32A-174 (15) DEPT. FEE COPY
212r BUILDING INSPECTIONSMEET gE11t1}INC'
Oa
NORTHENPTON, MA. 01060 PERMIT
VALIDATION
324 _ 174
DATE *web. 29. 19 79 PERMIT NO 96
APPLICANT Rei Mil Cary. ADDRESS 7 Rarest Glen a--Lead. Me..
.1 (STA EET 60NTR'S Lt ENEEI
NUMOF
PERMIT TO Alter offices (1 ) STORY ap �
lcenG'
t Security KSega DWELLING UNITS
(TYPE Or IMPROVEMENT( to. (PROPOSED USE/
34
AT (LOCATION/ . 1 riZONINGss DISTRICT 32
(Nod ISTRSETI
BETWEEN ICRoss STREET( AND (cRofl STREPTI
LOT
aSUBDIVISION LOT BLOCK SIZE
p BUILDING IS TO SE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
in
O
Z TO TYPE USE GROUP. BASEMENT WALLS OR FOUNDATION_.
S tiE)
ce
0
Ii REMARKS: Alter building
for offices
AREA OR $ PEF MIT y� rrC•
VOLUME ESTIMATED COST 24,800 FEE �A lJ 00
ICONIC/SW/ARE eE8T)
OWNER Charles Gersten
1:141pri,a
ADDRESS 214 Pearl St.. BerEfords Ct.
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent. -
SIGt4ATURE OF AGENT
r f
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 . .
•
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 32 A - ( 7 f PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to completeall
`
l itemstin sections:cI, II, III, IV, and IX. O
.�
AT {LOCATION) y 2 p_I ..pZZONINGD ��
TTTDISTRICT
LOCATION
OF BETWEEN ANO
BUILDING (CROSS STREET/ /CROSS STREET/
LOT
SUBDIVISION LOT BLOCK SIZE
te
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D z
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
-1
—I1 I I New building Residential Nonresidential
21 I Addition(If residential, enter number 121 One family 18 Li Amusement, recreational
of new housing units added, if any. Two or more urc , other religious
in Part D, 13) 13 family — Enter 19 LT Church,
number of units— — — — —S. 20 n Industrial
3 Alteration (See 2 above) 14 1 1 Transient hotel, motel, 21 L i Parking garage
4 Repair, replacement or dormitory — Era er number
5 I 1 Wrecking (If multifamily residential, of units — y 22 nT Service station, repair garage
enter number o/ units in building in is f T Garage 23 1l'IHospital, institutional
Part D, 13) 16 I I Carport 24 LNI Office, bank, professional
6 I Moving (relocation)
7 Foundation only 17 LL Other — Specify 251 1 Public utility
261 I School, library, other educational
B. OWNERSHIP 27 nStores, mercantile
2B I I Tanks, towers
B eimmte (individual, (etco an.
nonprofit institution, etc.)
29 TiFOther — SPecr y
9 I I 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 g $:(1,e)C 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 n
a. Electrical NA P.-e�yth x- �LT:ruyzlrNI
b. Plumbing 007
_
,S \ l
rl C c3�\ /
e. Heating, air conditioning I 7 � 11
d. Other (elevator, etc.) I CJ//q
11. TOTAL COST OF IMPROVEMENT ES • LTg,500)
III. SELECTED CHARACTERISTICS OF BU LDING 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 n Masonry (wall bearing) 40 I I Public or private company 48. Number of stories
49. Total square feet of floor area,
31 1 I Wood frame 41 1 I Private (septic tank, etc.) all floors, based on exterior
32 1 1 Structural steel dimensions
331 Reinforced concrete H. TYPE OF WATER SUPPLY
341 I Other — Specify 42 n Public or private company 50. Total land area, sq. ft
43 1 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 1 Gas Will there be central air 52. Outdoors
361 I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 1 Electricity 44 Ti Yes 45 I I No 53. Number of bedrooms
39 I I coal
39 I Other — Specify Will there be an elevator? 54. Number of Full
461 Yes 471 No bathrooms
Partial
NOTES and Data — (For department use)
IV, IDENTIFICATION — To be completed by oil applicants
Name Meiling address — NUM her, .--rmrq city, and State ZIP code Tel No.
i, CHaiTu.5 Gc TES Z. 34- I CA82L.,
Owner or .. _
Lessee _ ft ,cin F8 -.1. C
2. h ret. I. CuL. ! c9: 53 S,JQ 4ST C., Les .LBuilder'ise.
Coniroctor cm girl , 0 LJ i \ v7 I ..
3. Pe k E 7ev-zi i 1 Sioc_e ((LL�J'- c)�
Architect or c //yy Cs
W c
Engineer fIR.,,(h.f Cs — LL —b t _.. ._
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 is applic as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signa t applica Address Appl:cot ion dote
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Pions By Norex
quire Fee Started By Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DaDate
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 _7
Building use Group
Permit issued /(/,+,'ta., .-47 1977-7—
Building
"/ .Building $ Fire Grading
Permit Fee74` �r� Live Loading
Certificate of Occupancy S Occupancy Load
Approved by:
Drain Tile $..
Plan Review Fee $ ._
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE _....
FRONT YARD _.
SIDE YARD
SIDE YARD
REAR YARD --
NOTES
IX, SITE OR PLOT PLAN Far Applicant Use _ ,.{ 4,x l�- ,Z�y,•y �
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