35-219 (3) —THIS PLAT NOT FOR RECORDING PURPOSES—
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NOTE:IN ORDER THAT THIS APPLICATION MAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
WE CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXISTING CONDITIONS ARE AND
WHAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,mustbe filed with this application before a permit will be granted,one of which,upon issuance
of the permit shall be kept at the site during the progress of the work.
New..............:754
Addition........11
No.................-D, Zone..................., Type..................., Map..................... Parcel..................... Alterations ....❑
Repair............❑
CITY OF NORTHAMPTON Demolition....11
e
MASSACHUSETTS
Application for other than a Dwelling Permit
(To be filled out in ink OR on a typewriter)
To the Building Inspector:
Date........................... ' 2c' �19 ......
Application for a permit is hereby made according to the following:--
1. Location, Street and No....., ..(�...�. n s:F l » ' /..............10.4.............................................
2. Nearest cross street................................................................................................................. Lot No....................
3. Owner's name k!�'.t..t-.,.IX r /...��. .e:--/ 4/Z /�/ Address
..... .... ..........
4. Architect's name.......................................................................... Address .............................................................
5. Builder's name ............................................................................ Address .............................................................
6. Use of building, Present Proposed
7. Building fronts on how many Streets?......../!1 '. /.z............................................................................................
8. Is building in fire district?........................................................................................................................................
9. Size of building,Width in ft. Length in ft. 7. .1T., Height in ft.........11..
10. Distance of building from Street Line..A 5-.'x%, left lot line./.At P., right lot line..C'.`.0`21 rear lot line,�- f-7
11. Type of construction(check one): 1-A.......... 1-B .......... I -C .......... II.......... III.......... IV.......... V ..........
Stories B 1 2 3 4 5 6 7 Roof
Story heights in ft. / /c ✓'/
Thickn's of walls in ins. rN
Material of walls Si%ii L
Material of floor/roof
Design live load
Design dead load
Occupancy or Use
No.of persons/families G
No.of stairs C)
12. Soil under footing is.......5 :`1 l
...............................................................................................................................
yr S
13. Depth of footing below grade..........ter".'./............... ft. Will piles be used. ................... ..............
14. Area of entire building(Present plus new) ..../.. yv. S '. .�.............................................................. sq.ft.
15. Type of roof-flat....................... pitched........ Material of roof covering........?.. f:.......
.......... ................
16. No.of elevators....�:....... Method of heating.... System ...........6.................. Fuel .........0..................
17. Are live loads noted on drawings? ................ Are all other structural conditions noted on drawings?..At...........
18. Building(will be)(is)equipped with sprinklers?.............. ............... With sprinkler alarm?...........�..............
19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons?
........................... U...............................................................................................................................................
20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging
/t/U
house or tenement house having 8 or more rooms above the second story? ...........................................................
21. How many exits(per floor)to street? ............../....................................................................................................
22. Is building a"Place of assembly"as defined by the General Laws? .............�..0................................................
23. Will building conform to the General Laws? ......�. ljU....... Building and Zoning Ordinances?.........................
/.'
24. If a garage,distance from nearest building? ................ .............. ...........................................................................
25. If an addition,alteration or demolition,when was building erected?......................................................................
26. Estimated costs:- The undersigned certifies that the above stat menu a true to the best
General$......................................... 7rfin..r k�ledge lie ,
Plumbing............... ..................... n ':!:.......... : ::::.:.L.... ...
Gas Piping � .................. Signature of owner,architect or engineer
Sprinklers.............. �:.................. WRITTEN DISCRIPTION OF WORK TO BE DONE
//U (Use blank half of reverse side,if necessary)
Heating............................................
Electric .................. �5. .�.%'f.14.. .............. .G .. .v„C--
..........
lCf ` r� rnl �— �r:..�f:?1 ..........
Other.....................�....................... /.f.G`....�:�.�?.�S/.z................:...........5:.,../�:.�A..�..... ........
Total$............................................ .................................................................
P T,3T,14 P
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: � ZI L./���7 � �`�� t�'� gig-/�L�✓
Address: t GA ;2,:r _ f/ Telephone: ,,5,1
2 . Owner of Property:
Address: >1& 1_ ,q/ Telephone:
3 . Status of Applicant:XOwner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 3�) Parcel# t�l- �
Zoning District(s) (include overlays)
Street Address
Required
5 . Existing Pro used by Zoning
Use of Structure/Property x
(if project is only interior work, skip to #6)
Building height / x`71
%Bldg. Coverage (Footprint) 3 , r,. r �+
Setbacks - front = T
side T
rear =
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
-- : .- Loading -
Signs (�
Fill (volume & location) p
6 Narrative .Description of Proposed Work/Project: (Use additional sheets
:p�. .�,�. x�ifnecessary) �aOif��1=���-` • ST.E•�l � LvO10,�
s
7. Attached Plans: Sketch Plan Site Plan
8. Certification: I hereby certify that the information contained herei
is true nd a curate to the best of my knowle,ilge.
Date: 00, r Applicant's Signature:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
V Approved as presented/based on information presented
Denied as presented
eason �r Denial.
Signat a of Bu k ing Inspector Date
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