32A-183 (14) V111. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
ASSOC mss' ��
Owner or !`F
Lessee
/429W Builder's
2, aACes � �y�,aQ� 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 of applicant Address Application date
D0 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 $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Date
Permit or Approval Check Obtained 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 FOR DEPARTMENT USE ONLY
Permit number
Building /^ Use Group
Permit issued (� ' 19 Pli
Building Fire Grading
Permit Fee V Live Loading
Certificate of Occupancy $ Occupancy Load
Ap roved by:
Drain Tile $
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
/i'r'wK�4 GLt/
r C, Via„
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 3o2 A— !F3 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and I'X./Ta n O NG ZONI I AT (LOCATION) ��! �� r 1 ` ��"n`^rn- Le : /�._ D STN CT�K/�
LOCATION (NO.) REt )
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
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2 Addition(1 residential, enter number
f 12 One family 18 E] 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 ❑ Repair, replacement or dormitory — Enter number
5 F-1 Wrecking (If 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 E:] Office, bank, professional
6 ❑ Moving (relocation)
7 F—] Foundation only 17 F-1 Other — Specify 25 ❑ Public utility
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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ 12-606- 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 $/ZOvO
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 Z
30❑ Masonry (wall bearing) 40 ® Public or private company 48• Number of stories..............
31 Wood frame 41 (uD 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 F-1 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 F 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 ® Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47❑ No bathrooms
Partial.......
i hereby certify that the proposed work is authorized by the owner of recbrd
and I have been authorized ' by the owner to make tl:is application as his
authorized agent.
SIGNATURE-'-OF AUNT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPAILTMEN'1 OF BUILDING INSPECTIONS zQ DEPT. FILE COPY
112 MAIN STREET BUILDING O¢
hOATHAMPTO1v, MA. 01060
PERMIT VALIDATION
32A - 183 Code #79
DATE April 1, 19 80 PERMIT NO. 157
APPLICANT AtPX P,, Isar _awj,nz ADDRESS fan HarrAtt Sty NI tnin
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Nets roof ��� STORY NUMBER OF
trus5es�a flat roof DWELLING UNITS 6
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING
AT (LOCATION) 71 BZI�C�TP street roolidge-Apt^e DISTRICT u C
(NO.) (STREET)
a BETWEEN AND
'O (CROSS STREET) (CROSS STREET)
0
IL LOT
m SUBDIVISION LOT BLOCK SIZE
o BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
C i
LL REMARKS: Neva roof
AREA OR PERMIT
VOLUME _ ESTIMATED COST $ l F000 FEE $ 36-0(L__
(CUBIC/SQUARE FEET)
OWNER ARRAC4BteS
ADDRESS 45 Canton Ave, Amherst- Mg. BYI
(Affidavit on reverse side of application to be completed by authorized agent of owner)