32A-138 (25) DEPT. FILE COPY
�.._DEPAR1b®Pr OP BUILDING INSPECTIONS Z
212 warn sTRIEW BUILDINGIR
linaleTON, NA. 01060 PERMIT
VA L1W ATION
1
32A M 138
y�}�y.
DATE_ July 16N 19 79 PERMIT NO. 322
APPLICANT Ralph C. Panda ADDRESS 87 VSEMOBT
6
010.} (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al SI, L)ainaaa (_}L) STORY EestSn'Y6t. .__DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. IPNOPOSEO USE)
AT (LOCATION) 23 ..• ?lp main ^PL1: IIytO^ ZONING
DISTRICT CB
(No.) (STREET)
BETWEEN AND_
)CROSS STREET) (CROSS STREET)
o.
LOT
m SUBDIVISION LOT BLOCK SIZE
p BUILDING IS TO SE.. FT. WIDE BY FT. LONG eY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
P
d
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
¢ )TYPE)
0
REMARKS:
1._a - ^. .L... p.Ta•.. _ iY . Y' J _ :!�'Y' = I.•. _ .. :r: :Sp ..�
AREA OR PERMIT
VOLUME_ ESTIMATED COST $ 3,000 FEE $ .0.00
(CUBIC/SQUARE YEETI
OWNER z3 aInc. - Rogerorthe Bererwtt ��
ADDRESS 23 Main street, NQrt an ton�Nd. BBY
UILD G
)Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that theproposed work is authorized by the owner of record -
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
orume&g) _ .. z-r ,(STREET) (CITY) -
--_� _ -- -
APPROVED BY TITLE
DATE 19_..
r
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
.�9 .Y — i-'e- BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, Ill, IV, and IX. O
- n _ �, 1. 0.J . �f/� i Jr ZONING
AT LOCATION) >f '' �.. c c' '� .✓ 2, DISTRICT L✓1
LOCATION NO.) <STREET� T
OF BETWEEN AND
BUILDING ICPOSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D -i
as
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use tin
m
1 fl Nev, buildin mg Residential Nanrezidenriol
21 I Addition t/ residential, ea a number121 I One family is] I Amusement, recreational
of new housing units added, if any.
13 Li Two or more family - Enter 191 I Church, other religious
innew srz-
Par
D.
3)
n
amberofunits- - - --� 201 I industrial
37i Alteration (See 2 above) 1t, hotel,
motel,
L_� Transient21 I Parking garage
4 Li Repair, replacement
or dormitory - Enter number
5 1 Wrecking (If multifamily residential. of units - y 22 Lf Service station, repair garage
enter number of units in building in 15) 1 Garage 23 I Hospital, institutional
Part 0. 13) 161 1 Carport 24 I I Office, bank, professional
6 I 1 Moving (relocation)
J Foundation only 17 LI Other - Specify 251 1 Public utility
261_JSchool, library, other educational
B. OWNERSHIP
27,$. 1Stares, mercantile
B LT Private (individual, corporation, 2B I anks, towers
nonprofit institution, etc.) 291 I Other - Specify
9 1 1 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 $ }y (! a 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 / . j< _ r _ /. . V' -
b. Plumbing A_
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT b '- (7 f
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. TY E OF SEWAGE DISPOSAL .1. DIMENSIONS
30NMaseer (wall bearing) 40 Public orpang 48. Number of St
y privatepnkat 49 Total square feet of floor area,
31 Wood frame 41 Private(septic tank, etc.) all floors, based on exterior
321 1 Structural steel dimensions
33 I I Reinforced concrete H. TY E.OF WATER SUPPLY
34 I I Other - Specify 42 Public 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 I 1 Gas Will there be central air 52. Outdoors
36 I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
371 1 Electricity 441 Yes 45)cNo 53. Number of bedrooms
38 I I Coal 11 /
39 1 I Other- Specify Will there be an elevator? 1 Full
��,,(( 54. Number of 1
461 I Yes 47 N No bathrooms
Partial
NOTES and Data — (For department use)
•
—i7h 1
��-t.-( (i_.1l'7 ("7-../lilf !�-? Z /-1j
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Nurnhc-r, arnrq-,city, and State ZIP code Tel. No.
Owner orw' - ',J.-) ^ /2 ' . . .
—
Lessee �_i c Builder's
L.cerwe No.
Contractor
�,/Q - —
3.
Architect or ---
Engineer
_..Engin er
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.
Sign°.tyre of applicant Address Application dote
/ DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required CheckBy Plan Review Date Plans Date Plans By Notes
Fee StartedApproved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Doe Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR
ELECTRICAL
WALK CUT E- SIGNFOR BILLBOARD
ELEVATORVATOR . SEWER
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 t /K 19''4
Building / Fire Grading
Permit Fee $ /0, Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee �
TIT E�
VIII. ZONING PLAN EXAMINER NOTES / {/
DISTRICT �H_
-
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES _,—
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM A?EBB - 66* C1989 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.