25C-215 (9) ZONING •
DISTRICT
USE
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
s
IV. IDENTIFICATION — To be completed by all applicants ,
Name Mailing address — Number, street, city, ami State ZIP code Tel. No.
1. �tS �CT�Jvt^c� (,'2— 010.10 20 10
Owner or
Lessee p �
2. 1G�ft }�.✓ ! fi✓ ? Builder's -Z�^
C-/ p !J GC* v' L tense 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.
Signal re 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
Date Permit or Approval Check Obtai ed Number By Permit or Approval Chec Obtta t ed 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. —� t Use Group
1;
Permit issued 19 s�
Building // Fire Grading
Permit Fee $ c(` Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
$
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
• a
$ OFFICE of the INSPECTOR of BUILDINGS
wt
Page Plot �i51 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
I• AT (LOCATION) �r / DISTRICT C1
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vs
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
1 ❑ New building Residential Nonresidential
2 Addition(I/ 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— — — — --)P. 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 (11 multifamily residential, of units ——————— — --
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6❑ Moving (relocation)
17❑ Other — Specify 25❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8$Z Private (individual, corporation, 28 ❑ 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,,,,,,,,,,,,,,,, S^ eOtt 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..................... DOO
b. Plumbing ..................... E ODO
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT y _5� 10 d0
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) 4054 Public or private company 48• Number of stories................
31 1�4 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 .✓3 aid
34 ❑ Other — Specify 42 � Public or private company 50. Total land area, sq. ft. ........... Off
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........................
TGcICcTE/C- conditioning?
36'� Oil fro' - L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 53. Number of bedrooms..............
38 ❑ Coal ,
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 �No bathrooms
Partial....... l°'
a DEPT. QF BWLDING INSPECTIONS BUILDING z°
+ 3 r 212 Main Street $a
Northampton, MA 01060 PERMIT
25C - 215 VALIDATION
DATE November 18, 19 85 PERMIT NO. 661
APPLICANT Scott Perry ADDRESS Sapiens Road, ConwaY 002391
) (STREET) (CONTR'S LICENSE)
Allteration/AdditioppE Family NUMBER of +1
PERMIT TO l--) STORY r5 Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
39 North Street o STR C URC
T
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CRASS 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 ip (TYPE)
REMARKS: permit to turn existing- family dwelling into 0 family dwelling
off' 3
AREA OR $ 25 000.00 PERMIT $ 60.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
Tristram & Barbara Metcalfe
OWNER BUILD G
SR ADDRESS ox 62 Plainfield, assn BY
WHITE - FILE COPY . GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK ^ ASSESSORS COPY p0INTS.P