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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1.
O wner or William H. Mitchell 9 Fair St. , Northampton, MA 01060 584-8130
O
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.
Signature of applicant Address Application date
4y 9 Fair St. , Northampton, MA 01060 4/19/89
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
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 A -�^- FOR DEPARTMENT USE ONLY
Permit number rj J
Building Use Group
Permit issued ��� ' c3 19 _
Building �� Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
A ved by:
Drain Tile $
Plan Review Fee $
e
ITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
iT Page --)_C�L Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
1• AT (LOCATION)
9 Fair Street DISTRICT _
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. 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 ❑ New building Residential Nonresidential
2 D Addition(It residential, enter number 12F-1 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family - Enter 19 n Church, other religious
number of units- - - - --)P- 20 Industrial
3 F-1 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage
4[�L] Repair, replacement or dormitory - Enter number �� ✓
5 ❑ Wrecking (if multifamily residential, of units ------- - -i 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 Moving (relocation)
17 Other - Specify 25 Public utility
7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 LJ 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,••••••,•......• 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 ......................
7
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $10,000 . 0 0
Ili. 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 n Public or private company 48. Number of stories................
31 � Wood frame 41 El 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 n 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 n Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 U Electricity 44 n Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other - Specify Will there be an e'evator? Full..........
- 54. Number of
46 [--1 Yes 47 J Na bathrooms
Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING
! 21.2 Main Street Oa
Northampton, MA 01060 PERMIT
25C - 259 VALIDATION
DATE April 24, PERMIT NO.9 255
APPLICANT
Wiliam Mitchell ADDRESS airt. Owner
IND.) (STREET) (CONTR'S LICENSE)
Garage NUMBER OF
PERMIT TO 11 (_) STORY g DWELLING UNITS
Plla
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
g Fair Street ZONING OKA
AT (LOCATION) DISTRICT
(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: _ 0Prmjt fnr rPnairs to existing garage _--
AREA OR
1 ,000.00 000.00 PERMIT d, 10.00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER ■UILD f/P
ADDRESS mR,�� Applicant ' s BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY ^ APPLICANT COPY ■ PINK - ASSESSORS COPY pM I�P