32A-138 (26) :. DEPT. FILEFILECOPY
f zizt STREET
INSPECTIONS $UIQ DIN{ _^ CSC. �`j� Zs
NORTHAMPTON, MA, 01060 PERMIT
VALIDATION
72A. - 138 COIRSY # 79
DATE December 13, 1s 79 PERMIT NO. TOE 706
APPLICANT Vaailios A. Valles ADDRESS 25 Nein St.. N'ton.
Viol (STREF TI IC ONTR'S LICE Neft}
OF
PERMIT TO Alteration (_) STORY Offices DWELLLRING UNITS
(TYPE 25 OFf I MPROYEMENTI NO. :PROPOSED USE}
AT
AT (LOCION: Miro Street ZONING
IND.) ��.��yy�� (STREET) yy����"�. DISTRICT CB
BETWEEN Market AND Xing _
ma am
(CROSS STREET) WWII, STREETI
LOT
o- SUBDIVISION LOT BLOCK SIZE
am
Fc
O• BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
NI
O
Z TO TYPE USE GROUP EASEMENT WALLS OR FOUNDATION
I OGEE) ...—
o New partitions in renovated office
k REMARKS: ,
AREA ORS. PERMIT Qp.
VOLUME ESTIMATED COST $ 5.000 FEE W is.E S
(CUB!CI SOUAPE FEET:
OWNER 2O Main
aa Inc. �1 /
ADDRESS 25 MStreet. Nrttn. �.A./
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owns! of.recofd
and I have been authorized by the owner to make this application as his
authorized agent. _.
SIGNATURE OFAGENT
- . . ADDRESS
(NUMBER) (STREET) - • (CITY)
APPROVED BY TITLE
DATE 19
a
_ CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 — S PLAN EXAMINATION AND
36.1-A BUILDING PERMIT
IMPORTANT — Applicant to
to complete all
_items in sections: I, II, 111, IV, and IX. /\��/�� O
AT (LOCATION) i..? it-, / !
a ( /l ',J [,-1 DISTRICT �.l
LOCATIONO.) (STREET}
OF BETWEEN /MgYyer Y /TAND 7yye �/ L/'
)�
BUILDING `CROS' TREET
(CROSS sTRESTI
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D -i
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use ra
m
—I
1 1 1 New building Residential Nonresidential
2 1 I Addition(if residential, enter number 121 I One family 18 Amusement, recreational
of new housing units added, if any, 13 Two or more mail - Enter 19 Church, other religious
inPart D, 13) Ygious
number o/units- - - --M 20 Industrial
3 IKAlteration (See 2 above) 14 I I Transient hotel, motel,
4 Repair, replacement or dormitory - Enter number 21 Parking garage
5 I I Wrecking (1/multifamily residential. o/units y 22 Service station, repair garage
enter number of units in building in 15 F1 Garage 23 Hospital, institutional
Part D, 13)
16I I Carport 24I , Office, bank, professional
6 HI Moving (relocation)
7 Foundation only 17 E1 Other - Specz/y 25 Public utility
26 School, library, other educational
B. OWNERSHIP Dg Stores, mercantile
8 gi Private (individual, 28 Tanks, towers
corporation,
oq
nonprofit institution, ern.)a 29 U Other - Specify
9 1 I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g.. food
fprocessing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ 677C-01 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 E i ic,-,0�
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part 1, for all others skip to IV.aa.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 'RM
30 Masam 49. Numberato) square of stories //�elN
y (wall bearing) 40 ILII Public or private company
49. Totalfeet of floor area, /
31 117 Wood frame 41 Private (septic tank, etc.) all floobased on exterior _
32 I I Structural steel dimensions
33 Li Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other - Specify 42g
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 l 1 Gas Will there be antral air 52. Outdoors
PQOil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 1 Electricity 441 I Yes 45 I I No
53. Number of bedrooms
381 1 Coal
39 Li Other - Specify Will there be on elevator? 1 Full .----.--wwv.
54. Number of [l1
46 in Yes 47I I No bathrooms
Partial
NOTES and Data — (For deportment use) r
-'
IV. IDENTIFICATION — To be completed by all applicants
•
Name �_99�� Moiliaddress Number,
r,��{J beer, cur, and Staff, ZIP code Tel. No.
I.
Owner or -
J_--,
Lessee
//�� � ���sY Builder
1. s (/y[/iy< Oa Lice a No.
Contractor ``�� ��
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 lows of this jurisdiction.
Signyture of applicant Address Application dote
/J11Qdf;w /1 « a �
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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Date
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 in
Buildinga l� Use Group
Permit issued "—� / 3 19 7 9
Building SFre Grading
/
Permit Fee $ / � Live Loading
Certificate of Occupancy $ Occupancy Load
Ap by:
Drain Tile $ 72
/Jn/ �� d
Plan Review Fee $ ,r J/]�)
ITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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B OCA FORM APEBE - 669 01969 BUILDING OFFICtAI1 E CODE PDMINIBfgATOxs INTERNATIONAL, I NE