31B-144 (10) 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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BOCA FORM APEBP — 669 CI969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
NOTES and Data — (For department use)
A.A ea-4t
A ttA.Ux.;4 7 , &946e) %a) 06.11.4-1,-
r•LCI 4-41-414
IV. IDENTIFICATION — To be completed by all applicants
Name / Ma ^ i� ling address — Number, street, city, and State 4f ZIP_ code Tel. No.
1.
Owner or
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.
Signature of applicant Address Application date
*■
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
Permit or Approval Check Obtained Number By Permit or Approval Check t or Date
Appr 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. Use Group
Permit issued ! 19
Building f � o Fire Grading
Permit Fee $ s
Live Loading
Certificate of Occupancy $ Occupancy Load
A.: d by:
Drain Tile $
Plan Review Fee $
TITLE
o QS ^ 11- CITY OF NORTHAMPTON
MASSACHUSETTS
$''., V - " OFFICE of the INSPECTOR of BUILDINGS
,0
>� Page 310 Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to co mplete all items in sections: I, II, Ill, IV, and IX. O
AT (LOCATION)
I. / .— ' //)'2. ` / DIISTR IC
LOCATION (NO.) ( TREET)
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 –4
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For "Wrecking" most recent use m
M
–4
1 I New building Residential Nonresidential
2 I I Addition (If residential, enter number 12 I_J One family 18 1 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 X Two or more family - Enter 19 Li Church, other religious
number of units- - - - --1. 20 C7 Industrial
3 I ] Alteration (See 2 above)
14 Li Transient hotel, motel, 21 El Parking garage
4 n Repair, replacement or dormitory - Enter number
5 LJ Wrecking (If multifamily residential, of units - .-.-).- 22 Li Service station, repair garage
enter number of units in building in 15 [ I Garage 23 Li Hospital, institutional
Part D, 13) L�
16 Carport 24 Li Office, bank, professional
6 L l Moving (relocation)
17 n Other - Specify 25 I I Public utility
7 PI Foundation only
In 26 I I School, library, other educational
B. OWNERSHIP K% �� 27 1 Stores, mercantile
8 X Private (individual, corporation, /,� �, G Q ` °l 28 Tanks, towers
nonprofit institution, etc.) / a —U � Q "a 29 I _I Other - Specify
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 $ 460 — 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
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.) ,/
11. TOTAL COST OF IMPROVEMENT $ C `ea
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 �j/
30 I I Masonry (wall bearing) 40 Public or private company 48. Number of stories Gl.i ? 1
31 Wood frame 41 Private (septic tank, etc•) 49. Total square feet of floor area,
i l
all floors, based on exterior
32 L Structural steel dimensions
33 L Reinforced concrete H. TYPE OF WATER SUPPLY
34
LJ Other - Specif 42 Public or private company _ 50. Total land area, sq. ft.
43 L�j Private (well, cistern) K. NUMBER OF OFF- STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 Gas Will there be central air 52. Outdoors
36 { `J Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 L Electricity 44 L� Yes 45 i_ 1 i No 53. Number of bedrooms
38 L I Coal
39' 1 Other – Specify Will there be an elevator° Full
54. Number of
46 [ 1 Yes 47 No No bathrooms
Partial
Departient of Building Inspections
212 Main Street -. BUILDING ° ��
Northar pton, Mass. 01060 o a J 0 I1, O
,.--- '� PERMIT a
31B - 144
VALIDATION
DATE May 17, 19 83 PERMIT NO. 227
APPLICANT Demolition
ADDRESS 120 - 122 King Street
L+eFiiOl1,LOn (NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO h)1 i 1 i TIPW ShP(i ( STORY D E UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 120 - 122 Kinw Street DISTRICT HR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
8 8
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)
permit to take down garage and build new auxilary building
REMARKS:
AREA OR 400.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE .
(CUBIC /SQUARE FEET)
OWNER SarahMorin
ADDRESS 120 - 122 King Street Bvl T .47 ,)
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY APPLICANT COPY • PINK - ASSESSORS COPY