35-182 Departmenof Building Inspections
212 M:>'Av S reet BUILDING
Northampton, Ma. 01060 0 a ' ,
PERMIT
35-182
VALIDATION
DATE Febrile 157 19 83 PERMIT NO. 9(7
APPLICANT 08Gj1 R. _10cohn ADDRESS NO. (Al 030739
I STREET) (CONTR'S LICENSE)
NUMBER OF
-
PERMIT TO (_) STORY R olar n DWELLING UNITS Z 0 MENT) N0. (PROPOSED USE)
AT (LOCATION) 5 Pine Val I ay Rd- ZONING
DISTRICT RR
(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
(TYPE)
REMARKS:
AREA OR VOLUME ESTIMATED COST $ 5800.00 FEEMIT Q 24_0n
(CUBIC/SQUARE FEET) 'P
OWNER RA1 b r.- rhA1 1 Pt
BOIL %1T
ADDRESS 5 Pine VA1lgyRd- . Northampton, Ma. 01060 BY L
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY - PINK - SSESSORS COPY
ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
1
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or �•w
Lessee
Builder's
2. G� 7e 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 (.applicant ) Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B 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 Obtai ed Number By Permit or Approval Check Obtta}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
Bui Iding.
Permit issued �. ^- ! S 19 Use Group
Building Fire Grading
Permit Fee $ �� "I
Live Loading
Certificate of Occupancy $ Occupancy Load
App ved by:
Drain Tile $ )r
Plan Review Fee $ f
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
r
$ OFFICE of the INSPECTOR of BUILDINGS
Page Plot L� APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) �+ DISTRICT
LOCATION (NO.) (ST ET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -f
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 rK Addition(if residential, enter number 12 One family 18 F—] Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 D Church, other religious
number of units— — — — 20❑ Industrial
3 F__1 Alteration (See 2 above) 14 Transient hotel, motel,
21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (it multifamily residential, of units ——————— — -- 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)
7 ❑] Foundation only 17❑ Other — Specify 25❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
28 ❑ Tanks, towers
8 Private(individual, corporation, Specify
Other — S
nonprofit institution, etc.) 29❑ p fy
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 $
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
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 LJ Electricity 44 ❑ Yes 45 ❑j No 53. Number of bedrooms..............
3B ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
— 54. Number of
46 [—] Yes 47 ❑ No bathrooms
— Partial.......