31B-118 (5) +`\ DEPT. OF BUILDING INSPECTIONS BUILDING Z° 4(7)k; 2T2 Main Street
' * Northampton, MA 01060 PERMIT
31B - 118 VALIDATION
DATE December 8, 19 87 PERMIT NO. 806
APPLICANT Marybeth Home ADDRESS 15 Edwards So. Owner
(NO.) (STREET) (CONTR'S LICENSE)
7 NUMBER OF
PERMIT TO Alteration (_1 STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 15 Edwards Sq. DISTRICT AT
(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 FfOUNDATION
(TYPE)
REMARKS: permit for interior alteratinnc to 'Ind flnnr _bathroom and bedroom
AREA OR 5,000.00 PERMIT 20.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER Same as Applicant w
ADDRESS Same as Applicant' s BUBUILDINCOP0• /,�j
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p�('INTNP
. ` tt CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES * -- - MASSACHUSETTS
dilir_ 1
8.1 i;'" ra OFFICE of the INSPECTOR of BUILDINGS
s-) 6(1..
DISTRICT 0)',ram .�� ��'
= I Page Plot APPLICATION FOR
USE ZONING PERMIT AND
INSPECTOR
BUILDING PERMIT
FRONT YARD z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
SIDE YARD SIDE YARD �/I( ZONING ` ,
I. AT (LOCATION) / NO ) iiir `'' S t71 DISTRICT /4
LOCATION \'
�� N—�REAR YARD OF BETWEENr, AND
NOTES BUILDING (CROSS STREET) (CtIOSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A - D -1
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 I I New building Residen 'al Nonresidential
2 Addition(II residential, enter number
I 12 a 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 Li Church, other religious
IX. SITE OR PLOT PLAN - For Applicant Use -number of unrts— — — -� ` ,'
3 Alteration (See 2 above) 20 I Industrial
see: _ ; •: 14 Transient hotel, motel, Li
I 21 Parking garage `
.... 4 Repair, replacement or dormitory — Enter number
:•■ =•::qNlw N•:••••••:q:: ess:: • 22 I Service station, repair garage
:•■:::i•'•••'i:='g" 're. ! •■„i::�' •s::sa:::: a:• : :�::::Li: _ 5 I I Wrecking (If multifamily residential, of units — i
i q■ : _ :• : . enter number of units in building in 15 I I Garage 23 LA Hospital, institutional N
u.q■gssq■=s!N■.„• • e. :witep Part D, 13)
r •:•:::■•::Nfi=ii•r�� s.o.s...N:•••••=i:1=•■•a••ae:=e=;a ':•••••_: a ::::::: 1„......•N+:=Z = ■■ ; 6I I Moving (relocation) 16 I I Carport 24 I Office, bank, professional
:r.::::::N•:::ai:•�I:�,=::•N•:=::::: :•■::•i '•'•: :eh :..;.....•S..e..Nas.asNas..:'• • 7 Foundation only17 I I Other — Specify 25 I Public utility
:::::::s:::::::'sPi::ii::::::::1::::::::e •::::::::a•a: __•_ : :: : I I 26 I School, library, other educational
.;;;!• sas.l�•N am asasi::::: i ;■ s•:::::•• iveli gasasN asNasss• .. ■ 27 Stores, mercantile
:N•i�l'• ii••„ iiilp■■■l ::.': a�yNS ■•e�„ ��• 5 : : �•••• •■•e,�leHgee==•= B. OWNERSHIP
:Walaeiii::IN•Ia8 ... ld:ig':=$Is;l: Ne• • ; . •• • •e• ••as■as• N -i_r
NLai:Z•eal„ illY: • • i �iiie• ; e�el. ea
■„ime ."i..:: :l::la :::::::•::i:: : 8 LlPrivate (individual, corporation, 28 I Tanks, towers
i �l • N !tN
1 :.•�■iiii:.: sa•„' :s : : nonprofit institution, etc.) 29 I Other — Specify
.■q•.■ amm • 8::::::!!! N•5N• .1. .e.■.......N.■■■Nq.
_:: _ •:.:::: _ I:•..: Public (Federal, State, or
NN•q■■.asN• •• as .■■• :.•■N •• e•e ■■ 9 [
•••N •g•.:■•lssl ::••�ii:.•i•a • ■.■•• ■:•■..NI..N■■=.=.�N=.= :
r�i•=li '•:w:seseig :a!::uia....:as•.N:::::: Nage:.••ri:••!:eu• •s•:a:as•ss.Nss.■.: local government)
■ ■N■■■ • ■N eaageeeeNq•111■ • •
N::•N�r:l:! •:qe•::::::::a:i■■•...■.::=:i I•■■; :•I•a„■11::::q..!:: : :....: C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
„q•a�i„:;::::::rgiE:I•== "q:::E PE::�;=:ii= •::..u•:„::::: = l processing plant, machine shop, laundry building at hospital, elementary
':•.'„:•i•:.•■•: .,...4:„ ti••::=::: •==reee isq: •=••q:a.; .N..sa. : : 10. Cost of improvement $ school, secondary school, college, parochial school, parking garage for,
• sN•.w•_ • ..r a .■q■■ gqasN.aas•ss .qq• qu. ■ N department store, rental office building, office buildingat industrial plant.
r..:: :sN■aass.. ia:• ' e: iu Hi ss•„:a::ssol• : : :e: : : : P a, P ---
N ll:i ass NN N N: ••Ngel• •:■ • • : N : To be installed but not included {f use of existing bending is being changed, enter proposed use.
iiN::Enn i: INEe.re„Si it 'ie _ _ in the above cost
i:::•�:�::�:•.Ms:: l•■■■•_ . . .e..e■N... ;.;
:::ais„::• w:�:N■:N:a:::iii: • rN•�;;�l�l■NN■N•■: :: : .• rneii a. Electrical / /� A
ru,l■ii::.=.:■•a:'r-ini. •■NN• . ii-:: :s•:: _ ■■ "�L91�
iti.:�••s:::::I::.::::•:�:�:: p:: =s�::i.•aa; ;:: : e' b. Plumbing �D ,t
q:NNeas■•LEMBi■■■■:.a.N.r6:s■::.: : 3 • 5 ��/// ` Ai--
ig q■ .■..q..•sNegNq.Ne•s■ ■N■asN.•• ::: c. Heating,r!ll�l :ii::r�y'::::�i••�eN ee • NN : ::••a • nN • conditioning (l
riiiin:„::i::::i■-i3e '- �__•_'��':::::::=ie„■::::: a = : :■■■.: = air •
:i:if i'rk'ii :g:li:N•••ili:sss= : ••:real ■■s■ ;;. _ : :: d. Other (elevator, etc.)
:e: • nnok:.ie:: ��11:s:s::a■..: : : : : .: :
: r���i i„1r11ll=::l•l nt :N%: :: a :::::wwrr■■..a:ins
::::::..■."=:a : 11. TOTAL COST OF IMPROVEMENT $
mis.q. N:■:.H.Mi: •■lips.:•: •\..::•■:.:: : e■■ qe =■■•_„= III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
!__' :q •:: sa ss ig:i aN::s:.:::: .......::...as.!■:::: .•.:::::u:;al: is:::::f :i: l...�=C:•:• ■• for wrecking, complete only Part J, for all others skip to IV.
■:.e.:... ■:as.:N a pege•e •...q:E:.::e::::•N.:S : I : :us sspge: :
IS•= _;; j ;•..••:::: :::: •■•. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
Us :::::::. ::: : s a: e1.•.i "'i • ' :•••:.ass S sN..:
• •:::• : :s:: .• •s N�e•=• :• s• •■■. ■•■: IE•: 48. Number of stories
:p ::: ::t;•::::N :::::::::_..::•iur::ii.ai■•■ •1Imes: • _'■■_::::: ; ::::: :MI ;eel 30 I I Masonry (wall bearing) 40 I I Public or private company 49. Total square feet of floor area,
hiiiiig.::::::it ...........U UU!=L■e■1:rii:•■:::4111:•::::••■: ;_:;_„_ :::■■•■:_ r� 1 31 W/ood frame 41 Private (septic conk, etc.) all floors, based onf exterior
::o• • :sss„•• riving:::::::: 3••: ::::::::: • ■...... ::•..................:.:..i::••i : a 32 I I Structural steel dimensions
$i1i ••s::s s ssa:ss ::s:s::=.:: s...=..:• s . i:.::• :=s: ::: ■•_ ■. s : ::
• :as • • .Nq..Ne5N.■■ N. ...■ 0 ■ • ss:■• I. ■■N• •N■ •• ■■• .:
u :::m•:•I; ;• • ; ..l...::::�e:err::s::::::ii ■: : •�a.i■... au:::i■i.u...:9:::::::::::::::::::::....:.: s..a:::::::::a:: ..„.. 33 I Reinforced concrete H. TYPE F WATER SUPPLY
tai••• ■.• €.•/ N•S.s•• • � : : : • •:: ::: :: ::: • :•aS':'•sss: _ 50. Total land area, sq. ft.
■MM•aa• ■■■■t••t I:I�ol�i�ll�l i�i .:viiim• == :'j : i:: ::•+:„::::::;■=N•=N• ■• ■ Issas: 34 I I Other — Specify 42 Public or private company
„: :: : : : :asNiiai■�ii•I : :a �Ne e • ■• ■ • • ■N
: •:s: : • : a$�::�$ ••: •„•■i=�•�� �• aai:a 0006
°0 ""'::"i: :III III:: a: i •• : �i•l:::: l ■. • 43 I� Private (well, cistern) K. NUMBER OF OFF-STREET
�ll : s i s.. .. .. ::.:..:.:::.......N■■•■N•.■
NH iiNj I t sl1su::siii8 lli h• : '�:z'a"i� s .. 1'!':s::z 's: ' :: • ::a:::: s :s :::::. s•
• ■. •l ■e ssssuuNss • • • •as• as■• ■ • ■ . PARKING SPACES
:: Mil: I _ r ::: : ••i: ■::s:• :s: :::•:•::;isi:::i:::::ss::•:=$::i::e:n$:�:•N■I• ::: 51. Enclosed
�_ ss_ ••'•' • : ■■• ■ F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
� � ' iiiis t sas ��:: := ::Ig:ssss::r.�::::::.:::::•na...sassssas:s
a. . :• :• : ::;ee;:■•:•Nmumiq •: : :: ':::: :
:j ;1 t t , +,. -1 k '�� la q■ ■ r a s ■ qe • 35 Gas Will there be central air 52. Outdoors
t$ :;t 1' i .. _ "Y ' ,ti }tj = !I'ii�'' ':!�!! a ii i=•�ill ls.:: :... ' •'
1 . r�:� iiN••� 22 i iiiii:a. • •uiiS. I iltii:! :Ias:..ii■ •Ni• .hIu:: conditioning?
• r ,�T •+• -• • • 1 Z� *} I i�+L X �t `tc. ;}T;:. -yi: ' :� : :::=Zi :=ammo :• „i :::::::::�i:::N•:• sso IN 36 I 10�1 - _ L. RESIDENTIAL BUILDINGS ONLY
' i ' ' 1 �i: � 11{ i + 11 i1_ i I •i • ■ • • u • 37 Electricity44 Yes45 No
I .+ + t , + . ii�N „:: s:as •��■iie�:■=•::e:■::N::::.::.Nss■ 1 I
If, $ t } +4t f+ * ' + .■ • •i'•••i•• : •NN.•. _ : L J 53. Number of bedrooms
,. I 2.t i i „ + l4 ', i- t , , 1` +f� i lllili :a s q:: I I
' ,I Zt , x +. .z y ,+ +.+r f ��■�1ii::10ui=u:s''ii :ii...B :Ia : :• 38 Coal
1 ::
•t,+ + rt+ i ti +++ tti t i+ -j : .ss :. : ::. ■N ii� 39 I I Other — Specify Will there be an elevators Full
t. } ,r. -1 ♦1, N • • .a.N N ■ • a... .....
,,, ,t:. + ::III _ BIN,.. ,t t t ,.., t # '�i of =- I=iI�I'::� ::�Iile•i'���__:•! •: : ....
_ __ 54. Number of
46 n Yes 47 [ -I No bathrooms
Partial
PP
IV. IDENTIFICATION - To be completed by all applicants - -
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I. /C754 //Me, i� 4dl%otzf4 s , /�1 ,50y_ NOTES and Data — (For department use)
wner or MG 0Lessee No d X/F///j�(��t l j L�,d / �,c�
l J I�
Builder's `�'t��y� () FX Ate— aeiefr w—�
2, License No. U
Contractor
3. e c,. ,- e9//. /0 3
Architect or ��`GC�L
Engineer
� rr SI r
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.
Signal re of applicant Address Application bate
�/ 2VIIW' "---�— �} i . tip ,�.\ l� 7 ,7
i DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans B Date Plans ByNotes
9 Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
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 ,
Bung r•,T/ FOR DEPARTMENT USE ONLY
Permit number UXC//"y"
Building Use Group
Permit issued 8i 19
Building Fire Grading
Permit Fee $ 070'OCR Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ ♦I,��'���
7
Plan Review Fee $ W
TITLE
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