31B-167 (10) :ment of Building Inspections
2!z Main Street BUILDING 'q #
Northampton, Ma. 61060 PERMIT Oa
a
31B - 167
VALIDATION
DATE_ April 29. 19 Al PERMIT NO._ 1_FR9
APPLICANT Richard .i• Shea ADDRESS 137 Elm
(NO.) (STREET) (CONTR'S LICENSE)
-- PERMIT TO AAAitinn 1DP[`k NUMBER OF( _) STORY DWELLING UNITS 3 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) - 137 Elm ZONING p
(NO.) (STREET) DISTRICT URB
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: 1-a-stall-3-i-ag weden derak approx. 301 X 401 attached to wast side
of existing structure
AREA OR PERMIT
VOLUME (CUBIC/SQUARE FEET) ESTIMATED COST $ 4 Snn Q
FEE � 1Q9
�)
OWNER Richard A, Joan_Sbpg
BUILD
ADDRESS 137 RIM--S.*meet, ntOrrhamptOn, Ma. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - AS( ESSORS COPY
-Departmat of !�,fldiug bisp*ctionsi
212 $tv"t"
z
BUILDING '9 # 1p'-,/'?
O<
PERMIT
-314 167 L
VALIDATION
DATE ig 94 PERMIT NO.
APPLICANT Riehayd 30 Shea
ADDRESS 137 VIA
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO A STORY NUMBER OF S
(MI - I )
F
Vtlrn (
IMPROVEMENT) NO. (PROPOSED USE)
DWELLING UNIT
AT (LOCATION) 137 ZONING
(NO.) REET)
DISTRICT-
BETWEEN AND
(CROSSSTREET) (CROSS STREET)
SUBDIVISIONLOT
LOT BLOCK-S LOT
BUILDING IS TO BE FT. WIDE By-- tT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
q
TO TYPE USE GROUP BASO:MENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
3** X 40# to Wes t --Lda
J'r's
of existfus stZove"
I.
AREA OR
VOLUME ESTI IATED COST $ 4 PERMIT
(CUBIC/SQUARE FEET) FEE in 11
If
OWNER It 4 chazd ato A
BUILD
j&agd44
ADDRESS 137 Elm Stv"to varthmA"0 1 BY
WHITE FILE COPY GREEN - FIELDICOPY • CAN RY APPLICANT COPY d
PINK AS COPY
CITY OF NORTHAMPTON
9" "! MASSACHUSETTS
TW
�' OFFICE of the INSPECTOR of BUILDINGS
'°r W� Page r Plot
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
I• ZONING
AT (LOCATION) r137 ,, �( DISTRICT ti '4c� .
LOCATION (NO.) (STREET)
OF BETWEEN ��✓ /�CD//n.�i /?� AND CJLXGM.Q
BUILDING (C OSS 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, i/ any,
in Part D 13) 13 ❑ Two or more family — Enter19 ❑ Church, other religious
number of units— — — — —� 20 L❑ Industrial
3 Alteration (.See 2 above) 14l
t
l
t
t h
i
Transenoe , motel,❑ 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 — Speci/y 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 e;rivate (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••••,,•,•••,,•,, 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 ..................... p
c. Heating, air conditioning.......... (/
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT ® CJ
III. SELECTED CHARACTERISTICS OF WILDING — 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 DISP
❑ DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 Public or private company 48. Number of stories..............
31 [ ^od 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. PRIAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 F] Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevatory Full..�'f ....
54. Number of
46 ❑ Yes 47 ' I No bathrooms partial........
IV. IDENTIFICATION — To be completed by all applicants '
Name Mailing address — Number, street, city, and Stag ZIP code Tel. No.
Owner or
Lessee
Builder's
"L.
License No.
Contractor
I
3.
Architect or
Engineer > d
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
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
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date )ate
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 , S
Building. Use Group
Permit issued �yL 19XZ _
9 Fire Grading
Building
Permit Fee . �A:7_ 1.7ff% Live Loading
Certificate of Occupancy Occupancy Load
Approve y:
Drain Tile
Plan Review Fee
TITLE
J
NOTES and Data — (For department use)
ZONINGPLAN EXAMINERS NOTES
DISTRICT
USE
FRONT
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE • • PLOT PLAN For Applicant
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