11C-029 (6) ZONING •
DISTRICT
USE
7
FRONT YARD
SIDE YARD SIDE
NOTES ,�o4' _
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — ;''umber, stmt, city, an(i State ZIP code Tei' No.
Owner or
Lessee
C
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.
Sign ture of applic�nt Address Application date
n
l" t
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaaTned 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 e� FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 0��_
Building Fire Grading
Permit Fee $ d_ OD
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
�o CITY OF NORTHAMPTON
MASSACHUSETTS
r •
OFFICE of the INSPECTOR of BUILDINGS
'"T Page ,� !" Plot '2-�1 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, an/dJ IX. J O
I• AT (LOCATION) � � +max 1� j 2G ¢SL! DIOSTR CT(/
(N0.) (STR ET��� �
LOCATION
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — A11 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�Addition(if residential, enter number 12SZ One family 18 ❑ Amusement, recreational
of neu, housing units added, if any, 13 ❑ Two or more family — Fnter 19 ❑� Church, other religious
in Part D, [3) number of units— — — — —>
20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 l
t
l
t
t h
i
Transenoe , motel,❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
J
5 Wrecking (l/multifamily residential, o units ——————— — --� 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)
7 ❑ Foundation only 17� Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP E �� 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, / 28 ❑ Tanks, towers
nonprofit institution, etc.) X 6 C;20_ 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••,••••••••••••, Ov 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 $ Ot�6�
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) 40 Public or private company 48• Number of stories..!............ /
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dime ions ..... ..... Q
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42,;8"d 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. XYes7 CHANICAL
35Gas central it 52. Outdoors.......................
36 ❑ Oil
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify n levator? Full..........
54. Number of
7 ❑ No I bathrooms
Partial.......
___«____ e. �__- . _—__-- _-__._�
.. ---�•..-T_.-
., , , _._
Department of Building Inspections �
Morin Street BUILDING ..
North t,dup Ma, 01060 PERMIT ` �
ya
.0 r. 29
VALIDATION
DATE tnt- 2R' 19 A2 PERMIT NO.
APPLICANT 1144=2-'R Ron thLianti ADDRESS 140 Fjt, qf4 fit,# Aex R2* feeds 01(151
(NO.) ($TRRET) (CONTR'S LICENSE)
PERMIT TO (�) `STORY 1!. NUMBER OF
'���(�$��(},��']� DWELLING UNITS
(TYPE 0 IMPROVEMENT) - NO. PROPOSE USE)
ZONING
AT (LOCATION) 140 Fy C.Z @YC@ R t o 2-A t o DISTRICT LR
(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
i
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
* f- (TYPE)
1
REMARKS: , i.
1 (milan pork
} �}
AREA OR �'�f ~� PERMIT �/'�i oo
VOLUME 200 ESTIMATED COST $ 1"000 EE s its
(CUBIC/SQUARE FEET)
OWNER Men y R. Pnylt.b`Ciand f `
BUILD�AG PT.
ADDRESS BY
WHITE FILE COPY . GREEN FIELD: COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY
€' .;
Department of Building Inspections
211 Main Street BUILDING o° rd.. m 0
Northampton, Ma. 01060 PERMIT Qa
11C - 29
VALIDATION
DATE_ Junp $,t 19$2 PERMIT NO. 285
APPLICANT ]�pnr $r -0jLtbr;An[� ADDRESS 1 Ln y1 ny tI(`P St.,T Box-&2,-Lepd-^.. ()1053
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ,d.it,iOA (_1_) STORY Enrin¢ed p.0 3 DWELLING UNITS 1 -
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING HR A
AT (LOCATION) �(1 Flnrpnze Ste' i eedn 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: Unheated enclosed porch 1n' X 7n1 AREA OR PERMIT $ 10.00
VOLUME 200 ESTIMATED COST $ 1 000 FEE
(CUBIC/SQUARE FEET)
OWNER Henry R Ponthr;and BUILD G� PT.
ADDRESS 140 Florence St Rox 82 Leeds, Ma 01053 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT PINK - ASSESSORS COPY