29-341 (5) i
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data —_��artmP�+ SPSI
ILI
3 '7 z -e- AvX
V V
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IV. IDENTIFICATION — To be completed by all applicants %%71 10414110,
Name Mailing address 1:umber, street, ci j�at� o/') ZIP code Tel. No.
Owner or ! hl � f%e eN `cc /vY &0 6 010 0 c)
Lessee
Builder's
License No.
2.
Contractor
3. 44%11
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 Application pdate
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Permit or Approval Check Obtained Number By Permit or Approval Check Obtat�d Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL I SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Bul Iding. Use Group
Permit issued
Building Fire Grading
Permit Fee $ f�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
r ''a CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of theq INSPECTOR of BUILDINGS
'"' Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
//,.{y'�
/ ZONING
I• AT (LOCATION) ___ Ile .l Ln in lei c 1 c 1L-1 rC p1 L'�°` DISTRICT V A
LOCATION ///J/ (NO.) (STREET)
OF BETWEEN /`TC.� AND jL..
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT_ BLOCK SIZE ,/ ,33
(/t
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
2IS;e"Addition(If residential, enter number 12 ® One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number of units- -- - - --� 20 L❑ Industrial
3 � Alteration (.See 2 above) 14 ❑ Transient hotel, motel,
21 �❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (it 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 - SpeciJy 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
r��� / processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement.... X,•, �"'�'61 Fi 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....................
b. Plumbing ....................
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 J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS i
30 L] Masonry (wall bearing) 40® Public or private company 48. Number of stories............... I
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. ..f 1G ��� �
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 L* Electricity 44 ❑] Yes 45 ❑No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - SpeciJy Will there be an elevators Full..........
54. Number of
46 ❑ Yes 47 Q No bathrooms
Partial......,
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3
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DeptI of Building Inspections
222 ain Street BUILDING oa �� /� /1
Northampton, Ma. 02060 PEId!l���T Oa v
PERMIT a
29 - 341
VALIDATION
DATE December 9, _19 82 PERMIT NO. 682
APPLICANT Mar annp RPri i n ADDRESS 11 R Austin ri rri p. Fl n_
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (1_) STORY Porch DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 11R Attatin rjrr]P_ F1ori-nce DISTRICT ITRA
(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:
(porch to be built in Spring)
ARA OR VOLUME ESTIMATED COST $ 600-00 PER $ 20.00
(CUBIC/SQUARE FEET)
OWNER Mazi nnne Rer]„in r
BUILDIN DE
ADDRESS BY
WHITE - FILE COPY GREEN - FIELD COPY + CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY