30A-004 (4) City of i\'ori-har ton
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INSPECTOR
Lour Hasbrouck Phone: (453) 557-5243 Chuck.v hsr
Building Commissioner Fax: (413) 587-1272 Assistant Comm'ssioner
FAX [ Rif: O: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
-PLEASE KEEP I H DOCUMENTS fill CH ONiOL nr CF t ORDER
DATE: y7946 MAP: -z(S BLOCK: ooy
FILE ADDRESS: d92 FGoR EiJC - RJ i LCR�P✓C�
NAME: A/zL&54 /1 di i 4NE
ADDRESS: I N(GFI /464A/) R8 rLo,REnl/E h% I)io60
PHONE #: 584- -466,
E-MAIL: 2 t& eg,t9i'-CaA-t ^ o�
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.
DEPT. OF BUILDING INSPECTIONS BUILDING ,e ,�_����
�j�:� 212 Main Street D<
^_ - .°
Northampton, MA 01060 PERMIT
30A - 4
VALIDATION
DATE Avant CI t,$ P$jiMIT NO. 504
APPLICANT Deborah Pl a'cido ADORESS -e9L p e ce f(a' burner
1110.1 (PTIIEEO (CONTN S LIC(NEEI
Alteration (_I STORY One Family NuMBER DWELLING UNITS
PERMIT TO —.-
( ort OT IMFNOYCMCxp NO, bnOPCSEO vu)
92
O 2 Florence Road ,oniG UKA
AT MoCATRWM 2DISTRICT
INO.) I•TNEET)
BETWEEN AND
([ROIs •TREETI (MM. STNEETi
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING 15 TO BE FT, WIDE BY FT. LONG BY FT. IN NEIGHT AND SHALL CONFORM IN CONSTRUCTION
Ya TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
It$ (TTfI
y
REMARKS: permit for the expansion of living s•ace to. the basement , i ,- S . .1st
ItSterat
(. ilk
VRLUME ESTIMATED COST $ 3,2550.00 FPEEEMIT $ 12.00
ICWIC/SOUME PERM
OWNER Same as Applicant / 774/2.114-2 ��
Ba LD1E „J
ADDRESS Same as Applicant's BY ✓• v
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPYarl
nil-n:4 S . - a CITY OF NORTHAMPTON
MASSACHUSETTS
Ar
=Fit'tie ed
_ t: OFFICE of the
��//�INSPECTOR of UILDINGS
'c• • ; Page .-2LJH Plo _._ APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O
—
ova. -+-s.�? REn1c RI , ZONING T mfie
AT IL6ChhON1-�. _._._.._.�
LOCATION 'Na' 1SteEET:
OF eETwErN AND —
BUILDING hoots 5T1EEL ,c oso ST4fELI
LOT
SUBDIVISION— LOT BLOCK —. She
tH
II. TYPE AND COST OF BUILDING - All applicants complete Ports A - D -4
—..�.....—_.. .�. A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use 111
FM
wi
1 En New building R si4nrial Nantes idenual
2 n Add,t oa(I/ nenter
r derztiaf, number 12 VI One family 18 L^ m
Amusementar tional
of n e' !rousing unr s added, itany. a
in Part D. 13) 13 b T or mor ;amity Fater 19 _ Ch ch, whet re l�giooz
3 [J1number'of t - --Os_,_ 20 [ 1 Indosthial
ii( Alteration nee above)
13 ni Transient hotel, motel, 21 Pocking
4 [J R• P replacementd Estrus number
� n9 pantile
bot
5 [,j Wreck (1f multifamily units
res:d-nerd, of r - _..__ .,,.� 22I Service station, raper garage
enterer mbe of units en btdLfing r 15 C- Garage 23 i I Hospital. insumtianal
!'tart D. it/ — p
6 1 Moving (relocation)
16 0] Carport 24 j Office, bank, professional
?-- Fo„n,.o. y 17nji Other Speii...� 25( Pirie utility
2611 School, library, other educational
B. OWNERSHIP 271 : Stores, mercontne
LB F• rivoler [individual, corporation, 281 Ta•.ks, towers 1
nonprofitmaim io etc.) 29 , j Other - Speeds 1
9 LT_ PobIic (Federal, Stole, or
local government/ -_
C. COST (Umrt cent') Nonresidential - Describe in detail proposed use of buildings, e.g„ food
^�
(�(�Vc
en processingplaa n
machine shop, laundry building at hospr al,elem t
10. Cost of improvement $ 3, VUt school, secondary school, college, parochial school, perking garage for y
b. '-taped hut not included departmentstore, rental officebuilding, officebuilding at industrial plant.
16 If use of existing bedIding ' being <bong dd enter proposed ISe
in the
o. EI tbcele cost plJ00%11° NE� {„f V ex fr1 t- c /N\i:P _. b....
b. Plumbing 1504e°
MAI« T,AStcct1a ' -e *H�S.?Awce =,,—
e, Heating,Cif conditioning
d, Other(elevator, etc ) �y •.—.--.--.
�t
11, TOTAL COST OF IMPROVEMENT $ 7-St '_
lit SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Pons E - L,
for wrecking, complete only Port i, for all others skip to IV,
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL .1, DIMENSIONS
301 [ Masonry (wall bearing) 40 Public or prl eta co ony 413, Number of stories __
31 Wood (were 41 L rt
P .me fseprs:r. tank, etc,) 49. Tmol z re Het of floor
all floc ,abased on exterior
32 `,~I Structural steel drcmensiOns
33_11 Reinforced concrete H. TYPE OF WATER SUPPLY
34 . 3 Other - SpeciR . . 42 r/l, Public of or,vote cowpony `A- Tarot land area, sp. ft
43 r,n Prr.nte (well. cistern,, K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SI. Enclosed
5 LTJ
3Gas Wilt there be centhel air 52. Ovid r
36 Lp O'I
221d787691. �/� L. RESIDENTIAL BUILDINGS ONLY
3? Electricity 44Yes 45 e" No 53 N.mbv of bedvaoRz _i__
39 N
39 i O• ther - Spre'oy x. 1 n.ee be a, elevator+ lia\
54. eron bee
clij I Y 47-No L pans wet i\y. --�1
IV. IDENTIFICATION — To be completed by all applicants _
Names Mai ting address - Number, server City, and SIO ' ZIP code Tel. No.
owner ar `�eargk iiao; Cc ... a?r�.,3—1 o rQr. �— 010(,0 5917
Lessee
Hgal rtghe. 1�locl�J - � n . . 5r OOt
1 �J
H Bce", ESE License No.
Ccnraamt
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.
Signature of applicant Address 1r.4 ApplicationCddattee
DO HOT WRITE BELOW THIS LINE
V, PLAN REVIEW RECORD — For office use
Plans Re.iew Required h<4Plan Review Dote Plans Dote Plnns B Notes
Fee Starred By Approved Y
BUILDING $
PLUMBING
MECHANICAL $
ELECTRICAL $
OTHER_„
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit Or Approval Check Obmined 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
Permit number 5)( FOR DEPARTMENT USE ONLY
Building r r use Group _
Permit issued "y ! ( _ l9 Y 7 � �—
Building �� Fire Grading _..—.
Permit Fee $ coding
Certificate of Occupancy $
APpro ed by
Drain Tile b
Plan Review Fee $ r-
7 n,
TITLE
NOTES and Data — (For department use)
PLAN EXAMINERS NOTES
Vitt. ZONtN�
OISTRIGT - - --
-
Ut£ S IDE D
FRONT YAR9 ------------_
REAR YARD �---- --- -
NOTES
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