32A-255 (81) ZONING •
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, stmt, city, and State ZIP code Tel. No.
1 JJ/Iyy// r
Owner or
!'1
Lessee
2. License icense No.
Contractor °
}-t-
3. �
Architect or y
Engineer t�r�('� ( .rt "tt'�.�'Y 7 v��i G_ � t� o
I hereby certify that 4ie prop sed 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.
$ignatur of p licant � Address 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 Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained 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 z FOR DEPARTMENT USE ONLY
Permit number I � J�
Building _ _ *—j Use Group
Permit issued ) t L 19 "
Building Fire Grading
--
Permit Fee $ r" - 1
Live Loading
Certificate of Occupancy $ APP Occupancy Load
$ r by �
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
INSPECTOR 31�) P_ ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
_ ZONING
1• AT (LOCATION) DISTRICT
LOCATION (NO') (STREET)
OF BETWEEN cta: 1• J _ AND r S.'
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
-'t
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
number of units- - - - > 20 L❑ Industrial
3 Iteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -- 22 ❑ Service station, repoir garage
enter number of units in building in 15 ❑ Garage 23 L❑ H spital, 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
. C-6 0 processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,•,•.•....... -'t 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 ('70
a. Electrical..................... ( G ��Kt} .� G r
b. Plumbing .....................
c. Heating, air conditioning ....... s
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
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 J_ "'a onry (wall bearing) 40 Public or private company 48. Number of stories..............
1 49. Total square feet of floor area,
31 °Wood frame /3 /ri ��- 41 ❑ Private (septic tank, etc.)
/ 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. ..........
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........................
conditioning?
36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [_-] Yes 45 I_f No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - .Specify Will there be an elevator? 54. Number of Full..........
-
46 ❑ Yes 47 L?J'No bathrooms partial.......
r
• DELI. O' ��.BUILDING INSPECTIONS Z
BUILDING ,
12 Main Street OO< - F
I CL
Northampton, MA 01060 PERMIT
VALIDATION
DATE 01PI g;4 "I�( 19 L PERMIT NO
APPLICANT (i '? ( w) d � ADDRESS-�. ( ;��<} i 4• d:.J3' �lc)C t?'.orl
IND.) (STREET) (CONTR-S LICENSE)
d11 • ,z c a NUMBER OF
PERMIT TO 1 r (_) STORY 9 ( i e,� ac DWELLING UNITS
Ay. (TYPE OF IMPROVEMENT) NO.
t S (PROPOSED USE)
OaSTRICT AT (LOCATION) -)art Br`u`t/ lnq Str.�c c
(N0.) (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
as, �
(TYPE)
REMARKS: r i,m t for alterations -to existing space on second `loor tQ cla 2 e in:.-x}
offices for district a-torney
AREA OR a PERMIT ,
VOLUME ESTIMATED COST .� � .r� FEE � i 'z+
(CUBIC/SQUARE FEET)
OWNER 11 0f t`_Day` nprfin � �'1
T) ( l t3l BUILD[
�� �` `i r
ADDRESS lintel Hnr.tt3am t.nn, 1jji nci - trpcat , nrhn�I.�n BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY PINT P
DEPT. 0 :UILDING INSPECTIONS BUILDING 2O �
± 2 Main Street
Northampton, MA 01060 PERMIT oa
32A - 254 VALIDATION
DATE � 19 PERMIT NO. 132
APPLICANT Oliver Iselin ADDRESS 8 Union t. , Northampton 038073
INO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration STORY Office Space NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Court Street/King Street ZONING Cg
AT (LOCATION) 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
,y�p,�{Xy� �}(g�y�yp� (TYPE)
REMARKS: permit for alterations to existing space on second floor )Q)t�SIfJJXto change into
offices for district attorney
AREA VOLUME ESTIMATED COST $ 34,200.00 FEEMIT 124.00
(CUBIC/SQUARE FEET) _Q
OWNER RI)-st Off DPvPI npmPnt Grnl)p
ADDRESS Hotel Northampton, Kinq Sirpet., Northamptnn er G T
bF
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY 016P