17A-089 (6) ZONING •
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For deportment use)
y
IV. IDENTIFICATION To be completed by all applicants
Name M a i l i n g address —Number, street, city, an(I State Z I P code T;1. No.
A :s,#A-
Owner or
Lessee
)rx L c-
Builder's
L. 17,
K 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 a orized agent and we agree to conform to all applicable laws of this jurisdiction.
Signatu5p of aeplicant r Address Application date
P/A/wIL,
0 0 N O T W R I T E BELOW T H I S L I N E
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans By Notes
Plans Review Required Check Fee Started By Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
1 OTHER i$
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Checkj 0 bta i 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 I q�
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Apd—rov—eld by:
Drain Tile $ AM
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
9" "g MASSACHUSETTS
• a
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) �` �" �^i`t c-b^.L.-, �� DIOSTR C�
LOCATION (NO.)
S R� T) ^
OF BETWEEN
BUILDING (CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. 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 Resi en al Nonresidential
2 ❑ Addition(If residential, enter number 12ne 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 L❑ Industrial
3 � Alteration (See 2 above) 14 E] Transient hotel, motel, �
21 ❑J Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of 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 r�
6 ❑ Moving (relocation) I^
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
towers❑
8 �❑ Private (individual, corporation, 28 Tanks, r
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or
M
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 ....................... G '
c. Heating, air conditioning.........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$
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 dimensions .....................
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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
37 ❑ Electricity 44 ❑ Yes 45 ❑I No L. RESIDENTIAL BUILDINGS ONLY
53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator's Full..........
54. Number of
46 ❑J Yes 47 ❑ No bathrooms Partial.......
DEPARENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING
61 , 16.
a NORTHAPTON, MA. 01060 �
PERMIT
17A - 89
VALIDATION
DATE Nnvpmher 13, 19 Al PERMIT NO. 636
APPLICANT Enid ano r P1 i21�hing - ADDRESS_ 173 Main Jct�� Easthampton P.O. BOX 89
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration So r Panels NUMBER Of _
(_,�) STORY 1 a DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT _TTRA
(NO.) (S TR ET)
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: Tnstal l 3 REVPre Solar Panels 35" X 77" weighing 92.3# each on roof of
attached garage for hot water heating.
AREA OR ESTIMATED COST $_3l F
VOLUME EE MIT 16 nn --
(CUBIC/SQUARE FEET)
R
OWNER Kenneth I. n"Rripn BUI DI T.
ADDRESS 96 Rri dZp Rd- . Nnrtham�ni Ma_ 01060 BY
WHITE - FILE COPY - GREEN FIELD COPY - CANARY - APPLICANT COPY - PINK - ESSORS COPY