35-044 (7) ZONING •
IX. SITE OR PLOT
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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 �'J L Ll.� ��✓'�• ��' �}� �) �[
Lessee
- Builder's
2. �� s� 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 appli nt Address Application date
0 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 Is
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 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 7. FOR DEPARTMENT USE ONLY
Permit number `� 23
Building D Use Group
Permit issued r` 19 J
Building �j �! Fire Grading
Permit Fee $ w ` y 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
wt
Page 3_5 Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. C)
C �1 Fl ZONING
1• AT (LOCATION)❑?"� / f J k./ DISTRICT_
LOCATION Jv %l(NO') (STREET)
OF BETWEEN IMI i' �il/ --� . AND
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
rn
--f
1 Fj New building Residential Nonresidential
2 ❑ Addition(IJ residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new bousing 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- - - - -.3". 20 L❑ Industrial
❑ 14 _ Transient hotel, motel,
21 F1 Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 El Wrecking (If multifamily residential, of units ------- - -i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 ❑ Hospital, institutional
Part D, 13) 16 Carport 24 Office,ebank, professional
❑ � I-�
6 ❑ Moving (relocation)
17 Other - SpeciJy f � l 25 Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP -� /iz J- 27 Stores, mercantile
8 -Private (individual, corporation, 28 ❑_] Tanks, towers
nonprofit institution, etc.) 29 C] Other - .Specify
9 ❑❑ Public (Federal, State, or
local government)
C. COST (( mil 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,,,,,,,,,,,,,,,, �` C) L); 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/ ~
c. Heating, air conditioning.......... 10 �
�YD'L� �
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 ❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories................
31 ❑ Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area, ^
all floors, based on exterior
dimensions ) t
32 ❑� Structural steel ""'.....
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... L' -!
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 � No
. 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46 Yes 47 __j No bathrooms Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING
-22 Main Street 0a
Northampton, MA 01060 PERMIT <
K - 44 VALIDATION
DATE iiune ( I 19 87 Iv 373
PERMIT O.
PA&&~hrt -' E. Keefe?
APPLICANT ADDRESS
(N0.) (STREET) (CDNTR'3 LICENSE)
New Building ���) � � ���� NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Dodd ZONING CT `J `
AT (LOCATION) 908 Ryan,
(NO.) (STREET) ..
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE a ! FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS � c
i'l J ^JI�Sv'?' 1. i% ( ir, '4h )°`€ar
both sides and recr 1J.1nes
PERMIT $ j
AREA OR ; cf Sc, ft ESTIMATED COST $ ` ( -00 FEE a
VOLUME
(CUBIC/SQUARE FEET) '.
/'1 •
OWNER tll)i� s ` !. i BUI
ADDRESS ii;T a ) i 1 ic ant
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p Omp