23D-190 (2) DIIPARINEMT OP MOILL038 DISPECTIM CERTIFICATE ISSUED
' 712 MAI* MUM
DATE
Anniserom. ma. e1o6A g -
(ate BUILDING PERMIT
January CERTIFICATEpp�� OF OCCUPANCY
M
DATE � 3 19 80 PERMIT NO. 4
APPLICANT Cla,7 Worden ADDRESS 91 Cilertgrat Street. rioremai
(NO.) fire (STREET) (CONTR'S LICENSE)
PERMIT TO Repair & reel ( 2 ) STORY Qiy .Fire NUMBEDWELLR OF UNITS
(TYPE OF IMPROVEMENT) NO, (PROPOSED USE)
AT (LOCATION) 120 , Taws*, ZONING
�y,,�(NO,) (STREET) DISTRICT UM
BETWEEN Maplewood
Warialer
rn (CROSS STREET) (CROSS STREET)
C SUBDIVISIONLOT BLOCK LOT
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
I (TYPE)
'REMARKS: j of firs � plane submittal.
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(CUBIC/SQUARE FEET) ' �� ^ •� lI 'll �1 ill � �' ill
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DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY
Z D
212
ET
NOR�N,MA. 01060 BUILDING 0 d
23D — 190 Code #/9 PERMIT I VALIDATION
DATE January 3, 19 80 PERMIT NO. 4
APPLICANT Gary Worden ADDRESS 91 Chestnut Street, Florence
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Repair & replace ( 2 ) STORY Repair of fire damage DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
120 Maple Terrace ZONING
D STR ICT URB
(NO.) S RE T)
a BETWEEN a AND Warner
'. (CROSS STREE (CROSS STREET)
a
LOT
e
coSUBDIVISIONI)\4 LOT BLOCK SIZE
t
O
O BUILDING IS TO BE FT�• -- FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE US. '• P BASEMENT WALLS OR FOUNDATION
2 (TYPE)
cc
LL REMARKS: Repair of fire demege per plans sutmitted.
AREA OR
VOLUME ESTIMATED COST $ 20.0 FEEMIT 60 00
(CUBIC/SQUARE FEET) w
OWNER Francis Evens
ADDRESS 120 Maplewood Terrace, N'ton. I 141.1-":""fi
(Affidavit on reverse side of application to be completed by authorized agent f owner)
VIII. ZONING PLAN EXAMINERS NOTES `
CITY OF NORTHAMPTON
DISTRICT OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
USE NORTHAMPTON, MA. 01060 q3 b f , 0 PLAN EXAMINATION AND
�` ^ BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
SIDE YARD SIDE YARD /� 7 zoNlt
I. AT (LOCATION) / d Mt4pL e LG,-A-9� e��, DISTRICT
LOCATION (NO.) (STREET)
REAR YARD
OF BETWEEN ,-/iN K I. 'L' Y AND �iY.t<t1ve r
BUILDING (CROSS STREET) (CROSS STREET)
NOTES LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D xi
-a
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I New building 9 Residential Nonresidential
2 I I Addition(I/residential, enter number 12 One family 18 I Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) 13 I Two or more family - Enter 19 I Church, other religious
— — —
3Alteration (See 2 above) 1 Transient
number hotel,
smotel, — 21 Parking garage
•
yr • +� '1 4® Repair, replacement orytel, Enter number
� �: oradorm dormitory
22 Service station, repair garage
'- --v #1 C "1" $ , a - a I Wrecking (If multifamily residential, of units — —� g g
I Wreck u p
.. i's) ,. • - lging: enter number of units in building in 15 I Garage 23 I Hospital, institutional
,z q a -t p -e. .. 1 +'P {- , e3- 414,a I..c.. R .c
��� � 'h :^a+--"`��� �k' *� 't ;r 1- i i Part D, 13J
yr b - - � � t 16 I I Carport 24 Office, bank, professional
• 4H-L 4.1. _:1' + 4 `-€- .:.l14 r. ..< -.. . a 6 I I Moving (relocation)
... `� $`' "4 i „4- h4 s� t� ,_ +_ 4-i-s 1,,., : -0_ a T �; - ." .1,14 . ' a .,.. _ _ »` i-?-r-_{ 17 Other — Specify 25 I Public utility
,4, ,,, _ .1, 1-1 . I S-#4t-p- -}4- +• .,}44 a4- ,t-4- . -t-� _--+-t - - I I y 7 ±_4T - . -, s i+ �� j.h , �;. 7 Foundation only
f-..i - 4,4,+44 � as.. ". _ a a , t� .,,+. 26 I School, library, other educational
tea; +P '" t ;f 4.w,.5 s + a 3 r d s".�z #p 1!411
t,o r - B. OWNERSHIP27 I Stores, mercantile
t ---- -7 ; 1--ty -�- �-,4 `T.b r i--i- c F ..4 7 -,it- -1- �`T z. ,...5` 4 --. .t.E.. i..4 ,..V . t ..t..
rr d •-, , an towers
� � . - {err �#- � ( „; - Private (individual, corporation, Tanks,
r- - g 1 a. • • nonprofit ) 29 I Other - Specify
t�4 ,1„a -}i .,_.�.„ .3.a„s. � institution, ete.
'� f t -d-ti-i- -s 4mWi.. b-.-.- s-&4-%-���( a-�i .. .
f§-t- bb--
( y1 : : - " � + osTi
a 9 I I Public (Federal, State, or
,a ,
w; "a °^h, 44 ., 4 It +` +I+ t s.;;.y a .. .' local government)
�
.«..� ,,..,.. .�..: ?-'-i,:-1"? `-`--t rye - ...i..-r - ';-t-'.; ,
+ �-a '- t � „ �4-«�,-, ;-ase r ua�-i 1 ��s 1- '��-'- �r _i�i" � ° (Omit
' � + _i-.,a � . � L� "-: +-r>- �• -} C. COST cents) Nonresidential — Describe in detail proposed use of buildings, e. food
-4 y,oy-^v a rr „., r -k f. mE Ci o- .t" t.. + --;k i t
, i^"Y 1 _ P P 9 9•,
"}� " * .a ('�-»- -, t t+ Wit: ,!-#� -+ - a. •-- -)4 e - 1 - - novettgot processing plant, machine shop, laundry building at hospital, elementary
r; r r ++ '" r "" �4' ° 4`'" * `+ I. U school, secondaryschool, toile e, arochiol school, arkin era a for,
„. q„ . it't-ry-t-+?-r-. v -w4t-r +�+M-' r -�-" - *- s-a-,. r Y„ t4. .�.' { %wird
..._. �. =M Ilp r 10. Cost of improvement $ P P 9 9�� l„ �• 4,-�4 7,• -;- 4„ t,,a, 1 >,�y 4• t,-.I _ ;„_ �`1 a• _ r}a' WWI �_±- department store, rental office building, office building at industrial plant.
���,- :. �4-4 t rt,, --r�",' .,.-,.1' +., 4. � 1-s - • To be installed but not included If use of existing building is being changed, enter proposed use.
'. 4 -
T' , �,; �� itr the above cost
4- .iv — � ¢ .. , '�-t4: t• ` f' vitir 41 a. Electrical -_
,'�- + a :trig ...,.p.,.: .rip-
'''" re rG I t t+ .- b. Plumbing
.4...,
- a }- -i-, 4�v 14 i s2" t4- e, t' sia s a
f
c. Heating, air conditioning
} < so p In arta_SINSilitailieliMMtnialieig MOO mine d. Other (elevator, etc
�.s+ e
! V xlimilin aIn
11. TOTAL COST OF IMPROVEMENT $ ���� ��
;.-/*I pt
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
14 + 9.
itil for wrecking, complete only Part J, for all others skip to IV.
It 4( +d}' at 1 or asagataagnomassita T latususatuurE. PRINCIPAL TYPE OF FRAME G. TYPE OF SE48.WAGE DISPOSAL J. DIMENSIONS
at j g I 30 Li Masonry (wall bearing) 40 Public or private company Number of stories
? ': } { d f -.t +fig (/�?' 49. Total square feet of floor area,
t r - -T a, ma 31 X Wood frame 41 I I Private (septic tank, etc.)
. t as all floors, based on exterior
Ste +E}+ ' } rs#c .+, + t 4 'N4 V •:V } q , 32I Structural steel dimensions
te* ,il _b,r r'§ -ea-- -€y,+ -",, ,, . � - r 44 v f I -1W-_'� 4 1 .: ° r'`
. ¢'- -� H. TYPE OF WATER SUPPLY
t a : , .,4 , { , 33 I Reinforced concrete
..
.',�.g .; k •'a. ;i ,. -a. t �,'1[- -' b $, ---T-f -t i-i' - ; +- fi- '-'- �; 50. Total land area, sq. ft.
-_1 �z rt s � � ra { t )r. 34 Other - Specify 42Public or private company
' f ' _ " '_'_i ' ea • , _ ,, t,. * , 4r� K. NUMBER OF OFF-STREET
F 43 1 I Private well, cistern
stz Ew a .�i y + tirt ■ SPACES
�,�, �i� ��� PARKING
p, r t r , 44. 4.4ir¢t tip31- ^'+ -s-3 V_ t` ''` I �'. "� •- I 51. Enclosed
� e4�. . � �' , • �• • - '- � + +— F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
1 + P t 1.>-rt• s`}" `-+•': I .'., 4 fi. j -r 4 _ -1q-3 .t."' 3:4,4 -i-°-t , t+7 s T _
T1 11e �4 )t {_ )k � ?�r, 4' t a 35 I Gas Will there be central air 52. Outdoors
"g -41- �. -o--ta-4 o-1 4 . ,-er 1 - - +-,.• :.$ ;�-' 7 .. .7 {t .r rtr --,. 4 ..* _ 36 Oil conditioning?
4 § p4.45{ +� L. RESIDENTIAL BUILDINGS ONLY
�i !. t I s -11 0 }t3 6 i t + A,-4 4°- =.4 a i.'. -t'} 1-.it tit :t " t +- r t* i o- 4-,- 4' _ --#'+44
a#t:s g �t t 4 I r ,44 _ ,4 , -,-r �' 6 .,. a,- 37I -I Electricity 44I I Yes 45�No
4,4" 44 t g.i „ ,- II + a,l � 4 "f - } _ . 53. Number of bedrooms
TI- W.
:i a:.a tT'- `.4 44, t $ 4 7 44, ) ' t IF47 ' ' .a; rytif tt, T t". • .1-4 s r13+ it-4-{titt i'.. i ttit- a } r.} " Is {• t 38I Coal
:s . .r3 "4.E§-, - , § §a rc ;§ t-t- '� * 7' � ': i.�` :,,''"}" ,._n. .
�..� } 39 I Other- Specify Will there be an elevator? Full
54. Number of
46 I I Yes 47 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)
1.
or f ivCiS EPeHS )6_O MApz t �,1-ioc� Tr. ,- r',
Owner /
Lessee _ /r Or /-y A Ai re/v" O
Bui lder's
2. D/23/WS d- `Yc►/aPM/ a te, 4c' License No. 5-4-4 5`7Y
Contractor /
-NC % -27a_.
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
_,,,O...„," c )7n,.%„,5 �.� 9 i c' J -/ . 3/1 o , /3/QC)
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plan Review Date Plans By Date Plans
Plans Review Required CheckBy Notes
Fee — StartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approva I Check Obtained Number By Permit or Approval Check Obtained i ate
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
Bui lding Use Group
Permit issued 194
Bui Iding496114-1
Fire Grading
Permit Fee $ (.9d--Ov
Live Loading
Certificate of Occupancy $ Occupancy Load
ed by: ,---)
Drain Tile $ ) .
Plan Review Fee $
TITLE
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