35-207 (11) Vill. ZONING PLAN EXAMINERS NOTES
FRONT 1 DISTRICT
USE
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code T*r. IVa.
Owner or
Lessee
Builder's
2.
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 ]ZfapIicant Address Application date
(.
00 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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obttaitned 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
Building. Use Group
Permit issued ( ,yC%_� 19ze
Building Fire Grading
Permit Fee $ �v G.
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
_t
Plan Review Fee $
TI
0 0 CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page .'❑ Plots ❑
— � APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
AT (LOCATION) i ?� :fEt/ J �� DISTRICT.
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION U LOT BLOCK SIZE
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
M
1 New building Residential Nonresidential
2 Addition(11 residential, enter number 12 X1 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more fomily — Enter 19 ❑ Church, other religious
number of units— — — — --)w 20 �� Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1f 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)
17 ❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 ® 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
�g 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.......... �--T
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
Number of stories..............
30 ❑ Masonry (wall bearing) 40 ❑ Public or private company 48. ................
Total square feet of floor area,
31 � Wood Frame 41 �_ Private (septic tank, etc.) 49. all floors, based on exterior
32 ❑ Structural steel dimensions i /
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 I J Other — Specify 4� Public or private company 50. Total land area, sq. ft. ........... frCi f
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
r
35 [ Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 �!(j Electricity 44 L F—J Yes 45 No 53. Number of bedrooms..............
38 �f Coal
39 Other — Sbecify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 I__�] No bathrooms Partial /
INSPECTION RECORD
DATE NOTE At - CRITICISMS AND REMARKS INSPECTOR
\�/ , L/T t
Department of Building Inspections FIELD COPY
212 Main Street BUILDING
Northampton, Mat 01060 PERMIT
35 - 207
DATE L`l9iblr � 19 80 PERMIT NO._ 709
APPLICANT Stephen Noceza ADDRESS25 Usyl a Str Ea sthaWton
(N0.) (STREET) (CONTR'S LICENSE)
PERMIT TO D1w1el�int ( TORY B.lt�dtac! NUMBER OF
UNITS
(TYPE OF MPR OV E ME NT) N (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT SR
(N0.) (STRE T)
a BETWEEN a AND
(CROSS STREET (CROSS STREET)
a LOT
m SUBDIVISION OT BLOCK SIZE
a
r
O BUILDING IS TO BE 22" FT. WIDE BY T.UNG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
ID
O �
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
It (TYPE)
0 REMARKS: Woad frame, electric heat, griyate gewage disposal, public water supply,
3 bedroolans, 1 full and 1 partial bath.
AREA OR .� PERMIT
VOLUME_ 1200 ESTIMATED COST $ 22,000 FEE $.66.00
(CUBIC/SQUARE FEET)
OWNER __ Stephen Nocera
ADDRESS 25 Davis Street, EasthMVton, Ma. 01027 BY' Pr