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SIDE YARD SIDE YARD
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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 State ZIP code Tel. No.
Owner or
Cas�w,a !�� v �ta„ `OLPtn<�° 01060 5*(,-;2U
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.
Signature of applicant Address 0 /0(06 Application date
00 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
Permit or Approval Check Date Number B Permit or A rova l Chec Date Number B
Obtained y pp Obtained y
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
Permit issued 19 Use Group
Building Fire Grading
Permit Fee $ � i .l �� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b •
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
B. .8 MASSACHUSETTS
• a
$ OFFICE of the INSPECTOR of BUILDINGS
1
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
i ` �� `V ZONING t h
(• AT (LOCATION) DISTRICT
LOCATION G/� I (NO.) (STREET)
OF BETWEEN 1 I/ P �(},�loc� AND
BUILDING (CROSS STREET) (CROSS STREET)
^7 q LOT
SUBDIVISION �('
or"�` LOT tt BLOCK SIZE
Vr
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❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more fami ly — Enter 19 Church, other religious
3 ❑ Alteration (See 2 above)
number of units— — — — —)► 20❑� Industrial
14 ❑ Transient hotel, motel, 21 C� Parking garage
4 0 Repair, replacement or dormitory — Enter number
5�Wrecking (11 multifamily residential, of units�--��—Q—.�—�—� --�� 22 Service station, repair garage
enter number of units in building in 15 Garage G"1 — �"`° ` 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 27❑ Stores, mercantile
8 KPrivate (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
f I processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, J
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
r
a. Electrical......
,
b. Plumbing ......................
c. Heating, air conditioning..........
>f
d. Other(elevator, etc.)............. /�\
11. TOTAL COST OF IMPROVEMENT "'1 Vf Gr c'Pm r a` e 4 tag .1 W, ..
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 ❑, Public or private company 48. Number of stories..............
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior ss �
32 ❑ Structural steel dimensions ..................... ry
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........................
36 ❑ oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 L_ No
_ _ 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
—
46 Yes 47 No bathrooms
Partial......
a DEPT. OF BUILDING INSPECTIONS BUILDING °- ) ) �—
*, ! 212 Main Street O<
I IL
Northampton, MA 01060 PERMIT
29 - 344 VALIDATION
DATE Jan. 24., 19 89 PERMIT NO. 50
APPLICANT_ Glenn A_ Fast.man ADDRESS 94 Austin Cir. , Florence _ Owner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY (iaraC7P DWELLING UNITS
(TYPE OF MPRO EMENT) NO. ROPOSE0 USE)
ZONING URA
AT (LOCATION) AQ AI ICt i n C i r_ DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT. BLOCK 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: Qyi-stilag ed
24' X 18'
VOLUME 432 sq. ft. ESTIMATED COST $ 5'400.00 PERMIT 20.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS Same as pp scant S 9YIL `-
WHITE ^ FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY pomfp