25C-149 (3) ZONING •
DISTRICT
FRONT .D
SIDE YARD SIDE YARD
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Nusnhcr, street, city, and State ZIP code Tel. No.
i. f c ti�l 't tv R-j� ��_ P �(i 6 (J J QH U 7
Owner or
Lessee
/ Builder's 16 L. J ,�• ��f 6 W-co ��_� ( `wi) AL -�x. � License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the pro sed work is authorized by the owner of record and that I have been authorized by the owner to
make his applic n s s aut on ed agent and we agree to conform to all applicable laws of this jurisdiction.
Signs ure of a p 'c t Address Appli ation to
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans
Plans Review Required Check Fee Started y Approved BY Notes
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 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
Building. Use Group
Permit issued 7 19
Building / Fire Grading
Permit Fee $ r,` �d
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
TIT E
�P CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page \ {- Plot �'(` APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING / /� ��
I• AT (LOCATION) DISTRIC1 R) 1
LOCATION (NO.) (STREET) /
OF BETWEEN F,A J7 AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —+
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
--1
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- - - - -� 20 ❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 El 21 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 ❑J Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only j 26 ❑ School, library, other educational
B. OWNERSHIP E AT 1+ 27 ❑ Stores, mercantile
8 Private (individual, corporation, j'
28 ❑ Tanks, towers
nonprofit institution, etc.) Y l NI QT(ON 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,,,,,,,,,,,,,,,, X0.0 0 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 $
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, bored 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.❑h5„`. `.s
43�❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....c .....,.......
35' Gas Will there be central air 52. Outdoors........................
36❑0i I conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ 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'❑ No bathrooms
Partial......
,rent of Building Inspections
Ein stre`Met BUILDING
25C - 149 PERMIT
VALIDATION
DATE NnvPmhPr 16, 19 R2_ PERMIT NO. 644
APPLICANT jonskthAn Wright & Co- ADDRESS 915 Tnrinstr4al Pk_ _ N'ton_ 015292
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO A1 traratinn ('^) STORY DWELLING UNITS '
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 25 Orchard DISTRICT 11 IR
(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: Renovations to existing ki tcb n & bath
AREA OR
VOLUME ESTIMATED COST $ 8,000 FEEMIT $ 32.00
(CUBIC/SQUARE FEET) 'A- azzi
OWNER Charlie wan
BUILDI T.
ADDRESS 25 orchard Std Nor hamptnn- Ma- 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY - CANARY - APPLICANT COP - PINK - ASSESSORS COPY