31A-097 (9) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE • • PLOT PLAN For Applicant
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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.
1.
Owner or �� ZU I r✓ !� 1 ( 7 Lh / 33�3 �l ��pSt�ltt�tF'\ �1 �L� —S5t�C�
Lessee
_ Bui Ider's
2. i�t{��: UttC31 II� Ltvt r a /� CS12( A� ��2�� License No. °j4':I ZE,
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
J
n
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
Dae Date
Permit or Approval Check Obtat ed Number By Permit or Approval Check obtained 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 �r FOR DEPARTMENT USE ONLY
Permit number c7 1
Building- �', Use Group
Permit issued 19r
Building
�
Fire Grading
Permit Fee $ �5 C �l Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by( ,' p
Drain Tile
Plan Review Fee $
TITLE
9 � CITY OF NORTHAMPTON
`
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
$ P VT Page 1 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) __ _lfL 3 �f✓i <3�S �l ZONING +I 1'
DISTRICT
LOCATION (NO.) (STREET) q,
OF BETWEEN �J�..J.' -1i1 l l�J"��.� AND �����'
BUILDING (CROSS STREET) (CROSS ST RE T)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -Nf
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
M
1 ❑ New building Resid ntial Nonresidential
2 Addition(I residential, enter number
❑ � 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 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� epair'replacement or dormitory - Enter number
Service station, repair garage 5 Wrecking (1/multifamily residential, of units ------- - - 22
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 - Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 [X 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
Z �U U 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..................... /�l
b. Plumbing ..................... 4 C w U
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ IZ uUU
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
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 450 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Speci%y Will there be an elevators Full..........
54. Nuinber of
46 �� Yes 47 XNo bathrooms Partial........
EWPT. OF BUILDING INSPECTIONS BUILDING z D
212 Main Street o< �fJ
Northampton, MA 01060 PERMIT <a
VALIDATION
31A - 97 439
DATE July 24, 19 85 PERMIT NO.
APPLICANT J.A. Wright & Co. ADDRESS 115 Tndiisfrinl nriue 040674
(NO.) (STREET) (CONTR'S LICENSE)
Alterations One Family NUMBER of
PERMIT TO (_1 STORY y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
63 Vernon Street DIISTR CT AT
(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; permit for interior renovations* new ki i-rhen, batla end Paw d--L=y wall
AREA OR 1400 sq. ft. ESTIMATED COST $ 12,000.00 FEE MIT 48.00
VOLUME
(CUBIC/SQUARE FEET)
Charlotte Heartt
OWNER BOIL
ADDRESS ernon Street, Northampton BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PjNT- P