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SIDE YARD SIDE YARD
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IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and Stag /ZIP codeO Tel. No.
Owner or
O Z- 00 4'c
Lessee
Builder's
2. License No.
Contractor
3.
Architect or (/ V
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.
Signatu of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. AN REVIEW REC — 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
Permit or Approval Check Obtain d 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
Building Use Group
Permit issued ��( � s 19
Building ` Fire Grading
Permit Fee $ / 3 7._�� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: Q
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of th INSPEC;TOR of BUILD NGS
r
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORRTfA�N—T-+ Applicant to complete all'items in sections: I, 11,, III, IV, and IX. O
I•
ZONING
AT (LOCATION) / ( � !� / /—°/ ✓rCs // � �C
DISTRICT
LOCATION —� I06 1 (5 E T)
OF BETWEEN AND
BUILDING (CROSS 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 bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 Church, other religious
3 Alteration (See 2 above) number of units-- — — — --)� 20 ❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multi family 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)
17❑ Other — Speci/y_ 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP r �r+� 27 ❑ Stores, mercantile
8 ❑ Private (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••••,,,,,......• I r C� 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..................... 0
141
b. Plumbing ...................... o
f
C. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUIL ING — 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 DISPOSAL J. DIMENSIONS
30❑ 48. Number of stories.........Masonry (wall bearing) 40 ❑ Public or private company •
31 ❑ Wood 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
conditioning?
36 E] Oil L. RESIDENTIAL BUILDINGS ONLY !�
37 ❑j Electricity 44 ❑ Yes 45 -] No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — .Specify Will there be an elevators Full..........
54. Number of
46 [7] Yes 47 ❑ No bathrooms
Partial........
DEPT.4&DING INSPECTIONS BUILDING ZO 1,5 7.
ain Streeter
Northampton, MA 01060 PERMIT
28 - 33-20 VALIDATION
DATE October 19. --i9 87 PERMIT NO. 705
APPLICANT_-lamps F R l.Q ADDRESS 26F West Farms Road Owner
IND.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al torat i nn/1�ddi t i STORY GarAgp.. E1f13 Sh 2nd floor DWELLING UNITS
I OVEMENT N0. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT URA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT 13LOCK 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:
attached one car garage
AREA OR 286 sq. ft. garage 616 sq. ft. ESTIMATED COST $ 22�000.00 FEEMIT � 137.50
VOLUME
(CUBIC/SQUARE FEET) Second Floor
OWNER Same as Applicant
ADDRESS Same as Applicant' s BY
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY a PINK - ASSESSORS COPY PINT P