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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, street, city, and State ZIP code Tel. No.
' /
Owner or 5VY37N
Lessee Le" � Bui Ider's
2 License No. o
Contractor
7 �
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 d to AZ�
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check obtained 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
I1. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building �7 Use Group
Permit issued 19 Q 7—
Building (J (* Fire Grading
Permit Fee $ /1 ` c'K J
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ t
TITLE
P
CITY OF NORTHAMPTON
9• .� MASSACHUSETTS
$ OFFICE of the INSPECTOR of B LDINGS
T Page - Plot X11.7 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
• ZONING
I• AT (LOCATION) f-r-5•-" (,(J / ��l""S ` DISTRICT] -
LOCATION r(NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
S/s
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
I�
1 New building Re id olio( Nonresidential
2 F-1 Addition(If residential, enter number 12t❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Past D, 13) 13 ❑ Two or more family - Enter 19 Church, other religious
number of units- - - - -->. 20 ❑� Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑ Repair, replacement or dormitory = Enter number 22 -� Service station, repair garage li
5 ❑ Wrecking (If multi family residential, o". units - - i __
enter number of units in building in 15 r aroge 23 j Hospital, institutional
Part D, 13) r
-
16 L Carport 24 L- �, Office, bank, pr•u?essional
6 ❑ Moving (relocation) —1
1? L� Other - Speci/� _ 25 �� Public utility
7 �❑ Foundation only
26 L_J School, library, ether educational
B. OWNERSHIP B. Stores, merconti1,
8 Private (individual, corporation, 28 ❑ Tanks, towers I
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.......................
b. Plumbing ............ ......
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ �r
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 [L�Vood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, X
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........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [—] Yes 45 �o 53. Number of bedrooms.............. �^
38 Coal
39 ❑ Other - Specify rii/IQ_� - Wi1I there be an elevatoro Full.......... ^`
54. Number of
46 Fl Yes 47 ' No bathrooms --1
Partial.......
DEPT. OF BJILDING INSPECTIONS BUILDING z°
212 Main Street O<
Northampton, MA 01060 PERMIT
35 - 38 VALIDATION
DATE December 22, 19 8; PERMIT NO. 84C'
APPLICANT JargijPS Vadnals ADDRESS 34 Silver St. . Springfield 014589
7 INO.) (STREET) (CONTR'S LICENSE)
N W RULid1C1 NUMBER OF
PERMIT TO P L1 C7 fi) STORY_ Car �ir�rA(7R DWELLING UNITS
(TYPE OF 1MPR O�E ME NT) NO. (PROPOSED USE)
AT (LOCATION) iw WPSt. Farmc, Rn (1 a ZONING DISTRICT-DISTRICT JIC
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the ocnstruciton of a detached 2 car garage
AREAME OR 576 sq. ft. ESTIMATED COST .� 8,800.00 FEEMIT $ 28.80
(CUBIC/SQUARE FEET)
OWNER Edward Chastine
ADDRESS 190 West Farms Road BYILDIN( gFT/ j
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INT p