42-074 (8) ZONING •
DISTRICT
IX. SITE OR •
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NOTES and Data — (For department use)
v
V
8
. ICJ
C1 J-'
-- —,
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, amity, arul .State ZIP code Tel. No.
Owner or 2
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 of applicant
J Address Application date
� y
? 01 O
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
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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(ding. Use Group
Permit issued 19 _
Building /� f�_` Fire Grading
Permit Fee $ ( .J/(U
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ve by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
10 MASSACHUSITTS
OFFICE of the INSPECTOR of BUILDINGS
Page — Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant (too complete all items in sections: 1, 11, 111, IV, and IX.�� �4 0
I• AT (LOCATION) �/ 7 G L �"- � G 7� AG,7, /°ZAApto ISTR CT 114- ftft
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For-Wrecking" most recent use rn
rn
1 [?J New building Residential Nonresidential
2 Addition(1/ 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 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1l multifamily residential, of units ------- - -s 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 - Speci/y 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP X 2— 27❑ Stores, mercantile
8 Private (individual, corporation, 1 28 ❑ Tanks, towers
nonprofit institution,etc.) �{ Q_ 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,,••,,•,......,. p V d 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 I$
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 /Q 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 ores, 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 45 1 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
"I j
RitLDI NG Z
PERMIT ®
ri to41
VALIDATION
DATE 19 ER IT IV `° " —
APPLICANT DRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO I (=1 STORY DWELLING UNITS -
(TYPE OF IMPRO ENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT �-
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CR053 STREET)
LOT
SUBDIVISION /L{.p� LOT BLOCK SIZE
BUILDING IS TO BE C CFT. WIDE 8)0'}5j.. _ rFT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
ra
VOLUME ESTIMATED COST S7"� �° ® ® FEEMIT 4_R",
( URIC/SQUARE FEET)
OWNE BUILDI
ADDRESS BY
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK ASSESSORS COPY