28-053 (9) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD c-, SIDE YARD
REAR YARD
NOTES
IX. SITE • ' PLOT
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NOTES and Data — (For department use)
y..�'�/ _ it! :�C:.':.::'�,ye4--��.(
IV. IDENTIFICATION — To be completed by all applicants 0"
Name Mailing address — Number, strcct, city, and �rntc ZIP code Tel. No.
Owner or � �, -----
Lessee +
wi lder'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 -icve 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 appli ant Address Application date
/// DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plane By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICALa
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate Do-e
Permit or Approval Check ObDtained Number By Permit or Approval Check Obta 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
Permit number ZS
Building _
Permit issued N � 19�
Building
Permit Fee $ .1O. 610
Certificate of Occupancy S
Appro �• �;
Drain Tile S
Plan Review Fee S— '
TITLE
C tx of Nort4ampton
� � �'Ilxssxcllusctfs
�6
Office of th' �e nsvtrtur of 'Puiffillps APPLICATION FOR
,> Plot ,`�r ZONING PERMIT AND
Page BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX. p
ZONING
K
I• AT (LOCATION)_ ,2 /, �.�.'� _.f'i'} - -- DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number 12XLOne 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 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 F-1 Wrecking (If multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15X Garage 23 ❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 ❑ Moving (relocation) 16 [::] Carport
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 E] School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 � 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
r processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ `g 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 t
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. y
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
� m
48. Number of stories............... t .11
30❑ Masonry (wall bearing) 40 ❑ Public or private company
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet floor area,
all floors, based on exterior f
32❑ Structural steel dimensions ..................... J (fC' f
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
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 ❑ Coal
39❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 47 ❑ No bathrooms Partial........
I hereby certify that the proposed work is authorized by• tI tq Owner of record;
and I have been authorized by the owner.•tQ. make ythis iapplication as phis
authorized agent.
:
SIGNATURE OF 'AGENT
ADDRESS
(NUMBER) (STREET) { fiTY).
APPROVED BY TITLE
DATE 19
DEPT. BILE COPY
Z0
., CITY OF NORTMAMPTON BUILDING O
NORTHAMPTON, MA. 01060 PERMIT VALIDATION
28-53
DATE OetobAr 31 , 19!22 PERMIT NO._a R
APPLICANT_ W• J. Ix34ry Jr. ADDRESS 632 n SDI ton-
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Construct GHre3�B (_) STORY C;arsa-1r'E3 DWELLING UNITS
(TYPE OF IMPROVEMENT N0. ( OPOSED USE)
Road ZONING
632 R
AT (LOCATION) x� DISTRICT
(NO.) (STREET)
rn BETWEEN AND
co (CROSS STREET) (CROSS STREET).
m
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
a
O
O BUILDING IS TO BE 15 FT. WIDE BY 40 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O USE GROUP BASEMENT WALLS OR FOUNDATION
Z TO TYPE (TYPE)
f
0'
O
LL REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1��CC FEE $ 1oj0.(L-
(CUBIC/SQUARE FEET)
OWNER W. T T^nd r Tr BU
ADDRESS 632 Ryan 52
.x,^—a ii , -Na rthaapU BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)