32C-166 (10) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name �f ////�� {�Mailing address — Number, stmt, city,/and State ZIP code Tel. No,
1.Owner or �Wta,�'� /� �vtCti'��,� lJ (_-t.[,S f✓D��� J �• J l� J �f, d����7 73,7,v wp
Lessee
2. Builder's
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.
Signatu of appl' ant �' Address APPlication date
00 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 FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued lq
Building s, Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ CC
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
40 MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot �' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
���c `/'x / ,,,QQQ ��'���� ZONING (/y'�
I• AT (LOCATION) 1,76 PIC,64".1 �-+ � �� � � DISTRICT r?:'6
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 X
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
-f
1 ❑ New building Residential Nonresidential
2 ❑ Addition(IJ residential, enter number 12 ❑ One family 18❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family - Enter 19 Church, other religious
in Part D, 13)
number of units- - -- - i 20❑� Industrial
3 ❑ Alteration (See 2 above) 14 l
Transient hotel, mote ,
❑ 21 L� 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) 16 Carport 24 Office, bank, professional
6 ❑ Moving (relocation) 17 Other Specify
25❑ Public utility
-
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNS SHIP _t r + i-" + t 27❑ Stores, mercantile
8 Private (individual, corporation, 28❑ Tanks, towers
nonprofit institution, etc.) 29 L❑ 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..................... r r7
b. Plumbing .................... TTT
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ r
III. SELECTED CHARACTERISTICS OF BUILDING — 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
48. Number of stories...............
30 L] Masonry (wall bearing) 40 E:] Public or private company
41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
31 F__1 Wood Frame p all floors, based on exterior
32 ❑ 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 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [-] Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑� Other - Specify Will there be an elevator? 54. Number of Full..........
-
C_. 1—J bathrooms
46 Yes 47 ' No Partial........
e DEPT. f BUILDING INSPECTIONS BUILDING z° --�s , ci
! 212 Main Street o
Northampton, MA 01060 PERMIT
32C - 166 �G VALIDATION
!+ DATE Septgmher A, 19_____$F2_. PERMIT NO. 522
APPLICANT Edward A LharePh _ ADDRESS cl5 Snri nnf i Pla —Owner
(NO.) (STREET) (CONTR'S LICENSE?
NUMBER OF
PERMIT TO XXX nPmnI l t l nn (^) STORY nAf of IlAli �t nranA �hAll DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED US E1
ZONING
AT (LOCATION) 1 PlPACant S} Cb1Ison' s Shops DISTRICT GR
(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 FOUNDATION
(TYPE)
1 1
REMARKS:
AREA OR 100.00 PERMIT 5j,00
VOLUME ESTIMATED COST $_ _FEE
(CUBIC/SQUARE FEET)
OWNER BUILDING D T d
ADDRESS I BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK - ASSESS ORS COPY pjNT- 1�P