18D-058 (31) i
ZONING •
DISTRICT
USE
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NOTES and Data — (For department use)
d
IV. IDENTIFICATION — To be completed by all applicants A'
Name Mailing address — Number, street, city, amt State ZIP code Tel. No.
Owner or
Lessee 6111141
Builder's
L.
V,J V License No.
Contractor
3. �p ��• t t1 (� fl
Architect or y�
Engineer
1 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.
Si ature of applicant Address Application date
,OX 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
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtto ned 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. _ Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ 41,-1.
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
r
LE
CITY OF NORTHAMPTON
9* «� MASSACHUSETTS
OFFICE of the INSPECTOR of BU�IILLDINGS
Pages Plot 5 O APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
�� ZONING
I• AT (LOCATION) f/.(,j,J� 7�i�- t'a.� dr'1✓e DISTRICT
LOCATION (NO.) (STREET)
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
IM
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— — — — --j. 20 Industrial
�
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It multifamily residential, of units ——————— — 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 C1 Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — .Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 L❑ 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••••,,,,,,.,..,• M 6,9 C) 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 $ Doll
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
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 ........../:......
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY /
34 ❑ Other — Specify 42�K Public or private company 50. Total land area, sq. f
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35X Gas Will there be central air 52. Outdoors........................
conditioning?36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY
_
37 j Electricity 44 �] Yes 45I No 53. Number of bedrooms..............
38 ❑ Coal JJ��
39 ( Other — Specify Will there be an elevator? Full.........
54. Number of
46 ] Yes 47X No bathrooms
Partial.........
it
4 4 .W
Department of Building Inspections
212 Main Street BUILDING 04 x a.
/��'4
Northampton, Ma. 01060 PERMIT a
18D " 58 VALIDATION
DATE April 8, 19 82 PERMIT NO. 118
APPLICANT Susan M Me'gY'y ADDRESS Q�y Bnx 468 Hnl Vy ekey M8_
INO.) (S EET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Ai tR±ratinn (_L) STORY DWELLING UNITS -.
(TYPE OF IMPROVEMENT) NO. (PR POSED USE)
ZONING
AT (LOCATION) TnAnctrint ilri v DISTRICT r.T
(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: A7 teratfonm to existing '1 1'f l[i'3IIL1' f1PT l PttPP dated A r� it 8, 1982
AREA OR PERMIT
VOLUME ESTIMATED COST $ 449 0 FEE 196-00
(CUBIC/SQUARE FEET)
OWNER Qldnn Realty Trust BUILDI DE I
ADDRESS P-()- Bnx 468 n1 yoke, . 01041 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT CQ PINK - ASSESSORS COPY