35-109 (7) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT . 7
USE 4.1 401
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
19 1 r
IX. SITE OR PLOT PLAN — For Applicant Use
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BOLA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE D IS ATORS INTE NA IONAL, INC.
IV. IDENTIFICATION To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
C
Owner or u
Lessee
Builder's
2.
License No.
4C-
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
F(Gil,
DO NOT W R I T E BELOW T H I S L I N E
V. PLAN REVIEW RECORD For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL 1$
ELECTRICAL $
OTHER $
V11. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Dt
Permit or Approval Check Obtained Number By Permit or Approval Check obtaaine ed Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD I
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building
Use Group
Permit issued
Building Fire Grading
Permit Fee G,t Live Loading
Certificate of Occupancy $ Occupancy Load
Ap d by:
Drain Tile
Plan Review Fee
TITLE
a
NOTES and Data — (For department use)
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, It, Ill, IV, and IX. O
L�
-� t °t-t,� ZONING
AT (LOCATION) 0 L1 �
DISTRICT-
OCATION (NO.) (STREET)
F BETWEEN AND
UILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE I -1
f. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
k. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
rn
1 K 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) 130 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
5 ❑ 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, bank, professional
6 Moving (relocation)
17 Other - Speci/y 250 Public utility
7 ❑ Foundation only
26 0 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 F_ 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.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............ L
11. TOTAL COST OF IMPROVEMENT $ <-�J7z'
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................
49. Total square feet of floor area,
31 Wood frame 41 Private (septic took, etc.) all floors, based on exterior
32 Structural steel dimensions ..................... 4 t
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 7 f/
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❑ Electricity 44❑ Yes 45 0 No 53. Number of bedrooms..............
38 0 Coal
39 0 Other - Specify Will there be on elevator? 54. Number of Full..........
46 ❑ Yes 47 D�_No bathrooms Partiof........
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hereby. certify that the proposed work is authorized by the owner of record- �-
and I have been authorized by the owner to make-gills appkication as hi s
authorized agent.
SIGNA
�TUREe OF AGENT
ADDRESS
(NUMBER) (STREET) (C),TY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
Zp
BUILDING
OF BUILDING INSPECTIONS BrUILDING as
212 MAIN STREET PERMIT
NORTHATON, MASSACHUS TTS 35-109 VALIDATION
MP
DATE February 26, 19 7_ PERMIT NO. 55
APPLICANT_ James L. GOdin _ ADDRESS ? ll n T ace, F9n
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO New residential bld>?4_1_) STORY 118 B DWELLLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROP SED USE)
ZONING SR
AT (LOCATION) 23 Cahill ane TArrace --- DISTRICT
(N0.) (STREET)
a BETWEEN AND
a (CROSS STREET) (CROSS STREET)
LOT
m SUBDIVISION LOT BLOCK SIZE
a
0 p
BUILDING IS TO BE 16 FT. WIDE BY 28 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
d"
U. REMARKS: Construct detached garage
AREA OR
VOLUME 416 ESTIMATED COST $ r 0 0 FEE MIT 10,00
(CUBIC/SQUARE FEET)
OWNER James L ,rodin BUIL NG
ADDRESS -23 Cahill ant- T rrace. En arence BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
_._r__� _...... . ._ - , __ v_
y
Zp
D
AM o' a� )"I BUILDING a a
2'2 ' �y PERMIT
35-1" VALIDATION
DATE_ FAwm 24p 979 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO kift4--L) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
rn BETWEEN AND 0
n (CROSS STREET) (C S S T
B' SUBDIVISION LO B OCI SIZE
m
a ,t
u BUILDING IS TO BE * FT. WIDE Y F L Y FT. IN HE AND SHALL CONFORM IN CONSTRUCTION
O
m
Z TO TYPE USE GROU BASEMENT WALLS FOUNDATION
(TYPE)
0 REMARKS:
AREA OR ESTIMATED COST $ ; PER +
VOLUME !ins
(CUBIC/SQUARE FEET)
OWNER ism" U �� � � BYILDIN G;,➢�PT), '
ADDRESS
fj'` �AM
A- A
C
A
AIX-%
T
MAY t 6 1979
D
6 7,91i