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NOTES and Data — (For department use)
v
rD
X /
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or ���� ,3 o
Lessee
i
v Builder's
p w� License No.
Contractor L
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
2
00 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
4 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta 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 FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued 19 -'
Building /y Fire Grading
Permit Fee $ Q
Live Loading
Certificate of Occupant/$- Occupancy Load
Ap d by:
Drain Tile $ /
Plan Review Fee $
TITLE
0 0, CITY OF NORTHAMPTON
MASSACHUSETTS
r
e _ OFF„ICE of the INSPECTOR of BUILDINGS
Page 17C Plot 112- APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
da
r ZONING
I• AT (LOCATION) �� V✓// `� —T"i'"�---� DISTRIC
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vt
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -4
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residegf..I 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
number o/ units- - - - -� 20 ❑ Industrial
3 ❑Alteration (See 2 above) 14 l
l
h
i
Transent hotel, mote ,
❑ 21 L❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
------- - 22 ❑ Service station, repair garage
5 LJ Wrecking (I/multifamily residential, of units -� P 9 9
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 FV 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,,,,,,,,,,,,,,,, 010e 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 .......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT is KOoe
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 ❑ asonry (wall bearing) 40 [?j"P`ublic or private company 48. Number of stories...............
31 ZWood 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
Pf WATER SUPPLY
34 Other - .Specify 42 Public or private company
I�J� 50. Total land area, sq. ft. ...........
❑
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONY
37 ❑ Electricity 44 ❑ Yes 45N0 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Spccify Will there be an elevators Full..........
54. Number of
46 C71 Yes 47 No bathrooms
Partial.,.....
4
Department of Building Inspections
212 Main Street BUILDING Z° 11 ` /d, rj�
Northampton, Ma. 01060 O<
PERMIT z
17C - 112 ,
VALIDATION
DATE Novpmbpr 4. 19 A2 PERMIT NO. 627
APPLICANT ( xy C 4T_AO-A am ADDRESS 014271
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
-- PERMIT TO 7 tnrnt4nr ( ) STORY hnthnnm DWELLING UNITS -
(TYPE OF IMPROVEMENT) N (PROPOSED USE)
ZONING
AT (LOCATION) 18 SYiISon Ave., Florence DISTRICT TTRR
(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: NPV hathrenm in CPI 1 ar
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) .�
OWNER Har__T & FPurcell BUILD G T.
ADDRESS 3 Stilcnn Ave- ,, Florence- Mai Q1060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY
E-
r �
'I?ap'A rtxaxent of Building Inspections
212 Main Street
BUILDING zp
NorUlwvtonj ma. 01060 a
PERMIT
17C - 112 - _
VALIDATION
DATE Wyd"j?Y f►� 19 A7 PERMIT NO. 627
APPLICANT ADDRESS Al che-c"nt>Y )" iCIarente 014221
(NO.) (STREET) (CONTR'S LICENSE)
t NUMBER OF
- PERMIT TO t�{u�i,¢161 (_yy_) STORY hat3arrs DWELLING UNITS -1
(TY E OF IMPROVEMENT) N (PROPOSED USE)
9p ZONING IFY)3R
AT (LOCATION) A jj&an AXe r Fla�r@�SC_& -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: �toT
AREA OR $ FEEMIT
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER H&3 ■ p4114811 BUILD
ADDRESS 38 q�f Agan-Av,&a Y-Pjnranc�gl MA, 1060 BY Adnwc
WHITE - FILE COPY GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY