17D-013 (6) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mail'ng address — Number, St eet, city, and State ZIP code Tel. No
1. L!JJW a , .�. fAhr oar .
Lessee
A, t) q 9(694 ia aiJ (y`"V Buier's 3�
2. � f �(�(�-
i (iLL L i cen ld s e No. 6, 5
Contractor ! J
3. s�y7
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 ash authorized agent and we ogre to conform to all applicable laws of this jurisdiction.
Signature f applica f/ Addres 1 Application date
leo
( DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained y pp Obtained 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 Use Group
Permit issued � ` 19
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Aproved by:
Drain Tile $
Plan Review Fee $
Z,7 TITLE
Ay virsrommommor ..
A.
CITY OF NORTHAMPTON
MASSACHUSETTS
Ili _'�.:';,; �:f OFFICE of the INSPECTOR of BUILDINGS
* v • 4h .
k l e Page ( � P l ot � APPLICATION FOR
......,.....Arc ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all l iit �/ eem ,� s in sections: I, II, Ill, IV, and IX. 0
r .• / DISTR CT c-'
• AT (LOCATION) _ -�
LOCATION (NO.) / (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION _ LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For "Wrecking" most recent use m m
1 New buildin Residential Nonresidential
2 I Addition (If rAstde enter number 12 A One family 18 Lj Amusement, recreational •
of new housing units added, if any,
in Part D, 13) 13 Li Two or more family — Enter 19 L1 Church, other religious
number of units — — — --0. 20 [ 1 Industrial
3 L Alteration (See 2 above) 14 Transient hotel, motel,
�_� 21 r 1 Parking garage
4 LI Repair, replacement or dormitory — Enter number
of units — __ 22 L _ 1 Service station, repair garage
5 �i Wrecking (If multifamily residential, _
enter number of units in building in 15 L i Garage 23 1 j Hospital, institutional
Part D, 13)
16 24 Office, bank, professional
-
6 C j Moving (relocation ) Carport 1 25 I Public utility
17 L ; Other — Specify L — �
7 ou�d• ion _only R r ..-K.. 26 r 1 School, library, other educational
B. OWNERS 1 - 27 I _I Stores, mercantile
28 j Tanks, towers
8 k Private (individual, corporation, —
nonprofit institution, etc.) 29 L i Other — Specify
9 L I Public (Federal, State, or
local government) _ C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
� / I processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement 1j $ school, secondary schoo', college, parochial school, parking garage for
�i department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being than ed, enter proposed use.
in the above cost
a. Electrical — /e Jr/ 2 � .
b. Plumbing L.
c. 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 — 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 L Masonry (wall bearing) L private company
48. Number of stories
4 P ublic or nvate tom an
49. Total square feet of floor area,
31 n Wood frame 41 Private (septic tank, etc.) all floors, based on exterior
32 ' Structural steel dimensions
33 L l Reinforced concrete H. TYPE OF WATER SUPPLY
34 1 1 Other — Specify _ i private 50. Total land area, sq. ft.
42 Public or nvote _
43 1 _1 Private (well, cistern) K. NUMBER OF OFF STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Lj Gas Will there be central air 52. Outdoors
conditioning?
36 n Oil L. RESIDENTIAL BUILDINGS ONLY
37 L H Electricity 44 1 1 Yes 45 No 53. Number of bedrooms
38 L i Coal
39 r - 1 Other — Speci /y _ Will there be an elevators Full
54. N um ber of
46 1 1 Yes 47 r I No bathrooms
Partial
*4.3""" Cit of Northampton REQUIRED INSPECTIONS
g " ) 1. Footings and Walls
s '✓ ` , - 2 . Structural Components in
-.::--- BUILDING DEPARTMENT Place
3 . Complete Building
No. 663 Office of the Building Inspector
Date 9 -15 -89 19
BUILDING PERMIT
THIS MAY CERTIFY THAT Frank Deno Insp. on Site — Foundations
has permission to repair /replace de Insp. of Plumbing — Rough
situated on 5 Garfield Ave. Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICU US PLAC PREMISES
Certificate of Occupancy
Building Inspector
PHIN P