23A-186 (8) " City of Northampton
REQUIRED INSPECTIONS
b.41! A 1 . Footings and Walls
:1� ot. I?• 2 . Structural Components in
BUILDING DEPARTMENT Place
3 . Complete Building
No. 417 Office of the Building Inspector
Date June 28. 19 R9
BUILDING PERMIT
THIS MAY CERTIFY THAT Henry Sysko Insp. on Site — Foundations
has permission to erect a sattle light dish Insp. of Plumbing — Rough
situated on 8 Pine St. Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
t, return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUO PLAC ,rereE PREMISES
Certificate of Occupancy
Building Inspector
PN�NOP
. iin`i,. CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES A MASSACHUSETTS
y r.��• 1.. a OFFICE of the INSPECTOR of BUILDINGS
DISTRICT ! ? r��
c11;" , Page Plot IgO APPLICATION FOR
USE ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
FRONT YARD
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
SIDE YARD SIDE YARD 8' — /4 ,4 ' S-. D STR CT1
I. AT (LOCATION)
REAR YARD LOCATION (NE).) (STREET)
OF BETWEEN AND
NOTES BUI LDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
vs
II. TYPE AND COST OF BUILDING — All applicants complete Parts A - D -4
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
I n1 New building Re i ntial Nonresidential
2 n1 Addition(II residential, enter number 12 One family 18 I I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family - Enter 19 n C• hurch, other religious
in
IX. SITE OR PLOT PLAN — For Applicant Use number of units— — — — -10. 20 Li Industrial
3 n A• lteration (See 2 above)
! ! 14 I I Transient hotel, motel, 21 n P• arking garage
! !illeP •rNNi 4 n1 R• epair, replacement or dormitory - Enter number
sseemsNNN • !
r■., l !�N•! i i::lis�ii:!■....N.j.-•- !■■.,■■.Nr.•!-•■ilt::tt:3 ,■i 5 n Wrecking (If multifamily residential, of units - -� 22 riService station, repair garage
'•`•i•i:•-•!__•"'-•s i•'-•!- ! ! enter number of units in building in 15 n1 G• arage 23 [] Hospital, institutional
.rrN■N■rN•r■.•N•■.■■■.■■■.■■......•■N....■■•N., r..■,.■.N■��..■■ N■ g
.N!!-.■NNNit:� 5 . Nr■.i••,•NN :■N•r::iilrN: 11111 Part D, 13)
•.r■ •6•••iil:::t:l:: !•:•: =•i•:it:••:-•'••••••=11 _ = 6 In M• oving (relocation) 16 n C• arport 24 n1 O• ffice, bank, professional
i:!■,■lr:i:!!N,■■■ r■
In: =NM••t..•... •••••••••-'!!M:•:Mil::::::::!!'•••••'t:::•■ . •i ! • 17 ri O• ther - Specify 25 n Public utility
■.-.. ..1= ...N :s !!•:= r■Nl.s. .. .■_ ! ss:ss ss 7 n F• oundation only
::::■■:■■■■!:■■■N■■■■•■■r:N:l::■,■■!:e...,.■,■N:..:.,••••■:•■! !! 26 I 1 School, library, other educational
•i:''=■!. !'°li= :ss:s: ■Nsis':li=Ni:l::11NNN•••:M*l :l:i ■...N...11...N■•■sets:::
i •_ •! sass... in! B. OWNERSHIP 271 .1 Stores, mercantile
ogee
=lr:!■:ifi`== rri !:!• :1sl1■•■.,.N• l::::N:a:l:::l:::::i= iN.=• i."° n corporation, 28 n T• anks, towers
:SA ���� I. 8 Private (individual,
s it ! M:! ! ! i !- ! nonprofit institution, etc.) 29 n O• ther - Specify
.Ys NN■•N■N■i■/•,N... ■N..•s:ll= :N,MNll•1■l.•u.u••..•.■■,■.■•■TO 9 n P• ublic (Federal, State, or
i�•!!••••:i !hilt!:::!11::•:!!:_•••• iiiiiNi!!!::= se 1:::-■!,!!•:::::l:i••N■■•_■•■■i::::i::::! local government)
gists= 1111=■N.i:s.1111r■::!lsi�!!::l -■I=•Nr!■■i•r■rrli=tliilMii. o•:::::::l:luN:= C. COST (Omit cents)
it.. •asseN■r��i•.,■!•! sir•,. ••• Nonresidential - Describe in detail proposed use of buildings,e.g., food
•-•�g:ier■.N ■ •.N■l::: :!••••l:::i::::i::l••••'i,it•-=■,...! :::!!:!:_ s '� processing plant, machine shop, laundry building at hospital, elementary
!:� `■"Nu l.l•„`esssaUG• t . r■r .""".• `-•••-• • school, secondaryschool, college, parochial school, parkinggarage for.
■■ .■�'■!i! ■■ ur■rN■•■ ■■■=N■! •o =r uN!! N■e !■:! 10. Cost of improvement $�1 9 9 9
nu `gN"•"••••••••=nl=ie�■=•-.iiM:ii��-��!`-•�1:::••"`r•`:!. !■-r�•-r.•••• ! VVV/ odl
department store, rental office buil{�ng, office building at industrial plant.
ii•= liNgl:'le ...a.eii=!ice grss.....!„...s..u!..... -••i=■•■N-!= i:::!■•r■! i i■�■•N�■•=•= To be
installed not included If use of existing building is being cTiong d, enter proposed use.
�_'• t
l:ipp':i:,•=•■'••••: �•= S!! =■r■rNw:I•. : !•_ : a. Electrical
■■M�Ni eseu.N■!■!■,nrNNi .■„■■■9 I ..) [.
■
!M!111•11011.0=' lllii�:ii:li:MMli:li:li!=N!N■N■r :U..M■■M■N■UO■■■ir•ri i ! ■ b. Plumbing
r•■M,s.Miss=lresWMISOMUSIMMOMMOOSUOs•s•r! :t::::•s!=: GO:: :. sL5 prJ//////YJJ�// ,�
3• �! :!s!=::ii.•::11:iils:::::! :l::::ttNaNr=■!:l::i:lit !•!•••! c. Heating, air conditioning ,
ry.N �•• .. •� ■r r■ ■N•
•N■_ii_ rmir■■:N��•■ _ • m1141 :■■iN■■i = : :■:
'_'� •!'ll:ii!l:Llillii! i:!'!_!!:! l•••-=i : : 1 i ! :::_ •-' ' :• d. Other(elevotor, etc.)
-•• •••!•it: ;lI ss ; ::•:::_ ! •S .• • ■■ ...■ ,■ l.a.s ■•. ■. : 11. TOTAL COST OF IMPROVEMENT $
!.-ti !i-�•�� ��.r� � �! :i-•'!.l l.l..l.i...N■■1....iN ., i l...i..i !
ti: NN■lNNtr. iih■!N!li:: :::illiii!!i !i!•• ■M :: - i :: : buildingscomplete!!i l.iii ! ! _! ! III. SELECTED CHARACTERISTICS OF BUILDING — For new and additions, cam fete Parts E - L;
11!!!_!!:�!..■1::::l:!!lii:ii.il 0i7...:1':'!iilm....NORIA....'==! ..l!!illi:i!::l:! ='lil.. !•"�C'!t! for wrecking, complete only Part J, for all others skip to IV.
::::::: ail ! :!!•Onr:::::::.l1 : ! !i ! !•
=~ulifil ls=l=s=l:ges=::•••••••sa Bless===itr•..g a:..■...:li==,■.....!l::i::::::::::: :...'s = E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIM 48. ENSIONS
of stories
•
-p ••! ::•:::::i:il:r•s::issu:=l:�:�::!l:::::i•1�•i•••■■.•=■••r•!:!:■•ea.!••:tl.s....i : l:'••i 3.1 =..:r 30 O Masonry (wall bearing) 40 [ l Public or private company 49. Total square feet of floor area,
l!tiliiiH:,r:l ii� .a... ■!liii•:• : i■•.i.!!ii■•.! : errs i 1!■r,i : 31 n Wood frame 41 n Private (septic took, etc.)
s�••�•• •••• •• • ■■ all floors, based on exterior
■ s! H i:•! •ilk. __-•�:l■ •::•:a.0 ■: ••••••f:l • u .r ! is ■ •■■ i:o!■■•■i 32 Structural steel dimensions
I112.11 i:li!!i : .Nit!!= i is!='!!'! =!"ili:' 1!i' !'i• ! Y.!llr.:i..i.� _.....l....S..i...!!■ H. TYPE O F WATER SUPPLY
P L Y
'!= sift!!- : ri! N l N:•••!! •• • 111131i :: :�•r.1i! _11 :1!•'••• •_:: :: : • 11: :si •..li! _..•!.• : : 33 n Reinforced concrete 50. Total land area, sq. ft.
. . . ls . ... .....N. �i ! l i i!!i!-i i tilt !Sill
it �::!_!!!� i !_ilff •llllii:ti!!!!i!!D!!!l:•• i • • ! .•iis!! i ti :iiL_] —
lilSlrittlls■i i ! _ :! ilNl!}1!•ilii!l-ii-•i!N!•.!•r'fN!!!i•ri =,.•.! 34 Other — Specify 42 Public or private company
• • • •NN.N■■■ ■ • •
'•• "!':' " "!a "' ! !'!'! _ ! I cistern) K. NUMBER OF OFF-STREET
!: ■ _ l =!l•il$ • ! • it •• ! ■ • '• i•- :i •••:iir!!i! pi :•• • !•!!!!',i!!i!!i!l! .■ 43 Private (well,
.• fA`!_ ! __ ! _ _! '!! •• •••!••s _ '_'• '_•_' ! :! tslslla ! ! S PARKING SPACES
• M • ..• !1!!s!!sa=!: : li.Ns •!•• s :: `•!•s•• •• '•u•••••••• •s•::i:l••s• ••• ••• !1 :::::suss. s•
!r• R •■ •� '��s _ • • •l •'lit '! •:!l ::li: • =i!!=!llll::•■s■. lsnP ! •.. ••l'l ■Ilse; F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
r !�! •.r�. !� !. ... .. ...■. ,. .. r •. . ■ . .■ . ii . . ■ .. is
liiiuiiiB.• ll ii Miter t1zY : g 51. Enclosed
i.•ii �� . lei !!ll■Nl.•:.!!,i!!lSs:r lts!!NN■r'1•i•.ss ■.... !lisiHs! I
t III •• l� ..:! , 11:+ ;t,t. a■ i :_.■. =t! rl .is l test._:!_ !i ■!•Zsi i:lsilsiis!l:lilLiM tit! ....s 35 LJ Gos
}i� !! 1� - l .: P l ■I S r !lS *=!•!= !••r --■!• = i Will there be central air 52. Outdoors
.I: 'I: .! : : ! :lL■••;•; u x.r *i-, , , II: .1 i:.is ■:■a■!!!l.:Litt==...l!!=1�..:si■si:ii■!!!!!!■::aZ!!r!! 36 L J
t-r f + t WI: , T ! ! : : �g!il:i== !! _• !'• al !!:l:ale=l!!!■,■■■.■oL■■ .■!::1111
Oilconditioning' L. RESIDENTIAL BUILDINGS ONLY
i s?: ;?'• � 1=' 2! ! r' f= + r {, *' !!! !!!!l:ils: smisissts r �1 :1 l-ilsss s s lsNi: .ell CJ L] _.
+ );. ! • •• • • ■. .-• 37 Electricity44 Yes 45 ^ No
•� ■ N 11 • • N •..u• 53. Number of bedrooms
1 :1 :11; 1411111111111111111111 V:1 +1 ';2 ;1: 1 $ '$ 1 I+ 1 ; :41 sj t{ !ii •ga•1Bsi¢i� !! !!!ii_: !! :_- .. •li:u: 1 38 1 1 Coal
ill :V.' ; Yf s t • t '-�. : • t . :; ,r{ ,. r T ��, '.iil!!oti!!_!!! is liliitl:glla. lss.■ut■l:.a
t. Pgn Inn MU {. , +. , u1�1i mmll:;i :lie uus:#n3'iltriuu::tits:l !:tat ! 39 L-1 Other - Specify will there be on elevator" Full
_ _ 54. Number of
46 [ 1 Yes 47 1 No bathrooms
• 'ad. P Partial
P j
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address — Number, street, city, and State ZIP code Tel. No.
/ y�PA'[ "
s fed , p7/vim 6 __ o,C sry1-14Y� NOTES and Data — (For department use)
Owner or �
Lessee
Builder's
2. License No.
Contractor
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
zze:v2,, 'et
DO NOT WRITE ELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Dote 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
Permit or Approval Check Obtained Number By Permit or Approval Check ObtainedD 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 �J use Group
c Permit issued . -g 19 "I
Building �� 'COre Grading
Permit Fee $ /CL.1 Live Loading
Certificate of Occupancy $ Occupancy Load
$ Ap roved by:
Drain Tile t
Plan Review Fee $
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