32C-137 (2) Vill. ZONING PLAN-EXAMINERS NOTES
FRONT
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
8z -
( 6C1�pT ft G�/C c-
Owner or
l _
Lessee
2 _ ) Builder's
d'leg License No.
Contractor
9
3.
Architect or /6�^ L — 7 /l/ �Z/ W
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.
Sign ure F applicant Address
Application date
t LU G &)x LA
r�
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number Obtained N b By
Y
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 j L""- FOR DEPARTMENT USE ONLY
Permit number
Building. r' <�
Permit issued �. 4 J 19 `T Use Group
Building Fire Grading
Permit Fee $ I ��(^�
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro by:
Drain Tile $
Plan Review Fee $
TITLE
* CITY OF NORTHAMPTON
�. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
wT
Page 32 4coo' Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
Cc {� ZONING
• AT (LOCATION) ��.7 SiL DISTRICT
LOCATION NO') STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT _BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(1/ residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Par[ D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
� number of units— — — — —� 20 F—] Industrial
3 if<Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 [_:] Wrecking (If multifamily residential, of units ——————— — -! 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 ❑ Moving (relocation) 16 ❑ Carport
17 ❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 j Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•,•••••.•.••.... school, secondary school, college, parochial school, parking garage for,
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.
in the above cost
a. Electrical.....................j. r
b. Plumbing ................ ..
c. Heating, air conditioning.......... J
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
111. SELECTED CHARACTERISTICS OF WILDIRG — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE'. DISPOSAL J. DIMENSIONS
30 ❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories..............
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
326�Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — .Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 kOi I conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 I> Yes 45 ❑I No 53. Number of bedrooms..............
38 ❑ Coal Y
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
—
bathrooms
46 ❑ Yes 47 No Partial........
r 4
DEPT. OF BUILDING INSPECTIONS BUILDING Z° 4(y) . CyD
212 Main Street 04
` Northampton, MA 01060 PERMIT <
32C - 13$ VALIDATION
DATE February 5 )g 85 RM`T NO 65
APPLICANT Edward J. O'Leary Cop ADDRESS • � o�yoKe,
(NO.) (STREET) (CONTR'S LICENSE)
Alteration Office Building NUMBER OF
PERMIT TO I_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
395 Pleasant Street ZONING SI
AT (LOCATION) DISTRICT
(NO.) ISTREET)
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 FOUNDATION
(TYPE)
REMARKS. permit NIX for interior renovations only to be used for office space
VOLUME OR 4,900 sq. ft. ESTIMATED COST $ 100,000.00 FEEMIT t. 400.00
(CUBIC/SQUARE FEET)
OWNER Jack Fortier
ADDRESS 3841 North Lake, Orlando-
r an o Florida
eY `
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK ASSESSORS COPY