32C-310 (2) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR •
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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.
1.
Owner or
O r
Lessee ti)
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
�'
1
DO NOT WRITE FLOW THIS L NE"
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 B
Obtained Obtained 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
Permit number FOR DEPARTMENT USE ONLY
��'
Building i Use Group
Permit issued -4 19
Building Fire Grading
Permit Fee $ f U ,�)�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved
Drain Tile $ ��
Plan Review Fee $
�.
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
v!
Page 2— C Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
-t - ZONING (;�✓n
I• AT (LOCATION) DISTRICTq
LOCATION (Nb.) TREET) I
OF BETWEEN ( T �✓t �^'r--� � I3/6�gJ/ AND
BUILDING 1CROSS STREET) ROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 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
number of units— — — — 20❑� Industrial
3 ❑ Alteration (See 2 above) r
14 ❑ Transient hotel, motel, 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 i 24❑ Office, bank, professional
❑ / I
6 L❑ Moving (relocation) 25 ❑� Public utility
17 �'O`her — Specify
7 L❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 �❑ Stores, mercantile
8 C.-�'"15rivate (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•,,•••••,•••.... i 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.......................
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 all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories...............
30❑ Masonry (wall bearing) 40 ❑ Public or private company
31 �ood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... p�
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........................
onditioning?
36 ❑ c
Oil L. RESIDENTIAL BUILDINGS ONLY
37 r Electricity 44 l Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other — Spr• tfy Will there be on elevator 54. Number of Full..........
f❑
46 t Yes 47 ! No bathrooms
Partial.......
IJEO. OF BUILDING INSPECTIONS BUILDING
212 Main Street ���
Northampton, MA 01060 PER
32C - 310 VALIDATION
DATE ,1111V 25, 1(IRS A e�r—StreerIT NO. 466
APPLICANT Diana LaFountain ADDRESS Y
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (`I STORY Deck R OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 26 Henry Street D STR CT
(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)
REMARKS. permit for the addition of a deck
VOLUME 384 sQ• f t. ESTIMATED COST 1 ,400•00 Fe 0.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS Same as Applicant's BYIL N
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT CO • PINK ASSESSORS COPY p0" P