32A-153 (31) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
Ct„..,,C.
IV, IDENTIFICATION — To be completed by all applicants 1 '
Name Mailing address — , i4mbrr. .strut, r"it" aml Starr ZIP code Tel. No.
Owner;or
Lessee
/� � Piuilders
2.
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
6-27-77
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review FDate ns B Dote Plans B Notes
9 Fee y A pproved y
BUILDING
PLUMBING J
MECHANICAL
ELECTRICAL —
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae 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
Permit number 266
Building
Permit issued June 2Z, 19 77
Building
Permit Fee $ 10.00
Certificate of Occupancy S
App
r e y
Drain Tile ;?
Plan Review Fee
TITLE
o� ro
06 ` ti Crzt r of Wart4am pton -?ate
� � �ttssrxcl1usetfs
t' (offire of the 'Naptrtor of 'Puilbings
APPLICATION FOR
A Plot �J ZONING PERMIT AND
Page BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. p
i ZONING fell
I• AT (LOCATION) -f-tt '3'�r."` ¢�ri r +' DISTRICT s✓
LOCATION IN 0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D Xl
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
—1
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of neu, housing units added, if any, �t
in Part D, 13) 13 Two or more family — Enter 19❑ Church, other religious t
number of units— — — — --)� 20❑ Industrial cv
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (l/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 — SpeciJy 25 Public utility ("
7 ❑ Foundation only r{,
26 School, library, other educational ( .
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks,29 Other — Spec towers ify `)
t
nonprofit institution, etc.) ❑
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•,,,•,•,,•,..•.. S �rB 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 $
111. SELECTED CHARACTERISTICS OF BUIIIDING — For new buildings and additions, complete Parts E — L; .o
for wrecking, complete only Part 1, for all others skip to IV. D
Q
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
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 Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
'O
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 57. Enclosed ....................... O
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37X Electricity 44 ❑ Yes 45❑ No 53. Number of bedrooms.............. tw✓
38 ❑ Coal
39 Other— Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 47 D No bathrooms
Partial.......
hereby certify that the proposed work is authorized,by; the owner oft record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. PILE COPY
o. Z O
CITY OF NORTHAMPTON BUILDING g a
NORTHAMPTON, M PERMIT
VALIDATION
DATE Time 192.L--- PERMIT NO. 266
APPLICANT Paul Britt ADDRESS Liberty Street
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) +rong Avenue DISTRICT CB
(NO.) (STREET)
rn BETWEEN AND
m (CROSS STREET) (CROSS STREET)
a
LOT
a SUBDIVISION LOT BLOCK SIZE
QI
0 BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
IL REMARKS: Tn+r-ri nr rena=+J an of 'hnxber -,hop
AREA VOLUME ESTIMATED COST $ 9 500,,00 FEE
. 1000
(CUBIC/SQUARE FEET)
OWNER Les Brigham BOIL t
ADDRESS S11111nPr AMPY111P BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)