18D-004 (19) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use I�
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, sheet, city, and State ZIP code Tel. o.
Ow ner or 6
Lessee
/� a I -- ! 1 � - - Builder's
2. % vl -��(i �+CL'Ki .`� si/e cs L q�fA -�'�i J � License No.
Contractor O' _ _ _ ( �" `mow, - , .
3. � '!ti
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.
Signa of applicant Address Application date
' 77=o-e-fZ■ /08 ----
DO 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 Date
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 (4 FOR DEPARTMENT USE ONLY
Permit number �
Building
Permit issued ), � 19 g Qr u Fis Building (7 `/C/ /r,00 re e G Grading roup
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile f� •
Plan Review Fee $ i �
TITLE
j
� CITY OF NORTHAMPTON
Ai • N, MASSACHUSETTS
9 t. `�- )
�'"i :'.i,l OFFICE of the INSPECTOR of BUILDINGS
' . Page lab Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. 0
�� // /� //�� � � //G /�(�� /) ZONING G Z
I. AT (LOCATION) 10 CI - V le4 � � DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — 0 -I
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For "Wrecking" most recent use m
1 1 I New building Residential Nonresidential
2I I Addition (If residential, enter number 121 1 One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D, ]3) 13 I I Two or more family — Enter 19 L _ i Church, other religious
number of units— — — — --> 20 1 Industrial
3 XI Alteration (See 2 above) 14 ransent hotel, motel, l�� T i htl l 21 [ Parking garage
4 I Repair, replacement or dormitory — Enter number
5 L] Wrecking (If multifamily residential, of units — --0- 22 n Service station, repair garage
enter number of units in building in 15 Li Garage 23 L 1 Hospital, institutional
Part D, 13)
16 I I Carport 2411 Office, bank, professional
6 r Moving (relocation)
17 ❑ Other — Specify 25 LL P ublic utility
7 L Foundation only
26 Li School, library, other educational
B. OWNERSHIP 27 IA1 Stores, mercantile
8 Li Private (individual, corporation, 28 H T anks, towers
nonprofit institution, etc.) 29 L Other — Specify
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, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ to24 oo • 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 P / / � � �"4t- it
.�r� /rte — v"
b. Plumbing .. _ W_ ,e& "
/^
c. Heating, air conditioning �
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ ,Z° °C) "
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 I Masonry (wall bearing) 40 l I Public or private company Number of stories
31 1 I Wood frame 41 Ij Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I 1 1 S tructural steel dimensions
33 I Reinforced concrete H. TYPE OF WATER SUPPLY
I Other — Specify 42 Pu blic or private co mpany 50. Total land ores, sq. ft.
34
L _
43 Ij Private (well, cistern) K. NUMBER OF OFF STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors
36 TA O il conditioning-,
L. RESIDENTIAL BUILDINGS ONLY
37 L _. 11 Electricity 44 } Yes 45 No 53. Number of bedrooms
38 I Coal
39 ri O ther — Spccify Will there be an elevator? Full
54. Number of
46 l 1 Yes 47 71 No bathrooms
Partial
DEPT. OF BUILDING INSPECTIONS
BUILDING
;. ._ , ; 212 Main Street PERMIT
- Northampton, MA 01060
JOB WEATHER CARD
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
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:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC /SQUARE FEET)
OWNER J/�� �//f,
B U ii/. 4I�'L� ,e "�`
ADDRESS BY (/
—
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
Opp. PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR C ARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS.. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE - MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRIJ gRAJRAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MEMBERSIREADY TO LATHI 0,
3. FINAL INSPECTION BEFORE* FINAL INSPECTION HAS BEEN MADE.
Ij..
OCCUPANCY. 4,
POST TES CARD SO IT IS VISIBLE FROM STREET
s& - BUILDING INSPECTION APitte414LS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
47, '1 1
' ,
i.. 'a, ea ,
• �5�
O THER 2 2
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD '�
INSPECTOR HAS APPROVED THE VARIOUS CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE OR WRITTEN NOTIFICATION.
PERMIT IS ISSUED AS NOTED ABOVE. P Sy P
DEFT. OF BUILDING INSPECTIONS BUILDING D - Q . OD
212 Main Street 1 .
. Northampton, MA 01060 PERMIT <a
y >
18D - 4 0 VALIDATION
DATE July 26, 19 88 PERMIT NO. 476
APPLICANT William Mock ADDRESS 108 Damon Rd. Uwner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration (__ STORY Stores,mercantile NUMBER
DWELLING NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE(
AT (LOCATION) 104 Damon Rd. ZONING GI
DISTRICT
(NO.) (STREET)
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 replace existing overhead door to single swing
AREA OR
VOLUME ESTIMATED COST $ 2.000 .00 FEEMIT $ 10.00
(CUBIC /SQUARE FEET)
OWNER Same as Applicant
ADDRESS same as Applicant's BYIL
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p)NT p