36-199 (12) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR • Applicant
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NOTES and Data — (For department use)
L
IV. IDENTIFICATION — To be completed by all applicants
Name (� a1 Mailing address — Number, stroct, city, all'i State ZIPy�code�. Tel.---Wo.
Owner or �"
Lessee v`�� �I l/T,yt•�, d iy, ��(fy��✓
✓ I eC f Vll✓ �T V Bui Ider's
License No.
2. LJ
Contractor
70 1[
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.
Sign ur of a lico Address Application d to
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained a
d Number By Permit or Approval Check Obtined 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 507
Building- Use Group
Permit issued 1q2_
Building Fire Grading
Permit Fee $ 'J Gt
f
y Live Loading
Certificate of Occupancy $ Occupancy Load
Op ed by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
9� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
� Qq
Page 36 Plot l" ,C APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
AT (LOCATION) A
DISTRICT�
I• ��'�' °r �" •• �'�`�'� � ��
LOCATION (NO.) {p��Q (STREET)/ / �D�p
OF BETWEEN r $J l Xj& �OIf��" -ry/ AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
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 L✓I"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)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory - Enter number
__----- - 22 ❑ Service station, repair garage
5 ❑ Wrecking (It multifamily residential, of units --�
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) r y
16 �✓J Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNE SHIP �� t?� 27 ❑ Stores, mercantile
8 ❑Private (individual, corporation, /, ��OE t / 28 ❑ Tanks, towers
nonprofit institution, etc.) �� r ���� 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,,,,,,•,•....... �Cl 00d school, secondary school, college, parochial school, parking garage for,
J department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.....................
b. Plumbing ..................... -" Z4v�
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
30 sonry (wall bearing) 40 ❑ Public or private company 48. Number of stories.............
31 ❑ Wood frame 41 �rivate (septic tank, etc.) 49. Total square feet n floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... 7 llll
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑✓Public or private company 50. Total land area, sq. ft. ........... �. m
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........................
conditioning?36 ❑ O' con on ��� L. RESIDENTIAL BUILDINGS ONLY
37 1 Electricity 44 ❑ Yes 45 I" ! No 53. Number of bedrooms.............. f
38 ❑ Coal
39 Other - Specify Will there be an elevator? Full..........
� 54. Number of
46 ❑ Yes 47 "I "o bathrooms
Partial.......
UILDING 0
D Q 72 C3
a.
7 PERMIT
VALIDATION
DATE 19 6-07
APPLICANT ADDRESS G9
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO
VTJ�lJL2 (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(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: mil v
AREA OR �� e Z,_ /G� ® 0 070 PERMIT $ eel)VOLUME ESTIMATED COST
r-1CUSIC/SQUARE FEET)
OWNER T
C_J/c � r
BUILD T
ADORES BY
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY
77
-
>'".'�d' 7-N -,!'7
"+.."�dM�' •..�«- r/ sm+}��va+e.,^,.�.w,.rr �;: -,�,,.:»m!'7a�
ILDING
f
w, PERMIT
Y L(O A T 10 4 `
DATE 19 P RM)T
t'APPLJCANT ADORES", „
JSTR E �ONTh S LICENSE)
d
PERMIT TD� + ' � A �_) TORY NUMBER OF ".
DWELLING UNIT'S
' (TYPE OF IMPROVEMENT). NO. �r (PROPOSED USE) e
A7 (l'OCATIONI ; ZONING
4
(N0.) TR T! DIS'fRICT
SETWLEN �It!
(CROSS STREET)' .rte CROS S! STREET) .;rs^'
! LOT.'
$UBDwisloN LOrLO# S size,
BU11011)G IS 70 BE Ft. WIDE BY FT. LANG BY 1;7 FT. IN HEI(01T AND SHALL CONFORM IN CONST#UgaT
a
TO TYPE USE GROUP BASEMENT WALLw.> FOUNDATION
♦ L,TY"1
REMARi(S: a
IF
AR AOR � ;. PERMIT
V UME ESTIMATED COST FEE
USIC/iQUARE FEET) ,,
OWNER
BU(''
ADORES BY
s MFNI - �1LE COPY . GREEN FIELD COPY CANARY. ^'APPLICANT DOPY • PINK ASSESSORS COPY