39A-76 (6) 9 •DEPT. OF BUILDING INSPECTIONS BUILDING io } '-as.cs )
j x Northampton,MA 01060 PERMIT
39A - 73-28-27-70 VALDATl ON
DATE Sept. 22, tqy{ai,4- PERMIT NO (�{1
APPLICANT Treebeard Assoc. ADDRESS 195 T , Supe LES, NorCtt•mptun
(MO.) uTMEETI ICONTN• Liens()
PERMIT TO Demolition t_I STONY Garage DOF
WELLING UNITS
ITTIM Or IM.EQVEMEMTI xp. IVROnoflO Vs[1
AT(LOCATION/ 19 Fulton Ave. ZONINGCT bb
Om.) WNW)
BETWEEN ANO
/CROSS STREET/ (cROss sTPEETI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SIALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
/TYKE)
REMARKS: permit for the demolition of existing garage/no utilities ever in building
VOLUME 450 Sq. ft. ESTIMATED COST $ 3,500.00 FEE 35.00
I CORM/5OUAAE rem
OWNER Same as Applicant z ,y�47/�
reartak
ADDRESS Same a3 Applicant's aF" p"*"`"� JJ
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY N PINK - ASSESSORS COPY r"�YK
f_^-�-7�t� CITY OF NORTHAMPTON
AirMASSACHUSETTS
w �
E �'t,.''t`I OFFICE oft1141 INSPECTOR of BUILDINGS
^�+a> Page ' Plot 73-22 -02-7-70 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR 1. BUILDING PERMIT
z
IMPORTANT — Applicant to complete all itemsections: I, II, Ill, IV, and IX. O
AT (LOCATION{ / FA./110 NJ /'F 7/U 2- ZONING
DISTRICT
LOCATION No.) ISTREEIJ
/
OF BETWEEN ` Ow 9. AND 64.. Yi9k4--
BUILDING ¢Ross sTRELn ECT.
LOT
SUBDIVISION LOT BLOCK SIZE
in
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D z
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" mos/recent use in
in
I New building —i Residential Nonresidential
2[ j Addition(U residential, enter number 12[l One family 18 Li Amusement, recreational
of new housing units added, i/ any, 13 Twoorore family — Enter 19 Church, other religious '
n Vml O, 13) m _
3 �� Alteration (rev 2 above) nuber of ana'e---- -> 20 CI Industrial
14 Li Transient hotel, motel, 21 I f Parking garage
4 1 I Repair, replacement or dormitory - Enter number
5 X Wrecking (Il multifarnay residential, of unrls - y 22 1 ] Service station, repair garage
Pr umbo of units in BnidinR in 15 yg Garage 231 1 Hospital, institutional
Part P. 13i 16 L- Carport 24 ❑ Office, bank, professional
6E Moving (relocation) 1VS 25 [ I Public utility
7 ] Foundation only '� Other - pace/y
26 Li School, library, other educational
B. OWNERSHIP 27 '-I Stores, mercantile
R 1 Private (individual, corporation,et2B [- Tanks, Owen
nonprofitinstitution, c.) 29 LI Other - Specify
9 I_1 Public {Federal, Stateor
local government) _
C. COST (Omit cent'-) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machineshop,slaundry building at hospital, elementary
10. Cost of improvement $ 35-00 school, secondary choocollege, parochial school, pa king garagen lar
departmentstore, rental office building, office buddng atindustrial plont.
To be installed but not included II use of existing building is being char.ged, enter propoed use.
in the above cost qq� �-y..� � � �] .,I-
a. Electrical /erhJ e ealiy1J t ' t#i, l(t e"
b. Plumb' g �hJ Z
•
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 .1 for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /
30 ErJ�Masonry (wall bearing) 40 blic orprivate company 4t Number of stories
31r Wood frame 41•'l'f •I rivate (septictank, etc.) 49_ Total square Feet of Floor
all floors, based on exterior
321 I Structural steel dimensions y 5/O
33 Et Reinforced concrete H. TYPE IF WATER SUPPLY
34 f] Specify ' ``//
Other - , blic or private company 50x Total lana area, sq. ft
III% 'I ovate (well, cistern) K. NUMBER OF OF F.STR EET
PARKING SPACES
0
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL - D
351 I Gas Will there be central52. Outdoors
361 I Oil //,/DII1VV// conditionings
J Electrici /,It/ L. RESIDENTIAL BUILDINGS ONLY
37 -
44IH Yes /'6/ T Na 53. Number of bedrooms 0
MI I Coal
39 ❑ Other _Specify Will there be on elevator' { Ful'
54. Numbof
46 HI Yes 47—I No bathrooms Partial
IV. IDENTIFICATION - To be completed by all applicants
Name Moiling address — Number. Street, Eaty, anti State ZIP code .. Tel. No.
Owner or
Trtebea-t, AsSec /q - iYi.; .0 s/ 5mid c z4 p/oho sst
L""` I -t- ZwHort-lin -.774e.0 Ma S36y
z. GeHS4.Redeoge• gQO 14or4ze way 51.L, de Dare L«^;: NNa. tiO
Contractor
ea....e.4 .eyulees /Uosnte // [r4 30096 ofzvzCat-iov6
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 a .ori zed agent and we agree to conform to all applicable laws of this jurisdiction.
Signature off •plic nt Address Application dote
! X64 co;/sA:.-e Dr s-A..e.> /Llre.a*v VAVP8
Di NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plan Review
z w Dote Plans B Date Plans
Plans Review Required Check Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote 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 (03 FOR DEPARTMENT USE ONLY
Permit number ��[[
Building Use Group
Permit issued C�Jti Cr.� I 19 Z%
Fire Grading
Building 3S. a a
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ �e - nn Ll Q 0
Plan Review Fee $ G�a.�'..�'�I �.i�s/�e.+/��
TITLE
NOTES and Data — (For deportment use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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'ME
is 5e�" 3,:e l:ils l...... •I' 't r.ria:u ': 3.:e:... INS::r s u:::s i
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a a; ey:Fie;n€:v iiia:u� .:itt'''i9''ie su:�;er.wea3i r:i':iii min
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2..
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ii'Cii i•s Skid
s::ra:...... a:aaa:aai i
:e ee�. us a :su En.. eae"iiaeni E EE�iu:..i; u:....... :e:s:: . ... ....s....=
sa:n ssa ssa:aa uu ::a: - a .:ruii:s:u- .. - :.
:i:EEP*?tIi-EriE.a:ruiEi ii.: ..„ARE:RIM "unman u
ELBE Sia 11::,11 rsMini;
W0//ar -,•:
bcerl � 1 / fo., IC } /GaC.
- location of drainage/run-off
- lowest floor/basement elevation (floodplain)
- location (distance) to nearest fire hydrant
- drawn, and stamped by a Registered Land Surveyor/Engineer
for those projects which involve, with the exception of
single and two family uses, construction of:
o any new structures,
o exterior additions, expansions or changes to
existing structures,
o interior additions, expansions or changes to any
structure which involves the expansion or addition of
any municipal water, sanitary or storm sewer
utilities.
PLEASE PRINT:
Location of Property#Iq t9 F„ I-t
7Cwedea.4 ,ASSbc.
Owners Name and Address: nss+411e14 a'4e 24 O. Tel. No:s86-.5.
Ceayinaieo t Zees Sant Se.o)c eS yey
Builders Name and Address:6E //eeze Lh73.n4- 4-V Tel. No: srz veyg
RoSrve-// 6.4. 36076
Proposed Use:
TO BE COMPLETED BY THE DEPARTMENT LISTED:
BUILDING PROCEDURAL FORM
COMMENTS AND RECOMMENDATIONS
CITY ENGINEER:
Water Uo T.E ; .J S tin..,J
Sewer r) -r $,1.oH.a
Drainage Tv xi) s i t _ W 4 , N oT Cri-\ OrA r,J
t
Building Elevation iiD
Curb Cuts i% Ar s T
Date in - — PY Signed: C,c-3-1LJ.. .W7
[ ] Check here for Disapproval
DEPARTMENT OF PUBLIC WORKS: COMMENTS & RECOMMENDED ACTION
- w; I 1 YJt in ,,rD n th
Date 1t - S — D Y Signed:
[ ] Check here for Disapproval
PLUMBING INSPECTOR: COMMENTS AND RECOMMENDED ACTION
Adequate Water Service
Storm Drains
Date: Signed:
[ ] Check here for Disapproval
ELECTRICAL INSPECTOR COMMENTS AND RECOMMENDED ACTION
Adequate Electrical Service
Date: Signed:
[ ] Check here for Disapproval
SUPT. OF WIRES COMMENTS AND RECOMMENDED ACTION
Approval & Recommendations
Date: Signed:
[ ] Check here for disapproval
FIRE DEPARTMENT COMMENTS AND RECOMMENDED ACTION
Hydrants
Alarm Boxes
Sprinklers
otherChecr <4.(n, go, ojv Pe.-ti nrs or Cra/Er'j "Smrac of oicsErr,
Date: Signed: A(" _ .__t,S(,,,,v„w��, �„�, {,./am. c.
[ ] Check here for disapproval
PLANNING OFFICE, (ZONING, LAND USE, AND SUBDIVISION CONSIDERATION)
COMMENTS AND RECOMMENDED ACTION
Land Use-R r (Mt S L i,,,(1 zrAsorcc
Zoning //e��� 1a4,- ,.-(.«�,.�
Dimensional Controls a
" . . .Approval not Required Plans. . . ”
Date: is % i/yv Signed:
[ ] Check bete for disapproval
PLANNING OFFICE (WETLAND/FLOODPLAIN CONSIDERATION) /
Remarks t�,�'� r� L. (_A . �7.. ( -Y (c-.-li
e.. -/-4 sx „' °'"1
Date: /1//3%4 ) Signed: ._ (Z.)
[ ] Check here for disapproval
WATER AND SEWER COMMISSION
Remarks
Date: Signed:
[ ] Check here for disapproval
BOARD OF HEALTH
Remarks
Date: Signed:
[ ]Check here for disapproval