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NOT! an Data — (For deportment use)
k o of i f Or ,-/ c /A/v 61 .S7A / $ 7,94 L. ma
gl /C l/1/1 1 0/v ST Air-c,
IV. IDENTIFICATION — To be completed by all applicants
1. %
ANA Na / (' Mailing address — Number, street, city, and State ( ��, ode T
Owner or U A/03 G. I /6e c2 +�1) Sr / J/+JV' ii"/ t /yol, 0 3 5 ? .26 - 3 .
Lessee
Builder's
L.
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.
Signa o applicant Address Appli anon ate
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans By
Date Plans B Notes
9 Fee Started y Approved y
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 FOR DEPARTMENT USE ONLY
Permit number 'S3 c
Building. Use Group
Permit issued i, /9 19 )
Building Fire Grading
Permit Fee $ 14. F 9
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee
Amqgargpr,
ITLE
• - CITY OF NORTHAMPTON
. °; MASSACHUSETTS
V •. i' � r.l OFFICE of the INSPECTOR of BUILDINGS
Page
7
4121-33511 �W Plot ,13 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
I. AT (LOCATION) / ��� / 7 f- ��e/1 ( S?' ZONING
DISTRICT
LOCATION m (NO.) `STREET)
OF BETWEEN rIll a' \ AND ifefr /✓GeV' .lf
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
tel
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For "Wrecking" most recent use m
m
1 I I New building Residential Nonresidential
2i 1 Addition (If residential, enter number 12I I One family 18 Li Amusement, recreational
of new housing units added, if any
in Part D, 13) 13XTwo or more family - Enter ,L 19 Li Church, other religious
Alteration (See 2 above)
number of units- - - - -•> 7 20 I Industrial
3
I l 14 I I Transient hotel, motel, 21 Parking garage
4 Repair, replace or dormitory - Enter number
5 I Wrecking Of multifamily residential, of units - -3. 22 I Service station, repair garage
enter number of units in building in 15 I Garage 23 Hospital, institutional
Part D, 13)
16 n Carport 24 I Office, bank, professional
6I Moving (relocation)
17 L_I Other - Specify 25 I Public utility
7 I Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
28 Li Tanks, towers
8 KPrivate (individual, corporation, 29 Other - SpeciJy
nonprofit institution, etc.)
9 I I 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 $ a{ 6,r. 010 school, secondary school, college, parochial school, parking garage for,
deportment store, rental office building, office building at industriol plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ V 4 S t7-
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
4 .
30I I Masonry (wall bearing) 40 *&Public or private company 48. Number of stories
31 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 PI Structural steel dimensions
33 I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I1 Other - Specify 42�Public or private company 50. Total land area, sq. ft.
43 I I Private (well, cistern) K. NUMBER OF OFF- STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35XGos Will there be central air 52. Outdoors
conditioning?
36 I I Oil L. RESIDENTIAL BUILDINGS ONLY
37 L j Electricity 44 Li Yes 45 No 53. Number of bedrooms
38 L_I Coal i1
39 Li Other - Specify Will there be an elevator? Full 7
54. Numbtr, of
46 { i Yes 47 XNo bathrooms
Partial
I NUwfl1.aMPTO , MA. OlUb0 YCKIVII I Ia` I ,
30B - 74 VALIDATION
30B
DATE SeptembPr 14, 19 81 PERMIT NO. 512
APPLICANT Ann al r1 HAIigp fi ADDRESS 162 Main St., Haydenville
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO Alteration (-2 —) STORY DwP11 ing DWELLING UNITS 4
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 1 - 154 Federal DISTRICT URB
(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: Remove porch, change stairs, install yew railings nn ctai rg
AREA OR PERMIT
VOLUME ESTIMATED COST $ 265.00 FEE $ 10.no
(CUBIC /SQUARE FEET)
OWNER Rirl ald He s
ADDRESS 162 Main Street, Ha d anv ;1lP, ma, 0 BY •ING , / `�
Y -
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT C• - 'INK - ASSESSORS COPY
I
T p a.ii, " 7n BtJ:LE . ." INS ?,+e1.'_:! '�r" 4 ... BUILDING ~ � t
4004.4 z o y
PERMIT fa ,
2 VALIDATION
DATE `: , t r .r. „ ^T . 1' <, 19 Al PERMIT NO. `s
APPLICANT • s, . ^:. ADDRESS d , r n . r ?'5;. , It( P ^li i:r , 4 2 e
" (NO.) (STREET) ( CONTR'S LICENSE)
NUMBER OF
- PERMIT TO ''' ^e ( ) STORY " 1 . DWELLING UNITS `)
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
_ ZONING
AT (LOCATION) '§ -,.1 -, 1 )t. - : : ' .._.. 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:
.. - ^ ..." : ' ), j,...?4 L-.// l / d
AREA OR ,, „„ PERMIT
VOLUME ESTIMATED COST $ , *.,.,,. FEE
(CUBIC /SQUARE FEET) -
J
OWNER . °,4 ., ? r
BUILDING PT +
ADDRESS >s ,,y : c --,: - 1 •,, ;. », _ y BY .-..-
WHITE - FILE COPY GREEN FIELD COPY • CANARY - APPLICANT COPY - - PINK - ASSESSORS COPY
0