25C-114 (5) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
rlL -Itz 1a 6Gz� 1�'tJS- i Nfni-�-i~�mP-pfl WI A,olv"v 5V-&313
Owner or
Lessee
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.
Sign ure 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 By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS ate Permit or Approval Check Obta Date ned Number By Permit or Approval Check ObtDa 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 p^n Use Group
Permit issued „A_. tS� 192T
_T
Building Fire Grading
Permit Fee $�l/l. Q� Live Loading
Certificate of Occupancy $ Occupancy Load
Mbd y: /
Drain Tile
Plan Review Fee $
TITLE
i
J
y
`g
t
i
Jack Cooper
56 Grant Avenue
Northampton, Ness.
a
s
NOTES and Data — (For department use)
CITY OF NORTHAMPTON Z5
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
t
ZONING
I• AT (LOCATION) 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
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— — — —
3 ❑ Aeration (See 2 above) 20 ❑ Industrial
IC�/r/ 14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 Repair, replacement or dormitory — Enter number
5 F-1 Wrecking (If multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage
enter number of units in building in 15 rage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 [_1 Moving (relocation)
F]7 r_1 Foundation only 17 Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERS P 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 Private (individual, corporation, Specify
Other —
nonprofit institution, etc.) 29 ❑
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.
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.)............ /r
11. TOTAL COST OF IMPROVEMENT I$
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❑ M my (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 ..................... J
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Specify 42 F—] Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coo I
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
T
hereby certify that the proposed` work is authorized by .the owner of record
and I have been authorized by the owner th make this application as his
authorized agent.
--
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
ZD
CITY OF NORTHAMPTON BUILDING 04
NORTHAMPTON, MA, o1o6o PERMIT
25C-114 VALIDATION
DATE May 25, 7
/ 19 _ PERMIT NO. 187
APPLICANT John L. & Theo Cooper ADDRESS 56 Grant Avenue
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Rg a - - r e NUMBER OF
P ga_8� (,) STORY Gar DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING
AT (LOCATION) 56 Grant AVenue DISTRICT TTRR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET).:
LOT
SUBDIVISION LOT BLOCK SIZE
I 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
"t
C _ (TYPE)
REMARKS: emplace existing garage with one of different -proportions as per attached plan.
(See Bldg. application)
AREA OR PERMIT
VOLUME Approx. 500
ESTIMATED COST $ ,2500.00 FEE 10.00
(CUBIC/SQUARE FEET)
OWNER _ Jnhn T,_ R, Then C:nn3 Pr
BU( IN P
ADDRESS 56 (Trant Avernlei Northa=ton, Ma.. BY vn
(Affidavit on reverse side of application to be completed by authorized agent of owner)