32A-255 (139) V111. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
7 40-m
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — :Number, strcct, city, and State ZIP code Tel. No.
O. ,rl N. ✓�/" � irk 5 74• l `�; S"
Owner or 4/0(i;6
Lessee � � �
Builder's
2. /-Z o License No. 674
Contractor �� �✓ �/ ,���� � `q���`' /�
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 plicant Address Application date
00 N T WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date 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
Date 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
Building FOR DEPARTMENT USE ONLY
Permit number
Building gel Use Group
Permit issued --5 19
Building Fire Grading
Permit Fee � � 0 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
NOTES and Data — (For department use)
APPLICATION FOR
PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete aalll items in sections: 1, 11, 111, IV, and IX. O
ZONING
(• AT (LOCATION) //,`� DISTRICT
LOCATION '"° ' (S T)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF'BUILDING — A11 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,
Vn Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — ---)- 20 ❑ Industrial
3 ration (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) 16 ❑ Carport 24 ❑ Office, bank, professional
6 F-1 Moving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWN SHIP 27 ❑ Stores, mercantile
28 ❑ T nks, towers
B Private (individual, corporation, _
nonprofit institution, etc.) 29 Other — Specify G�{.
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
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ I�6QU
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 V.
E. PRINC AL TYPE OF FRAME G. TYPE SEWAGE DISPOSAL J. DIMENSIONS /Z4
e4
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 y+��
32 ❑ Structural steel dimensions ..................... (�(\
33 ❑ Reinforced concrete H. TYPE 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❑ G Will there be central air 52. Outdoors........................
36❑ it conditi ing?
L. RESIDENTIAL BUILDINGS 0 Y
37 Electricity 44 Yes 45 ❑ No 53. Number of bedrooms...
38 ❑ Coal
39❑ Other — Specify Will they be an elevator/No Full..
54. Number of
46 , es 47 bathrooms
Partial.......
D&ARTMENT OF BUILDING INSPECTIONS BUILDING .�
212 MAIN STREET o<
�G�G' �,��
NORTHAMPTUN, MA. 01060 2<IL
32A - 254 VALIDATION
DATE August 3, ig 81 PERMIT NO. 366
APPLICANT Gregg C. Pezzer ADDRESS 1290 Wit sin Rd.i F. River,MA.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alt re , re�nl gip( 4 STORY HAtPI & TAVPrn DWELLING UNITS _
(TY E OF I PROVEMENT) NO. (PROPOSED USE)
ZONING `,8
AT (LOCATION) DISTRICT
(NO. (STREE )
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: MiACPllAnonus alterations &__repairs to 4 existing floors
AREA OR
VOLUME ESTIMATED COST $ 150,0170 FEEMIT $ 600.00
(CUBIC/SQUARE FEET)
1 �
OWNER Hotel Northampton ASQOCiatPC BUILDIN DEPT
ADDRESS 36 icing Street, Nortbamptony Ma- 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT CO INK - ASSESSORS COPY
_ _ ,-.r.. , _.,,. �.� . .. .. _ ,�,...��.,.� �,....�� �.�.�,�.. � �, .�_ �,�_�., _ r��- �-
t..,
`..-
F )
. I �sxx BUILDING Zo q
T .. m.
N, MA. 01060 PERMIT'
t
....
'-.. • �'i - .VALIDATIONS
DATE Auggst43m 19 81 PERMIT NO. 166
APPLICANT C_ z2er ADDRESS 4 2d0SWi'!sort [ # I. l it�I
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO 4 TORY DWELLING UNITS
(TY E OF I PROVE ENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) (NO.) DISTRICT
C TREE
BETWEEN- AND
(CROSS STREET) (CROSS STREET)
a LOT
SUBDIVISION LOT BLOCK SIZ$,
BUILDING IS TO BE FT. WIDE # FT. LONG BY FT. IN HEIGHT A)ID SHALL CONFORM IN CONSTRUCTION
;I
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ,
'". . tYTYPE)
4 g9sting f lov s
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST � FEE
VOLUME
(CUB(C/SQUAR,f FEET)
OWNER heA1 +a�' 11A6Igne-1 l :Y
IT DEPT &t1�
ADDRESS ' y �"#�R 1� #3f1�$fl BY rte
Ifi1 - FILE COPY . GREEN - FIELDCOPY CANARY APPLICANT CO "SINK - ASSESSORS COPY