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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I Do Ro-t't^1 v o 3 C" t9 1 (o~ 7
Owner or
Lessee e I M 4 b i o(p 0
Builder's
2• FIRPACO N<,3,So AV K. n1l IN License No. 739-41910
Contractor
W - S � wtg D34
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 pplicant Address Application date
YCILL_Sa A QE'
"C-.- F
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
PP Obtained y pP Obtained 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 19 20_
Building /"y�y~i� �/_ Fire Grading
Permit Fee $ (~ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. ':� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BBUUI'L�DIN S
A.
17 C_ Plot Page APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant toy complete all items in sections: 1, 11, 111, IV, and IX. O
AT (LOCATION) 1ST► ����-S—T 14 V)T _Ti DIOSTR C I
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK _ SIZE
N
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 New building Restntial 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
3 Alteration (See 2 above)
number of units- - - - 20 �� Industrial
14 �� Transient hotel, motel, 21 r 1 Parking garage
4 n Repair, replacement or dormitory - Enter number
5 Wrecking (11 multifamily residential, of units ------- - -i 22 �_� Service station, repair garage
enter number of units in building in 15 E_1 Garage 23 �] Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 C J Moving (relocation)
17 �� Other - Speci/y 25 �� Public utility
7 D Foundation only
26 I- � School, library, other educational
B. OWNERSHIP 27 L Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - Specify___
9 Public (Federal, State, or
local government)
C. COST (Unit 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................ Q school, secondary school, college, parochial school, parking garage for
department stare, rental office building, office building at industrial plant.
7o 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 BUIL ING — 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
48. Number of stories...............
30 Masonry (wall bearing) I 40 ` J Public or private company
31 Wood frame 49. Total square feet of floor area,
� 41 �_ Private (septic tank, etc.)
all floors, based on exterior
32 L� Structural steel dimensions ..................... �L7
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. 4t. .
34 Other - Specify _ 42 '� Public or private company
43 Private (well, cistern) K. NUMBER! OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 �11. Gas Will there be central air 52. Outdoors...... ..................
36 Oil conditioning?
_ L. RESIDENTIAL BUILDINGS ONLY
37 L j Electricity 44 ,I Yes 45 No 53. Number of bedrooms..............
38 J Coal
39 Other - Specify Will there be an elevator" Full..........
54. Number of
46 r Yes 47Xj No bathrooms
Partial.......
a DEPT. OF BUILDING INSPECTIONS BUILDING z° 76 -���
+ 212 Main Street o` ?
Northampton, MA 01060 PERMIT
17C - 95&94 VALIDATION
DATE August 30 19 88 PERMIT NO. 557
APPLICANT Franrh f nnctrllrt i nn ADDRESS 41 KPI cn Ave_ , WPet Springfield 034662
(N0.) (STREET) (CONTR'S LICENSE)
Addition/Alteration One Family NUMBER of
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
estnut Street ZONING URb
AT (LOCATION) DISTRICT
(N0.) (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 addition for extra living space
AREA OR 225 $ ft. ESTIMATED COST 18,500.00 FEE
76.00
VOLUME Q
(CU
I�BIC/SQUARE FEET)
OWNER Dorothy Kocot BUILDI� � !!" • g ( ,J'E/f'/�,,JQy'Q`-
ADDRESS Chestnut Street BY_
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY . PINK - ASSESSORS COPY p0.111'