29-379 (3) ZONING •
DISTRICT
USE
1.
FRONT
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, anti State ZIP code TiP .;No.
Owner or
Lessee
Builder's
l 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 Application date
r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
y
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obta ned Number By Permit or Approval Check Obtai 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
V11. VALIDATION
Building R, r1l FOR DEPARTMENT USE ONLY
Permit number
But Iding. p Use Group
Permit issued _ 19
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
ITL
CITY OF NORTHAMPTON
# +� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
"t Page ;5? Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
I•
ZONING
AT (LOCATION) j_ / •"�' / ^-'<" l 1 DISTRIC T
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building ReLsidential Nonresidential
2 Addition(1 residential, enter number
f 12 tKOne family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 3 ❑� Two or more family — Enter 19 ❑ Church, other religious
3ZAlteration (See 2 above)
number of units— — — — 20 ❑ Industrial
14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1f 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 ort 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
`l. / ❑
nonprofit institution, etc.) ��/ �G'�t V �` J ❑ 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,,,,•,•,•,••„•. 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.)............. �y
11. TOTAL COST OF IMPROVEMENT Is , (f
III. SELECTED CHARACTERISTICS OF 91.110DING, — 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 Z Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
❑ 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
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 7j Electricity 44 ❑ Yes 457� No '-
53. Number of bedrooms... .......
❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full...
54. Number of
46 ❑ Yes 47 No bathrooms partial.,.....
.�.�
Y
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` � � ,
�.
DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING a d, 7/1Yl'
NORTHAMPTON, MA. 01060 PERMIT a
29 - 379 VALIDATION
DATE_�7 y�19_81 PERMIT NO. 417
APPLICANT Jose' 0. avers v��ti Boil ADDRESS � 11_Flc�reacp Ed-
(N0.1 (STREET) (CONT R'S LICENSE)
NUMBER OF
PERMIT TO (_�) STORY Npn[1 & coat buffing DWELLING UNITS 1
'E F IMPROVEMENT) N0. (PROPOSED USED
ZONING tTpA
AT (LOCATION) 761 Florence RoAd 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: Fxtptic�r maannary chimney & install wood/coal bL+"*+in$ stove is
cellar
AREA OR PERMIT
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Tnntul 1)r Anti BUILDING PT.
ADDRESS 761 F1 nTPn 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY - ASSESSORS COPY