31A-243 VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT vc 12,.C�
USE
FRONT YARD 'L(�
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REAR YARD Ila,
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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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.
�i �.lh�l 6 �+ �K S66-0311
Owner or �106�
Lessee Ale
L 0101% 1 M 0f f
Builder's
2 164t rt toisi 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 f applicant omAddress Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dte Date
Permit or Approval Check Obttaatned 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 I4 l� _ 19
Fire Grading
Building
Permit Fee G• 0 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by
Drain Tile $
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
1
&A4 4
I
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 21A, a �3 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. n� O
I. S ��� / &e ZONING l��(/(!�/�
AT (LOCATION) `�1'—�T DISTRICT `�
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
If. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
—f
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 NOne 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) 14l
l
t
t h
i
Transenoe , mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
------- — 22 E] Service station, repair garage
5 ❑ Wrecking (IJ multifamily residential, of units --�
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ ❑Moving (relocation) p
17 Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
..�u� 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,,,,,,,,,,,,,,,, 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.)............ Q�
11. TOTAL COST OF IMPROVEMENT $ (J LIQ
111. SELECTED CHARACTERISTICS OF BUII.DING — 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 3
30� Masonry (wall bearing) 40 I� Public or private company
48. Number of stories..............
31 Wood frame 41 f71 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 42Public 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 re be central air 52. Outdoors........................
36 Oil conditio 'ng?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will the be an elev or? Full..........
54. Number of
4� Yas 47 No bathrooms Partial........
hereby certify that the proposed work is authorized by the owner Qf'record
and I have been authorized by the own' r to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET (CITY)
APPROVED BY TITLE
DATE 1q
DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS p
212 MAIN STREET BUILDING
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
31A - 243 Cade #79
DATE April 18; 19 $O PERMIT NO. 191
APPLICANT HeAes liadd&d ADDRESS Xsnsjnt
on Ave.
(NO?, {S
REST) (CONTR'S LICENSE)
PERMIT T6 _ NUMBER OF
�r'�j 1 IR —t�i Stj} e { _} STORY For nd—blaril�lig Stt3V@ DWELLING UNITS 1
(TYPE OF MPROVEMENT) NO. (PROPOSED USE
AT (LOCATION) 6 K@iiS�flgt[fII A1rQIIttE ZONING
(No.) (STREET) DISTRICT-URB
a BETWEEN AND
`Q (CROSS STREET) (CROSS STREET)
to
LOT
0. SUBDIVISION LOT BLOCK SIZE
m
d
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP_ BASEMENT WALLS OR FOUNDATION
E
� (TYPE)
O
U- REMARKS: __ N hriwb ah;Lmu eeT_yth flue — mood—burnifl�$tove. li_1T. apprnyad
mGii srzvsry s
AREA
VOLUME MIT
(CUBIC/SQUARE E ESTIMATED COST $ goo-00 FEE $— [0 no
(CFEET)
OWNER Usl aiL & Robert Haddad
B
ADDRESS
No t011- WAO_�__f77Z/
(Affidavit on reverse side of application to be completed by authorized agent of owner)