23A-005 (7) DEPT.OF BUILDING INSPECTIONS BUILDING j, N
'`=M=titrite � Northampton,212 MainMao1aso PERMIT TTT ���
23A - 5 YALmATION
DATE June 25, ) 87 PERMIT NO. 408
APPLICANT Heman Stevens, Jr. ADDRESS 350 Meadow Street Owner
INO.1 WI/ICH ICONTN'S LICE•SCI
PERMIT TO Repair/REpl acementt1 sTCAY Porch/One FamilyNUMBER OF
DWELLING UNITS
t!YEE OF IMFROYEMENTI NO. tnO O1ED Will
36 Meadow Street ZONING URB
AT (LOCATION/ DIBTR ICT
0.04 DITNEETI
BETWEEN AND
(Calms ADMEN) ICAdtl STxnTI
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
I TYPE,
REM,R,s, permit for the K%flX##Miitit repair of existino porch
VVOOLUMOR
E ESTIMATED COST $ 500.00 FEEMIi $ 16.0O
(CUSICYSOUARA FEET(
OWNER (
Same as Applicant /�
ADDRESS Same as Applicant's eYiLDi .cve {L. eft/
WHITE - FILE COPY . GREEN - FIELD COPY A CANARY - APPLICANT COPY • PINK - ASSESSORS COPY 411 ,
+i''y`Il:, - CITY OF NORTHAMPTON
-
s- t;
MASSACHUSETTS
A �
�'iE '•' ; it OFFICE of the INSPECTOR of ?DINGS
Y wwv�'': 83M Plot ,
_� Page APPLICATION FOR
INSPECTOR ZONING PERMIT ANC
BUILDING PERMIT
IMPORTANT - Applicant to cocomppllyete�alllitems in sections: I, 11, III, IV, and IL
pT (LOCATION) �� +^1/JDIISTP CT ZONING 1.205�
LOCATION 1X0.1 {5�e(CT)
OF BETWEEN AND
BUILDING {CROSS STREET/ CROSS STREET/
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -1
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use til
In
-4
11 I New building Residential Nonresidential
Vim
2I I Addition(I/residential, enter number 12 One family 18 Li Amusement, recreational
ofnew housing units added, i/ any, 13 Two or more Jamil — Fuer 19 Church, other religious
Part O, 13) Y ❑
number of units— — — — y n1 Industrial
31 I Alteration (See 2 above)
14 ❑ Transient hotel, motel,
4 Li Repair, replacement or dormitory — Enter number 21 ❑ Porki°g garage
5 1❑ Wrecking (ll multifamily residential, 0/units _y 22 ❑ Service station, repair garage
enter number of amts in auihting 6r 15 [ i Garage 23 ❑ Hospital, insntmionol
Part D, 13)
6 ❑ Moving (relocation) 16 in Carport24 1 Office, bank, professional
17 p, Other Spear/y 25' i Public utility
T❑ Foundation only
(9.124".....
�///.1���� � ,,� ,�s 1 � py� 26 ISchool, library, other educational
B. OWNERSHIP I .J /
27 '; Stores, mercantile I
8 `_ Private (individual, corporation, ��/,�. �r // 28 . conks, towers
nonprofit institution, etc') i/ -- t— 29 ❑ Other — Sper:/y_
9 LI Public (Federal, State, or I
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
��r processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement $ V a'0 i school, ondary school, college, parochial school, parking garage for
department store, rental offce building, office building of industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
Zr? the above cost
a. Electrical
b. Plumbing
v. Heating, air conditioning
d. Other (elevator, etc )
11. TOTAL COST OF IMPROVEMENT S IseO-
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports 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 /
301 I Masonry (wall bearing) 40 Public oa
private
c 48. Number of stories Zl]
31 Wood frame 41 ❑ Private (septic tank, etc.) all 49. Total square feet of floor
32 pStructural steel dimensionsoors,
33
on exterior
331 J Reinforced concrete H. TYPE OF WATER SUPPLY
34 t Other — Specify 42 Public or private company50. 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 sI. Enclosed
35 Iii Gas Will there be central air 52 Outdoors
36 IX Oil condiuoni ng= L. RESIDENTIAL BUILDINGS ONLY Q
37 Electricity 44 Yes 45 Na 53. Number of bedrooms 3
38 L 1 Cool
39❑ Other—Sprn/y Wi l l •hen be on elevator' { Full
54. Number of
46 1 I Yes 47 X No bathrooms Partial
IV. IDENTIFICATION — To be completed by all applicants _
Name / Mooing address — Numbed strand city, and Starr ZIP code Tel. No.
I.
Dane( r Fem»N STeuep/sW 36Pte0 .o f . ' o:Gel • A. :.e A/ago SJFt-S3>7/
Lessee
Builders
3. /� License Na. ,
Contractor gI
f .. / r sur _ _ 7` ,f , L �j�oasn7
3.
Architect ar
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 lows of this jurisdiction.
Signature of applicant Address Application dote
oB((�y NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans BDate Plans By Notes
quire Fee Startedy Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI, ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check obta ned Number By Permit or Approval Check Ob ned 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 I� ,v., FOR DEPARTMENT USE ONLY
Permit number 7 C1Y
Building (9 ^'� Use GreuP
Permit issued 0/"5-( 19 Q ?-
Building Fire Grading
Permit Fee $ t0-Od Live Loading
Certificate of Occupancy $ _ Occupancy Lead
Approved by
etsts t fit ' `i
Drain Tit. $ v
Plan Review Fee $
TITLE
NOTES and Data — (For department ase)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
NOTES
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