25C-050 (4) Vill. ZONING PLAN EXAMINERS NOTES
FRONT YARD
SIDE YARD SIDE YARD
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1.
NOTES and Data (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, Sity, and State ZIP code Tel. No.
:S L 7'
Owner or
Lessee
Builder's
` -
1. lj t � > � L- �, I�S`('J ;, � � " � � �� + 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
00 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 $
V1. 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
Bur(ding /• Use Group
Permit issued T�/AV/ 19
Building Q` Fire Grading
Permit Fee $ (!J •Ito
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�+ MASSACHUSETTS
OFFICE of the INSPECTOR of* BUILDINGS
�
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
t, ZONING
I• AT (LOCATION) � V-�� S DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN L- C� �'�l �A. t, tr c _t`-._, V AND
L —
BUILDING (CROSS STREET)_ (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 ❑ New building Residential Nonresidential
2 Addition(! residential, enter numer
❑ f b 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- - - - 20 C _] Industrial
_
14 �I Transient hotel, motel, 21 f 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 E] Moving (relocation)
7 n Foundation only 17 L_� Other - SpeciJy. 25 �� Public utility
26 L� School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 L� 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,,,,,,,,,,,,,,,, >.. school, secondary school, college, parochial school, parking garage for
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....................... - t
b. Plumbing ...................... \3
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
O i
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❑ 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 [_-] Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37E] Electricity 44 �] Yes 45 No 53. Number of bedrooms..............
38 Coal
39 ❑ Other - Specify Will there be an elevator" Full..........
54. Number of
46 Yes 47 :�J_No bathrooms partial.,.....
a DEPT. OF BUILDING INSPECTIONS BUILDING
+ ! 212 Main Street o<
IL
Northampton, MA 01060 PERMIT
25C - 50 VALIDATION
DATE Feb. 19, 198_ PERMIT NO. 71
APPLICANT Bob Reckman ADDRESS 36 Fruit St- 009498
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration (_) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 227 North St DIISTR CT URB
(N0.) (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: I]Prmit fnr the rPlnratinn of existing kitchQn into existiAg--perch
AREA OR FMIT g6 on
VOLUME ESTIMATED COST �$ QQQ QQ EE
(CUBIC//SQUARE FEET)
0
OWNER arah R 311 riy Engg BUILDI
ADDRESS 227 Nnrth Strcot WQr_thampt�en BY -
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNT- p