23D-108 (6) 6141 7.1. ial , . ' r B(1!LDING Z0 -no
O
09 ra ' s315 - /o PERMIT as. 7/,v,./Q'7 •
,49, - (`� VALIDATION
�a+-V� I,r f . ?C ,133
�/ _ /�'�" DATE _19 PERMIT NO,a.
APPLICANT A le:ICf NE / I-1 VNAI . ADDRESS � J
(NO.) (STREET) (CONTR'S LICENSE)
OF
- PERMIT TO `4412.A.GrE, (_) STORY DWELLLRING UNITS
(TYPE OF (IMPROVEMENT) fjNO. (PROPOSED USE)
AT (LOCATION) ��✓ LDEa 6 �` ZONING
DISTR CT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY 0 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR /y
VOLUME ESTIMATED COST $ V �� FEEMIT (�a 0
�,/�,, j '` (CUBIC/SQUARE FEET) ,� I
OWNER k irt-.-...04—Ata ., �... '/r I,<` r,. -
ADDRESS / o •4 GC.L.-rL�C+ .�'9 BUILDING D��Pp��'�� .
r'
WHITE - FILE COPY • GREEN - FIELD OPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
_lb 7/P r‘erP7'2L6 zi8/ 4
.
ifciii....7 •7••••, n BUILDING cX 00
AI , �i .13D -_ %a& -PERMIT
1 1/1t'/fz
41.4„..e..4,..pA. 44:44 VALIDATION
i
pair
ki' N IE 19I vC1 BATE DES � / 9 �'�i/rifv�-LIT NO.<Y / S�3
APPLICANT ADDRESS
w /� (NO.) (STREET) (CONTR•S LICENSE)
PERMIT TO QAll,�i-�YE ( ) STORY NUMER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
�f �1 Sor ZONING
AT (LOCATION) / / DL�IV , DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
t
BUILDING IS TO BE �.�U FT. WIDE BY Au_e FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR 180 PVOLUME ESTIMATED COST $ �� �� FEEMIT d rs d 0
(CUBIC/SQUAREJ FEET)
OWNER ✓4IC�/� / BUILDING DL� ,
ADDRESS /e7 /�-. BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASS SORS COPY
!-,3 D _ ) d :' • , CITY OF NORTHAMPTON
/ MAS SACUSE`R TS
VIII. ZONING PLAN EXAMINERS NOTES �^`�- )ii$
,.: �,-`• 10 OFFICE of the INSPECTOR of BUILDI GS
• - Plot
DISTRICT Page -3 )7APPLICATION FOR
USE ..._.....t5;Zf----s-LA..) INSPECTOR ZON
BUILDINGRPERMITD
FRONT YARD /
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. 0
SIDE YARD SIDE YARD <slr 1. ` " g
ZONING
.F.
//
I. AT (LOCATION) / DISTRICT
REAR YARD LOCATION (NO') T)
OF BETWEEN AND
NOTESBUILDING (CROSS STREET) (CROSS STREET)
P� ` fi-e- 1-41-.----
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A — D -1
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
rn
-4
1 New building R idential Nonresidential
2 Addition(If residential, enter number 12 One family 18 [ Amusement, recreational
of new housing units added, if any,
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) 13 I I wo or more family - Enter 19 I Church, other religious
pp number of units- - - -->
3 I I Alteration (See 2 above) 20 [ Industrial
14 I I Transient hotel, motel, 21 L Parking garage
4 I I Repair, replacement or dormitory - Enter number
_
■
■ 22 Service station, repair garage
■ 5 I Wrecking (1l multifamily residential, of units - -i P 9 9
■ enter number of units in building in 15 Garage 23 Hospital, institutional
ill Part D, 13)
On • • 16 I 'I arport 24 Office, bank, professional
6I Moving (relocation)
unaN■ • : as•• •: : 7 I I Foundation only 17 I I Other - Specify 25 Public utility
y
•a:asraaaN•Npu•a :: a ■ 26 School, library, other educational
:::a::::::■:••NS+•a r
arts
•s:::Is■:::rs LaNr sumer a B. OWNERSHIP 27 Stores, mercantile
s r:•rr• • a 28 HTanks, towers
::r:ar e■ s 8 I Private (individual, corporation,
sans•■
■aaaa a nonprofit institution, etc.) 29 Other - Specify
sass ea■ :::::: ■ 9 I I Public (Federal, State, or
local government)
r■ WAS arNsewas
:: aa an a rN•s C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
•
a : : processing plant, machine shop, laundry building at hospital, elementary
_ : •fir lee 10. Cost of improvement $ , -, DO school, secondary school, college, parochial school, parking garage for,
r f department store, rental office building, office building at industrial plant.
:inTo be installed but not included If use of existing building is being changed, enter proposed use.
_ re_ • in the above cost
ACM ■.. •N•s••: : s � N: : a. Electrical
sr:s:n::srs•sr■:: seen : ■ ::
NNsiaNN as,,P
�r•�rN■::N :Gi: • �o. ■ :: b. Plumbing
Iasssuaas:::s:: :UM: s : : o. :roi■Nas.
'ilri::::'sans :=a= : a ':':::: °"•r 0. '- c. Heating, air conditioning
r : _ ,,, : :• d. Other (elevator, etc.)
aaa::ss:• _ ::sss:ss:::ss .
as=No�N■N= : Q _ :clra : I
INNNs • ■ Nr NNs : •� 11. TOTAL COST OF IMPROVEMENT $ DL/
r s::::::•a=i•i::::::::::: r:� : i
pp rir
:U:s: :ia... :s •rN• Na• N■ N• ■: "sass's.$;'. : ..r.: :m■•'
::::s:•s•ss•s■N■aN•ss:rrsa■:N••:r.. a..:wr •s psassNN•n••■auni7u ♦;.•r: : - _ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
s•:••:rs:•:::1" ./■ri■far•••aa.s...1.41.., ,WIS
•■• sa■aia•ns:::s•s:an:N::..4 a-- r.4i4::::: ::a::;:r■'` -iar::::•= for wrecking, complete only Part J, for all others skip to IV.
:sssss::s:• sa : N N N sr•a __
■
I: : •:N: rN +• ns • : : at r■4 ■nN ass E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
1 .•• • •sa . N■ss:ss:•••:•s , •.:■. •,.aiasMO•■ass ,'NNNa•:a,• Mi
ass:::::•:::•as■: �N NNNN •a■s•tI aa'a i
s s : ■E ■r,v .•• 48. Number of stories
,assus :evNNasri•as..usas:: ar •'+ raid sNa; .�_ 30 Masonry (wall bearing) 40I Public or private company
II 3a• ::•sa•::::i: • • aen•rr!•si i••==ar■ti ::i: 1.4.......
49. Total square feet of floor area,
55a■I::.Nrs•N••as••nassaa.::.•s:a •"a't■ 'a = 31 Wood frame 41 I I Private (septic tank, tc.)
•• + === all fle000n . o e�t�rlor�
is rss abNr Nssa=�• •r a:::::ass9r.a I. .' Si a• a•a::::s::•�:::s. ✓ ' "� ��
•aaaaa.sas:::::i:: • •as o�N•�,;• •N• ass :o:�i •••• . • 32 [ I iructural steel dimensions �/"• .-
■sass: s spas asrsss: Pa... ti sr■•■:•■as s s
�: iiN•r' • �,_ 33 Reinforced concrete
:::: :a aa, '. r•rN: ::I•4,-n 2 =aa==_--_ ■■ ••• I H. TYPE OF WATER SUPPLY
::::: �• +:pnN Firm
I •uri. -G.s o• ■ sNt : i:s::a.y:a. - �, aN•' sq. ft.
+iii• ••• •■ • iiis• • I sra, i : : : 50. Total land area,
:::::::srsa::sa: a: _ :: lima: ,s.,-■r.i :::s.....4.... iir1=; a:�r ::: .:• . S:fir=s 34I I Other - Speci/y 42 I I Public or private company
r i-iiii:�i:••:=isw■a •� ::::::�=r:•N:aaa•N•:lu s has :'ar ra. _ a• •a a•::::::::::i?i:L�i 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
• ••sss:::aa:us.aa••a'iI • /�1 ii■�,a �••nr '.i_ •,: Is : I ' Ya. � �)
it :s • s: ssvaas::::::::l::::::u:.■ '� ■NN:.�.:ai�.•aia.. ., ■ as •• :::::::• I=aaoa•_ . ins PARKING SPACES
'2•::::::::■-•yN::W=Sawa■■=::a::::::s:-----_ • n i s■ almesses"."a::■. : :::star= ::: 51. Enclosed
is:■ :aaaaa.=.. sacra:• s::as::sssss: .. - 'ia:a•:Z■:■a:: s.,■:.aii:•as::::::r• as • ■•i.•r F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
aa •safe nn a•ss•oun:ss:s:: a .•::::::rm. : ::: ::i�iNs ....a•rsii::iii�=�iias: slu l:■•I::::::S::s■a ...:::: :::::::::_:::::v74, 35 I I Gas Will there be central air 52. Outdoors
: ss ■a ♦6 • a s I■ss ssa•:ssass . s, :■s Yssa•:■r N.aa. s• :•s•••:ss:s�••sssa.sa:as.s.ss...s ,
ar : ::: '.. a.:• :•• ,. asra r• aN conditioning.
•r• • ••I:s: r N•NN • • N • �� N ■ . 361 Oil L. RESIDENTIAL BUILDINGS ONLY
iiid / `ss••:s: :::•aas : :•.: . :a:N.r•N.;s : 's aars.a..s::S.s:r..s s■::::: • ass•■:.:::•s••s M:".
4i aassaasass:::l=:a"•;•aa:::s•::ii i ::s::s::: s:•a•s=asasaas.asis■a:r:::Q:::::::::i:: :_:::::::::::::::::sir::::::Zk...■s•a 37 I -I Electricity ///�,�� 44 -I Yes 45 I No 53. Number of bedrooms
1 r ::::::::::::a:::ssa::asNN ■sass p. a si : Sass:s • s :wit:mN:•:s• a:::::::■saws i....:ss.. . .. .. . . -ma
4:ss a s::ss: •• . �j„:• • as bars:s • •.:s isiIhs Ss:lea:Nn•.assaasss�sss a s:•s;ss:N•.r:a:aaN••s•r:.s•:: og: I I Coal
=i::: :s:= :�I:in:II::::`:::mo i inglilg i um l 1= ompIaggran :•:a :::::::::::::::li:::s�s : ���::„a•:::: nuns—it 39 I I Other - Specify Will there be an elevator? Full
54. Number of
/ F-__:,..„6._,L1
bathrooms
46 I I Yes 47 [ I No Partial
BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I. /�/J NOTES and Data — (For department use)
Owner or ��/7 ��'"' �
Lessee
Builder's
2.
License 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 laws of this jurisdiction. —
Signatur f applicant Address Application date ,/ /� �—
--t/Lee11-
/I-,e1--(W..)41tet
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B T Date Plans B Notes
q Fee Started y Approved y
BUILDING
PLUMBING $
MECHANICAL $ .
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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 v33 FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group _
Permit issued f? 19 ..•
Building Fire Grading
Permit Fee $ c95/ )6
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE