22B-008 (26) DEPT. OF BUILDING INSPECTIONS Z / /� COO
BUILDING � C
212 Main Street o<
Northampton, MA 01060 PERMIT Q a
22B RVALIDATION
DATE March 13, 19 89 PERMIT NO. 137
APPLICANT ThwaG & PPQQV PPdCP ADDRESS P n_ Ro1��, FlarPnrP AwnPrs
(N0.) (4TR EE T) (CONTR'S LICENSE)
n„ ., NUMBER OF
PERMIT TO I_) STORY �QFCCI---q�mv DWELLING UNITS
( YPE OF V ENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT GT
(N0.1 (.TRE T)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
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
(TYPE)
REMARKS, permit to raise dormer on back room creating extra space for existing bedroom
AREA OR VOLUME ESTIMATED COST $ 3,500.00 PER
$ 16.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicants
BUILD( D
ADDRESS Same as Applicants ' BY ✓.-C
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p01" w"
CITY OF NORTHAMPTON
g+ +� MASSACHUSETTS
i e OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items insections: 1, 111, 111, IV, and IX.. O
( 30 gn0_1 WA STn re>✓}7 Imo/ ,8 A WA e 4o ZONING
AT (LOCATION) 1:310 t `ln DISTRICT
�
I•
LOCATION `NO'' IsrR E '
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2 F-1 Addition(If residential, enter num her 1 2 One family 18 Amusement, recreational
of new housing units added, if any.
in Part D, 13) 130 Two or more family — Enter 19 n Church, other religious
number of units— — — — --> 20 Industrial
3 F-1 Alteration (See 2 above)
14 [:] Transient hotel, motel, 21 C7 Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional
Part D, 13) ❑
16 Carport 24 Office, bank, professional
6 ❑ Moving (relocation)
17 F_j Other — Specify 25 Public utility
7 F—] Foundation only
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
�^/•. Lt processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, ? '"� lU 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..................... h( sn Axm—r��
b. Plumbing ......................
d/lc. Heating, air conditioning......... •
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Ll-
for
;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❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories..............
31 E Wood frame 41 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 F-1Other — Specify 42 F—] Publicor private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 F-1 Gas Will there be central air 52. Outdoors........................
36 F_� Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 F_� Electricity 44 M Yes 45 No 53. Number of bedrooms.............
38 Coal
39 Other — .Specify Will there be an elevators Full..........
54. Number of
46 Yes 47 J No bathrooms
Partial......
i
IV. IDENTIFICATION — To be completed by al! applicants
Name Mailing address — Number, sirret, city, and State ZIP code Tel. No.
O vner or ' l k1 714S f Q ���'I rl G' Sfr �
Lessee
Builder's
2, 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.
Sig ature of a Address Application date
ro
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obta naed Number By Permit or Approval Check Obttt ed 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 ` t` 19 S9 use Group
Permit issued \' [L /V1 � —fLT�.L—
BuildingFire Grading
Permit Fee $ 'ID.cc)
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
LE
NOTES and Data — (For department use)
Vill. ZONING PLAN EXAMINERS NOTES
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
--------------------
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