll[IIfl$III�[� � ![[I[:[i[ll[It![Illlllllll1 11111111H1 37 , Electricity 44 I I Yes 45 �No 53. Number of bedrooms
}::•a s:s:••a. / . ... ... a s.nu: s aaaa a..■•.■:".:::::■• -■rr.. 38 I Coal
'--7-':'-''''''--'-'-' ss;•sU . ■ .. ..• . „ ..rlUUUelliilllll� I1IUIIUUII/I[IUIIIIIIIuiIIiIUI1uIIIII
i' a I Full...
lr:••=�r • .. l a w• -T":Illilrou ■s •:. ■• a ..� ■u■w■.i����.. a r.�l�_ 39 Other - Specify
Will there be an elevator?
54. Number of
46 I I Yes 47KNo 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) •
1.
4P(.114
y,� �I�aY;auns �.Z�,ti�. '7b flov •tice ed. - Flo � o/v6o shy-y z
/%� f',� J/ ..,/ Owner or
r - y �i��i���!/ a Lessee
2. .Pi / 0 t ' n () . Builder's
/;;7/11-
h ( �' }� CQl1NaC �(��)tt' License No.
/ 6 A-1, 0 L' / Contractor tteet
�t w7^ /
t
3.
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.
Signature of applicant Address Application date
/DUMAS 2. Lt* 71, F/vim.• _ Frc; :iy /17C' 3, 6.7,
DO 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 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% 19Z
Building Fire Grading
Permit Fee $ /r 1 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b •
Drain Tile $
L,,,,,,,efs."„...„
Plan Review Fee $
TITLE