25C-197 (5) 0
ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
d .
IV. IDENTIFICATION — To be completed by all applicants
Name r^ Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or -ST 78
Lessee
Buider's 2. 1'VC-° CihJ PL.Ov-e-JL�
License No.
Contractor
3.
A hieer tect or
E n 'n
h reby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
ake' this op' lication as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
gn turb, of appl cant Address Application dote
v 1
°\ �ru% T S7 W 'tct-J on A- , at0� �
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained Y
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
v
Building ,�^� Use Group
Permit issued 19
Building /� Fire Grading
Permit Fee $ U' J Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by;
Drain Tile $
Plan Review Fee $
TITLE
` CITY OF NORTHAMPTON �O
�« .g MASSACHUSETTS
• a
$ OFFICE of the /INSPECTOR of BUILDINGS
Page ` ` Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all itte,---'-m�ss in sections: 1, 11, 111, IV, and IX. C)
I. AT (LOCATION) `+'� �� T ^i..0 ZONING
DISTRICT
LOCATION `"°'' lsrREErI
OF BETWEEN LINbC_"'i �C AND I�C7tE-°F"U�V r
BUILDING (CROSS STREET) (CROSS STREET)
LOT e t f C)C
L
SUBDIVISION LOT BLOCK SIZE Cr 7
H
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 ResiAvntiol Nonresidential
2❑ Addition(►/ residential, enter number 1 One family 18 ❑ Amusement, recreational
of new housing units added, if arty,
in Part D, 13) 13 Two or more family - Enter a. 19❑� Church, other religious
number of units- - - - i 20❑� Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 Parking garage
4 Repair, replacement or dormitory - Fnter number
5 ❑ Wrecking (1/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 n
24 r Office, bank, professional
❑ ��
6 ❑ Moving (relocation) 25 ❑ Public utility
17 ❑� Other - Specify
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 rL Stores, mercantile
8 Private (individual, corporation, 28 C❑ Tanks, towers
nonprofit institution, etc.) 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,.•............. 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....................... r _
ve �7f vG v4zF C-K
b. Plumbing ......... \./� ✓t�fi� �74� 4�
c. Heating, air conditioning..........
,�s'
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ coo
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 46. Number of stories...... ........ /
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet oar area,
all floors ed on exterior
32 ❑ Structural steel di ons ..................... e
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 � Public or private gom-IY5ny� 50. Total land area, sq. ft. ..........
Privgto-(�3ell, cistern) K. NUMBER OF OFF-STREET
4yr
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATINGS-U L I. TYPE OF ME CAL
35 ❑ Gas Will there be central air ^- - 52. Outdoors........................
'�6 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
3 ectricity 44 �� Yes 45 ❑� Ne 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46 Yes 47 ❑J No bathrooms
Partial........
y DEPT. OF BUILDING INSPECTIONS BUILDING ZD-
212 Main Street 0
Northampton, MA 01060 PERMIT <a
25C - 197
VALIDATION
D & L Contracting DATE Dec. 8. 19 87 PERMIT NO. 813
APPLICANT ADDRESS 641 F1 nrenrP Road 016121
IND.) (STREET) (CONTR'S LICENSE)
PERMIT TO Replacement (_) STORY NUMBER OF
Deck DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING
AT (LOCATION) 65 North Street DIISTRICT URC
(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, permit for the replacement of deck over roof area where existing deck stood
AREA OR 1 2 I X 1 6 = ESTIMATED COST $ 1 ,000•00 PERMIT $ 10.00
VOLUME
192 sq. ft. (CUBIC/SQUARE FEET)
OWNER Craig Goff
ADDRESS 338 Middle St. , Amherst 8YIL011/CyQE
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p'INf' p
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