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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.
1. !
Owner or
Lessee !v
Builder's
2. if License No.
Contractor
v
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 this jurisdiction.
Signature of applicant Address -- Application date
00 N 0 T W R I T E B E
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 Is
OTHER is
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 n Use Group
Permit issued ' 4 19�
Building a--) Fire Grading
Permit Fee $ -
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�
. ' ' MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
t Page Plot �7 � APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. C)
ZONING
• AT (LOCATION) DISTRICT
I
LOCATION (NO') (STREET)
OF BETWEEN f �f1 t' z7 �Q ,d AND
BUILDING mgbss STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a
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 housing 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— —- — -.0. 20❑ Industrial
❑ 14 ❑ Transient hotel, motel, 21 Parking garage
4❑ Repair, replacement or dormitory — Enter number
22 Service station, repair garage
5 Wrecking (f/multifamily residential, o units -i
enter number of units in building in 15 Garage 23❑J 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 s��;� � !!Il J`l f �C/� 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,,•............. 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.....................
7� S f �S sf 1, J J7daJ
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
30 L] Masonry 48. Number of stories........
y (wall bearing) 40 [g Public or private company ..
31 Wood frame 41 E-1 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior r }r
32 ❑ Structural steel dimensions ..................... / 3 !•
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 Cf Electricity 44 Yes 45
[7] y No 53. Number of bedrooms..............
38 ❑ Coal �TCC
39 ❑ Other — Specify 611 Will there be an elevator" Full..........
54. Number of
46 t r 1 Yes 47 �cj No bathrooms
Partial........
DEP . BUILDING INSPECTIONS BUILDING z0
• 2 Main StA oloso PERMIT fa lT
Northampton, M
29 _ 378 VALIDATION
May 6, 88 283
DATE 9 any i 1 lE RoadNO 0
APPLICANT Albert St.Onge ADDRESS
(N0.) (STREET) (CONTR'3 LICENSE)
Screened in Shelter NUMBER of
PERMIT TO Addition (__i STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) _ 6 Brookwood Dr. DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO 13E 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 for the addition of a screened in shelter to used as a sitting area
AREA OR 1 .500.00 PERMIT $ 10.00
VOLUME 144 C(1 f ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Pr1J7ynskl - ,
BUILD, T Cj
ADDRESS 6 Brookwood Dr. - BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INT P