32C-108 (5) 34 K__ /U
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
1-.
r
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES I
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP - 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and .State ZIP cod, Tel. No.
ed,4 7 3 S7G2 3
Owner or
Lessee
e
Builder's
L.
License No.
Contractor /
�O V K /
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
C19112-8,2.4.7040 //44
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 FOR DEPARTMENT USE ONLY
Permit number 6-cS-
Building. r Use Group
Permit issued r > . ', 19 X`
Building Fire Grading
Permit Fee $ /l Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ rag --'2
CITY OF NORTHAMPTON
9����=��,,;I MASSACHUSETTS
■• ....�� `• ,(4 . OFFICE of the INSPECTOR of BUILDINGS
Page ? (2- Plot /Pr APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. �� 0
ZONING �/y's /lam/
I. 3 , ZONING C'E. Sy
AT (LOCATION)
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -I
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
--I
1 I I New building Residential Nonresidential
2 I Addition(If residential, enter number 12 Li One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family — Enter 1 I I Church, other religious
number of units— — — — -0 0 Industrial
3 Alteration (See 2 above)
14 I I Transient hotel, motel, 21 Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (If multifamily residential, of units — --).- 22 I I Service station, repair garage
enter number of units in building in 15 I Garage 23 Li Hospital, institutional
Part D, 13)
16 I Carport 24 Office, bank, professional
6 Li Moving (relocation)
17 Li Other — Specify 25 L_i Public utility
7 Li Foundation only
26 I School, library, other educational
B. OWNERSHIP 27 I ] Stores, mercantile
8 I Private (individual, corporation, 28 I Tanks, towers
nonprofit institution, etc.) 29 L i_ 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
`y processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $,9� 0). 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 ,i
a. Electrical ' , - ii,. '' '_I .--742V
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.) ,*, ,u y
11. TOTAL COST OF IMPROVEMENT $ 3 (! -----
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 I Masonry (wall bearing) 40 Public or private company 48. Number of stories
3 • Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 1U Structural steel dimensions
33 I I Reinforced concrete H. TOF WATER SUPPLY
34 I I Other — Specify 4 Public or private company 50. Total land area, sq. ft. —
—
43 I I 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
36 117■11 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
H lectricity 44 Li Yes 45 No 53. Number of bedrooms.
38 I ] Coal
39 LI Other — Specify Will there be an elevator? Full
54. Number of
46 L _I Yes 47 I No bathrooms
Partial
. P•
Department of Building Inspections g BUILDING N G
212 Main Street 20
Nort ampttn, Ma, 01060 PERMIT Qa / /[i
32C - 108 VALIDATION
DATE October 7, 19 82 PERMIT NO. 558
APPLICANT Whiting Oil row. ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
• PERMIT TO jl ay Chi ey (. 1 I STORY p A p h
NUMBER OF
1( T Eit m t I is StoS chimney DWELLING UNITS
TYpE 0 IMPROV ENT) NO. (PROPOSED USE)
ING
AT (LOCATION) 16 Smith DIOSTR CT SI
(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: Metal bestos chimney
VOLUME ESTIMATED COST $ 300.00 lair" 10.00
(CUBIC/SQUARE FEET)
OWNER Ralph ThOmpSOn /
BUILDIN •EP . /
ADDRESS 1F smith St_ Northampton, -Ma� 01060 BY
_.'`.:
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY