32A-138 (34) m:r,
DEPT. OF BUILDING INSPECTIONS BUILDING =,e 0 (.7()212 Main Street
.�._�,.>-+ Northampton, MA 01060 PERMIT <°
32A - 138 VALIDATION
i AssocDATE March 11, 1 85 log EfE IT log
APPLICANT Sundance DEsign AsADDRESS
r.o. yDx "-' CET nten a 1 Cu File
'I %MO.) (STREET) ICOxiry LCEssu
PERMIT TO AlterationI_I STORY Office * Space DWELLLIING�UNITS
Innfl Of IMrwvIME.n x , treOPO$EO ISEI
AT (LOCATION) 25 Main St., Northampton ZONING CB
DISTRICT
I SOA (STREAT)
BETWEEN AND
2AOb SSAEETI (CROSS /man,
LOT
SUBDIVISION LOT BLOCK S12E
BUILDING IS TO BE FT. WIDE BY FT. LONG BY -FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE VSE GBOUP BASEMENT WALLS OR POVNDATION
I Tr rq
REMARKS: Alteration of SI existing office, addition of carpet, new doors, sound wall, partition
AREA OR p 5,350.00 FFEpMIT $p 20.00
VOLUME ESTIMATED COST $ E6
ICUA6/SOUME FEEY)
OWNER Des Bakes & Whiton ,,/J
ADDRESS 25 Main Street, Northampton, Mass. 01060 ayILOI et'
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY ,. APPLICANT COPY • PINK - AS ESSORS COPY
z-liCV CITY OF NORTHAMPTON
�T MASSACHUSETTS
<I
tAi:'-A; e:f : OFFICE of the INSPECTOR of BUILDINGS
to41`ss_.!A-0
a= � Page Plot /tag APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. Q o
I. AT /LOCATION/ 7�1 M1�11J �- . ZONING i ,N�J
LOCATION Lx°' i' REETl
OF BETWEEN AND
BUILDING I[AOEs STREET/ ICRass STREET,
LOT
SUBDIVISION LOT BLOCK SIZE
en
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -i
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
ti
1 r 1 New building Residential Nonresidential
2 Addition(If residential, enternumbernber 121 One family IBI T Amusement, recreational
0/ netnoticing units added, :f any. 13 fl Two or more family - Enter 19I I Church, other religious
in Pm[ D, 13) number of units— — — — y
201 1
ParkingIndustriof
3 Alteration (See 2 abode)
Li Repair, w [ Transient hotel, motel, 21 []
9 replacement or dormitory - Enter nnrnAcr ce garage
5 _ Wrecking (IImuIti/ana[y residential, of units - : 22 Service station, repair garage
enter numberof un@s m huildin8 +n 15': Garage 23 [ Hospital, institutional
Part D 13)
6 Moving (relocation) 15I I Carport 24)Office, bank, professional
7 �I Foundation only n i I Other - Specify 25 FT Public utility
26 l I School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
B X Private (individual, corporation. 28 1-1 Tanks, towers
a
nonprofitin tc
itution• e .) 291 I Other - SFecifs'
9 Li Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, achin shop, laundry building at hospital,elementary
10. Cost of improvement S innOCi school, secondary school, college, parochial school, parking garage for
department s rental office building, office building atindustrial plant,
'lo be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost 7.,67) uis,.te.-p1/4
b. Plumbing LOC kWrn cF- ^ • ,3 �,
c. Heating, air conditioning � �/'� ��Q�/C.�'�/' I
d. Other (elevator, etc) �Gs�s�p'� �Y - -
11. TOTAL COST OF IMPROVEMENT $ 'J /,�ti
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 .1. DIMENSIONS
30 Li Masonry(wall bearing} 401 I Public or private company
3145. Number of stories
❑ Wood frame 41 Privatev49.
(septic tank, etc.) Total square feet of Door area,all floors, based on exterior
32 F-1 Structural steel dimensions
331 1 Reinforced concrete H. TYPE OF WATER SUPPLY
34 [H Other - Spec,/s. 42 [ C Public or private company 50. Total land area, sq. ft
43 7 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Li. Gas Will there be central air 52. Outd
36 I Oil conditioning'
---_ L. RESIDENTIAL BUILDINGS ONLY
3] :r_ Electricity 441 j Yes 45 No 53. Number of bedrooms
38 Coal
39 n Ot§er - Specify Will Were be en elevator'
_ 54. Number
46 Fn Yes 47 I No bathrooms
Partici
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, spree cze , and Starr a 71P code Tel. No.
1. Th WW2 D5 AAnte ' 'r 114)(214,00PriJ . oil y
Owner or
Lessee WUCCCO 4474
Contractor for _)100,11130...0r L,cense No. Sa
s. f� _ I CALL J[ Al.IP2iz�. MA 4. 0 1000
3.
Architect or
Engineer
hereby certify that the proposed work is authorized by the owner of record and that I hove 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.
$Ignatur appii cant s Address Application date
�' ature c)A.ia ( �)Nh iibtA1( ��1f-a17�) AiA-. ! Mkt
lJ 00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
te
Plans Review Required Check Plan Feeview D Startedns By DAAte PprovePlands By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date te
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 /07 FOR DEPARTMENT USE ONLY
Permit number ]LA/�}+-„ ,Q{//
Building. L{"4Ltrr ” / iJ Use Group
Permit issued 19
Building /; r1 Fre Grading
Permit Fee $ ,,,Gtod Live Loading
Certificate of Occupancy $ Occupancy Load
Appreferd by:
Drain Tile S
Plan Review Fee
TITLE
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
NOTES
IX. .SITE.OR PLOT PLAN — For Applicant Use
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