17C-223 (21) Location.....................................................................
PermitNo. .................................................................
Application for other than a Dwelling
Permit Granted........................................... 19.........
To ..............................................................................
` NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE AND
WHAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,must be filed with this application before a permit will be granted,one of which,upon issuance
of the permit shall be kept at the site during the progress of the work.
New...............❑
Addition........❑
No.................—D, Zone...i:,. ....., Type....AA......, Map..1.3:.3 .'/GParcel.......1.��.... Alterations ....V
�tpT
Repair............4,
CITY OF NORTHAMPTON Demolition....❑
B " �
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MASSACHUSETTS
Application for other than a Dwelling Permit
(To be filled out in ink OR on a typewriter) /
To the Building Inspector: Date... r....f ....�.............. 19 �
Application for a permit is hereby made according to the following:~
1. Location, Street and No. 7C... '/ fi� ..S �"
...................... . . ........................................................................................
2. Nearest cross street.......AtIA. ..AF A! .... .r1 /! ....................................................... Lot No....................
eA................................. Address .....�Q./L�5 L� .
3. Owner's name............1.1...i!'!.........���.1.4....... .....r..........�.............................
4. Architect's name.......................................................................... Address .............................................................
5. Builder's name ............................................................................ Address .............................................................
6. Use of building, Present.� .`'....°.. .......... Proposed ...............................................................
..........
7. Building fronts on how many Streets?.....................................................................................................................
8. Is building in fire district?........................................................................................................................................
9. Size of building,Width in ft. , Length in ft. , Height in ft...........................
10. Distance of building from Street Line................ left lot line..........., right lot line..........., rear lot line...........
11. Type of construction(check one): 1—A.......... 1—B .......... 1--C .......... II.......... III.......... IV.......... V ..........
Stories B 1 2 3 4 5 6 7 Roof
Story heights in ft.
Thickn's of walls in ins. , 2
Material of walls n
Material of floor/roof �, w
Design live load
Design dead load n �"
Occupancy or Use 0' /,;J: R
No.of persons/families 1
No.of stairs .�
12. Soil under footing is C,�i..r
.................................................................................................................................................
13. Depth of footing below grade.......!......... ft. Will piles be used?..........................
............ .........
14. Area of entire building(Present plus new) ........... ..................................................................... sq.ft.
15. Type of roof flat....................... pitched................. Naterial of roof covering... k!.S...r
16. No.of elevators....**Z... Method of heating... .mot:YSystem ................................. Fuel .................................
17. Are live loads noted on drawings? ............... Are all other structural conditions noted on drawings?...................
18. Building(will be)(is)equipped with sprinklers?.........Ae.' p
�!.............. With sprinkler alarm?..............................
19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons?
............................... !%1.............................................................................................................................................
20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging
house or tenement house having 8 or more rooms above the second story? ......... �'
...............................................
21. How many exits(per floor)to street? ............................�..........................................................................................
22. Is building a"Place of assembly"as defined by the General Laws? .............ek`.'....................................................
23. Will building conform to the General Laws? .......VA..�........ Building and Zoning Ordinances?..
24. If a garage,distance from nearest building? ......................................................................
25. If an addition,alteration or demolition,when was building erected. ..............)..... .....................................
26. Estimated costs:
_ undersigned certifies that the above statements are true to the best
General$ . U d s/t�er k hand beli
................`Q... ................
Plumbing.............. ... .................... 2
GasPiping....................................... afore of owner,architect or engineer
Sprinklers........................................ WRITTEN DISCRIPTION OF WORK TO BE DO/� ,
Heating (Use blank half of reverse side,if necessary) ,d,,,%�
.............Y ..... y/ :. -
Electric.............. y..5.................. .. ... ... .
. ... . . . ... .... ...
. ....�
Other /
. . ..... ....
1.
a k .Total$ i -.. G... ...... .............
IN
SNOP
i
tLocation.....................................................................
• Permit No. .................................................................
Application for other than a Dwelling
PermitGranted........................................... 19.........
TO ..............................................................................
M
NOTE'IN ORDER THAT THIS APPLICATION MAYBE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE AND
WHAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,must be filed with this application before a permit will be granted,one of which,upon issuance
of the permit shall be kept at the site during the progress of the work.
New...............❑
r
Addition........❑
No.................-D, Zone..... ...., Type....LO....., Map.;O :..11.4; Parcel.... .PL.2.... Alterations ....Cn
Repair...........$
QTNAMP
CITY OF NORTHAMPTON Demolition....El
q e
MASSACHUSETTS
Application for other than a Dwelling Permit
(To be filled out in ink OR on a typewriter) r
To the Building Inspector: Date.....y., .. :!............... 19
Application for a permit is hereby made according to the following:-
1. Location, Street and No....................� .... .. .t.........�j ......7 !..1..'.� .. .f................
MA-'P-LE
2. Nearest cross street......N��i.,�.b.G.�,?.�-..... .......................................... Lot No....................
3. Owner's name.......�..trv1....... ............................... Address ...... ..: I�.Lt"... ......EkA.F........
4. Architect's name........................° .................................... Address
............ .............................................................
5. Builder's name ............................................................................ Address .............................................................
6. Use of building, Present.�J9.IS.t.-251>tix.% Proposed ...........M.0...... ....................
7. Building fronts on how many Streets?.............I......................................................................................................
8. Is building in fire district?..............N... ................................................................................................................
9. Size of building,Width in ft. .........a.S.f.......... Length in ft.....�. ......... Height in ft....2. .7 ..........
10. Distance of building from Street Line...2.r)......, left lot line...1.:`x0, right lot line../i...., rear lot line.25.
11. Type of construction(check one): 1-A.......... 1-B A.... 1--C .......... II.......... III.......... IV.b..... V..........
Stories B 1 2 3 4 5 6 7 Roof
Story heights in ft. 2,51
Thickn's of walls in ins.
--•r
Material of walls // 11
Material of floor/roof 0 /!
Design live load
Design dead load ►/ //
Occupancy or Use (�+
No.of persons/families F
No.of stairs
12. Soil under footing is................. ...................................................................................................
................. ........
13. Depth of footing below grade...... .,,L..t. ;. ....... ft. Will piles be used?...................................
14. Area of entire building(Present plus new) ..............::�Gao.............................................................. sq.ft.
15. Type of roof-flat....................... pitched....,?( Material of roof covering.......EX.NS.1........................
16. No.of elevators..16.. Method of heating,�f ,fl',l System ................................. Fuel .................................
17. Are live loads noted on drawings? ............... Are all other structural conditions noted on drawings?...................
18. Building(will be)(is)equipped with sprinklers?.....J.'�o.................. With sprinkler alarm?..............................
19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons?
............... .......................................................
20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging
house or tenement house having 8 or more rooms above the second story?.............410......................................
21. How many exits(per floor)to street? ..............7...................................................................................................
22. Is building a"Place of assembly"as defined by the General Laws? ........../.r....D...................................../.............
23. Will building conform to the General Laws? .... ......... Building and Zoning Ordinances? .........7... ...
24. If a garage,distance from nearest building? ................................................................. .......................................
25. If an addition,alteration or demolition,when was building erected?....
26. Estimated costs:- The undersigned certifies that the above statements are true to the best
General$....... ................ of his knowled��,an elief.
Plumbing......... .-1.................. G'I ...
Gas Piping....................................... Signature of owner,architect or engineer
Sprinklers............ ....................... WRITTEN DISCRIPTION OF WORK TO BE DONE
.....
Heating -7 (Use blank half of reverse side,if necessary) .
Electric......... .................... ... .4—Rx'.t j.. i'14 .....
Other....... �Cj.<<„-'U..�/t�`�D/Y�.... 1�'c .,..`? Q. ....................
Total$ F.�S...................................
P1 .9 P
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O y
t led File No.
ZONING PERMIT APPLICATION
Zoning ordinance Section 10 .2
XJme of A licant : -� G , /UhlD� U
Address : 2 Telephone: - ?1
2 . Owner of Property: c I
Address : Telephoner
3 . Status of Applicant : Owner Contract Purchaser
Lessee Other (explain: )
0 4 . Parcel Identification: Zoning Map Sheet9 aZJ ParcelO ,'?a;3
Zoning District (s)
Street Address �-
LO
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property pf) iP -� 0 vii a
Size of Structure (sq.ft. ) ,L�, 6 1t1 �b �hcz/aG�
Building height
% Building Coverage
Setbacks - front
- side
- rear `76 i
Lot Size Q7z X 21.3
Frontage _- 22 _
Floor Area Ratio
0 % Open Space 3 9/o
7 Parking Spaces /,3b
Loading Spaces ,V'D
Signs 64 A't
Fill (volume & location)
6 . Narrative Description of Proposed Work/Proiect: (Use
additional sheets if lnecessary)
7 . Attached Plans : Sketch Plan Site Plan
S . Certification: I hereby certify that the ' ormation contain
herein is true and accurate to the be o my knaft e.
Date: Applicant ' s Signature :
THIS^SECTION FOR OFFICIAL USE ONLY
Approved as presented
Denied as presented
Reason for Denial:
Signature of.. BUIlding Inspector Date
wc.wr�.e.»�. .. ..r ti ,,,
` �� r., ;
t
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�'� ?�
s' N
� !.
.y
Date d File No.
cCA ' Z G PERMIT APPLICATION
•�C n Ordinance Section 10 . 2
1 . a INC , #0)V0te U
A Telephone: - a
2 . Owner of Property: S
Address : ucz ev Telephone:
3 . Status of Agnlicant: Owner Contract Purchaser
Lessee Other (explain: )
0 4 . Parcel Identification: Zoning Map Sheet, _ Parcel,#
Zoning District (s)
Street Address
5 . Compliance with Zoning: Existing Proposed
Use of Structure/Property /12/t P1 f 4fl 6i A-6:5
Size of Structure (sq.ft. ) 146 M _�(9 l haIJ4z
Building height a- f "
% Building Coverage a o/d
Setbacks - front _2.A;" /
- side p�-
rear `75' �
Lot Size a3 X
Frontage Z 2
Floor Area Ratio
% Open Space o/o
—� Parking Spaces l.3G5
Loading Spaces ND
Signs t
I Fill (volume & ldcation)
6 . Narrative Description of Proposed Work/Proiect_: (Use
additional sheets if necessary)
r ek'!G E /,5'f E4,
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the ' ormation containgA
herein is true and accurate to the be Vo my k e.
Date: Applicant ' s Signature:
THIS SECTION FOR OFFICIAL USE ONLY
Approved as presented
Denied as presented
Reason for Denial:
Signature o f Building Inspe Date
City of Northampton REQUIRED INSPECTIONS +
1 . Footings and Walls
2 . Structural Components in
BUILDING DEPARTMENT
-� Place
3 . Complete Building
BUI DING P RMIT
THIS MAY CERTIFY THAT Cecil Clark�` '; Insp. on Site — Foundations
has permission to alter space for an office/handicap toilet Insp. of Plumbing — Rough
situated on 76 Maple Street Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspe Aft
P INT SH P
� Il
4�HAMpT ``yy
City U -impton REQUIRED INSPECTIONS
; 1 . Footings and Walls
,. . BUILDING DEPARTMENT 2 . Structural Components in
Place
3 . Complete Building
No. 568 Office of the Building Inspector
Date September 19, 19 90
BUI DING P RMIT
THIS MAY CERTIFY THAT Cec-j Clark Insp. on Site — Foundations
has permission to alter space for an office/handicap toilet Insp. of Plumbing — Rough
76 Maple Street Insp. of Plumbing — Finish
situated on X.A.`,�
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough . b
spect conform to the terms of the application on file in this office, — ���
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
'�� A�"' r
Certificate of Occupancy
Building Inspe
POINT SH P