17A-286 (6) Vill. ZONINGPLAN EXAMINERS NOTES
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
Lw�2 tJ
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.Co
Owner orb 1
Lessee 10
�i ] Builder's
2. I6�"(l slYrt `+r"^°' t License No.
Contractor
03 Y71 fo
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.
Sig ure pKapplicant 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 Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
Permit or Approval Check Obtained 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 FOR DEPARTMENT USE ONLY
Permit number
Building• %ir ,� " / r. a Use Group
Permit issued 'If° 19 1�_✓
Building ?B, Fire Grading
Permit Fee $ ;?-e),no
Live Loading
Certificate of Occupancy $ Occupancy Load
ed by:
Drain Tile $ /
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• Ak . s MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
-711 Page Plot' APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I•
ZONING
AT (LOCATION) 2—-z- C "y �r � t �l'� ��-"'� DISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 Residential 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 of units— — — — —> 20❑ Industrial
3 Alteration (See 2 above) 14 l
l
t
h
i
Transent hotel, mote ,
❑ 21 ❑ 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
6 ❑ Moving (relocation)
7 Foundation only 17 ❑ Other — Specify 25 C� Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 � Private (individual, corporation, 28 ❑ Tonks, 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,,,,,,,,,,,,,,,, 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 $
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 g 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
50. Total land area, sq. ft. ..........
34 ❑ Other — Specify 42 [y 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 MECHANICA
35 ❑ Gas Will here be central it 52. Outdoors........................
36 Oil con diti 'ng?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 L F J Yes 45 E7 No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full.........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
-' Partial........
Building Inspectors Office BUILDING ZD de)
212 Main Street IL y
Northampton, Na. 01060 PERMIT 0
VALIDATION
17A - 286
DATE April 4, 19-93 _ PERMIT NO. 146
APPLICANT Donald J. Teagno ADDRESS-196-P lumbtree Rd
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
226 Chestnut Street Florence DIISTR CT 1TRA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS 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: New Bay Window. New Closet Patti tions.Converting existing garage
AREA OR m$ PERMIT
VOLUME ESTIMATED COST 9-000 FEE
(CUBIC/SQUARE FEET)
OWNER Pptor Sch wart7- B PT
jw ADDRESS 776 rbestailt Street BY
WHITE - FILE COPY . GREEN - FIELD COPY . CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY