32C-145 (6) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, ritty, and State ZIP code Tel. No.
1.
Owner or ` A
Lessee
C Builder's
2. License No.
Controctor
3. F
Architect or NA
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 applica Address Application date
6' r ::1 Z s /./
00 NOT WRITE BELOW THIS LINE d/06
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
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta t ed 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 19 —
Building Fire Grading
Permit Fee $ '
Live Loading
Certificate of Occupancy $ Occ an)y Load..
$ Approved b �,�;�'`',�/►..Z-�"''�''
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON 1 /_oo-3
9• .� MASSACHUSETTS ;4 t(�
4 OFFICE of the INSPECTOR of BUILDINGS
Page Plot t� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
yy� � 77 ZONING
I• AT (LOCATION) ,-! ` t C�G` M,QN QQ�- DISTRICT
LOCATION (NO.) (STREET) ¢� rt l7
OF BETWEEN CI �t r
P1VST aT , AND --
BUILDING (CROSS STREET) (CROSS STREET)
LOT _L A C �
SUBDIVISION LOT BLOCK SIZE \ /� F►
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(1/ residential, enter number 12❑ One family 18 F-1 Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - -> 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 parking garage
4 � epair eplacement or dormitory - Enter number
5 F-1 Wrecking (11 multifamily 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 - Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 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................ �O 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 j� 1
a. Electrical..................... �'AQ\�
b. Plumbing ......................
5� ��r•� —rte �,. rho (�,,r� TO
c. Heating, air conditioning..........
d. Other (elevator, etc.)............. '1Cf;Cx� "1-6
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — 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❑ Masonry (wall bearing) 40'j�? Public or private company 48. Number of stories..............
31 � Wood Frame 41 D Private (septic tank, etc.) 49. Total square feet of floor area, I$( D 1 Loo
all floors, based on exterior
32❑ Structural steel dimensions ..................... :DA, 01 Mo,,
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........................ to
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY n
37 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. .0
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevators Full... .....
54. Number of
46 C-� Yes 471No bathrooms
Partial... ..
+'
�� `�
�` `°•..
�° �.
'.3
a DEPT. OF BUILDING INSPECTIONS BUILDING
! 212 Main Street O<
Northampton, MA 01060 PERMIT
32C - 145 QQ- g VA LIRA T IO/N1
DATE SPI)t.. 281Ar,rw' J "rg�I.MIT NO. 624
APPLICANT Britt Construction ADDRESS
IN O.) (STREET) (CONTR'S LICENSE)
OF
Repair Residential Units NUMBERNG UNITS
PERMIT TO (_) STORY
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
18 Michelman Ave. ZONING URC
AT (LOCATION) 01STRICT V
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO 8E FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit to repair front & Back porches and siding, repairs on brick foundation in cellar
AREA OR ESTIMATED COST 20'000 O FE)R $ 80.00
VOLUME
(CUBIC/SQUARE FEET) /f
OWNER Same as Applicant B
ADDRESS Same as Applicant' s
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY p '," '.P