32C-164 ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
MW
IV. IDENTIFICATION — To be completed by all applicants
-ate—.
/Naam�elp� Mailing address — Number, street, city, and State ZIP code j^Tel. fN�o.
Owner or �� G(C'!Q/I�✓ d 7 C` /f� �V J 7 J�� /V
Lessee n Lf A� N
Builder's
2. License No. C? {Q
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.
Sign re of applicant Address Application date
00 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 $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 3•3 7
Building- Use Group
Permit issued z, 19
Building - Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro by:
Drain Tile $ r
Plan Review Fee $
TITLE
* o� CITY OF NORTHAMPTON
MASSACHUSETTS
r �
OFFICE of the INSPECTOR of BUILDINGS
,YT Page ° r ` Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O
(,! 1 ZONING /'
I• AT (LOCATION) `� r DISTRICT l7`
LOCATION (/NOO..)d (STREET) //�� y� //'��
OF BETWEEN AJAR a AND 24,A.) 1�lJL�
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE !! l!
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑� Church, other religious
3 Alteration (See 2 above)
number of units— — — — -� 20 ❑� Industrial
❑
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5,r Wrecking (II multifamily residential, of units ——————— — -i 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑� Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 4� 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 detoil proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•,••,••,,,••••,• Of� d d school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning.........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for al/ 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
32 ❑ Structural steel dimensions ..................... /d r d
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — .Specify 42 Public or private company 50. Total land area, sq. ft. ........... (,5 �.0 Q
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 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes �li No
❑ 45 'I� 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 Yes 47 !J No bathrooms
Partial.......
T
t of �zl- I d n 17,S T)CC t 4-On S
21.' ",,`,allr Strcet z
1,0,C BUILDING
0
PERMIT as
VALIDATION
DATE 19 P, PERMIT NO. �?7
APPLICANT 1)irhmrfl Rn;rlr ADDRESS 1721' No
(NO.) (CONTR'S LICENSE)
17)ema I i t, rn NUMBER OF
PERMIT TO STORY -DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
1P+4 pleasant Street ZONING CB
AT (LOCATION) DISTRICT
(No.) (STREET)
BETWEEN
air. S t r c,c t AND Randolf Plpcc
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT-BLOCK SIZE 69,700 ch
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)
Per::-,,it,, to tear �cT-m e.-istin: buildr.
REMARKS:
PERMIT $
AREA OR sq. ft.. ESTIMATED COST $
VOLUME FEE
(CUBIC/SQUARE FEET)
OWNER Richard Boyle B
ADDRESS - 1781 Northa,.-:.-ptor Strect BY
WHITE - FILE COPY w GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK SSESSORS COPY