32C-108 (15) 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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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address — Number, stmt, city, and State ZIP code Tel. No.
r r u?
Owner or
Lessee 71/Ali
2. G' A. [y Y l.t. r{-(el; /! r r d .. * *- �_; t -. e'er License r,No. tvf
Contractor
3.
Architect or Xr
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 dote
try /j .�,
> s°' d'" ` �G' Inc .."�--_�+'; "''i'"` .�. ., °y.+F,r'� ;,t9,,,c•.
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Date Number By
Obtained
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 l/ln
Building
Permit issued 7)v} .- 19 /2
Use Group
Building Fire Grading
Permit Fee $ /7)• 7-1Y) Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b
Drain Tile $ n e
v r-
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
` MASSACHUSETTS
A At ems. )i;;h�
„�:;:,;• ..:t : OFFICE of the INSPECTOR of BUILDINGS
�;.
,4,.. ' ,2-0- I C
ai�^ Page Plot
APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, II, Ill, IV, and IX. O
3 f '� ZONING
I. AT (LOCATION) +� YF '�" "'" `'"'r� DISTRICT
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 -4
A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m
M
–4
1 I I New building Residential Nonresidential
2I I Addition(1f residential, enter number 12 I I One family 18 I I Amusement, recreational
of news housing units added, i/any,
in 13 Li Two or more family – Enter 19 L_i Church, other religious
in Part D, 13) number of units– – – – --3.
3 I I Alteration (See 2 above) 20 J Industrial
14 I I Transient hotel, motel, 21 ❑ Parking garage
4 I I Repair, replacement or dormitory – Enter number
5 I Wrecking (If multifamily residential,
o nits – -.. 22 ❑ Service station, repair garage
enter number of units in building in 15 rPrGarage 23 LJ Hospital, institutional
Part D, 13)
16 I I Carport 24 I Office, bank, professional
6 I I Moving (relocation) 25 I I Public utility
17 I-1 Other – Specify
7 I Foundation only
26 I I School, library, other educational
B. OWNER IP 27 I Stores, mercantile
8 Private (individual, corporation, 28 I I Tanks, towers
nonprofit institution, etc.) 29 Li 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 $/oC4 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
F
b. Plumbing
c. Heating, air conditioning I {
d. Other (elevator, etc.) l l■! �
11. TOTAL COST OF IMPROVEMENT $„„i '. -"` y( ,( (Ac)/LJ (17 )
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, comp ete Parts E - L;
for wrecking, complete only Part J, fo all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48.
30 I 1 Masonry (wall bearing) 40 [Public or private company Number of stories
31 I I Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior t}.•
32 I I Structural steel dimensions
33 Li Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other – SpeClfy :44°' f",a 42 Public or private company 50. Total land area, sq. ft.
' n . � .,,e,;e* K. NUMBER OF OFF-STREET
,r 43 I� Private (well, cistern)
r PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 I I Gas Will there be central air 52. Outdoors
36 Li Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 1-1 Electricity 44 L_J Yes 45 �' No 53. Number of bedrooms
38 I I Coal °1' ='a-e..
39 L _I Other – Specify ✓ Will there be an elevators Full
54. Number of
46 r1 Yes 47 Fi No bathrooms
Partial
DEPT. (3r+BUILDING INSPECTIONS
212 Main Street BUILDING �o RD ca
C , oa
_ > Northampton, MA 01060 PERMIT
32C - 108 VALIDATION
DATE October 24, 19 86 PERMIT NO. 631
APPLICANT Frank Fournier ADDRESS 1225 Florence Road On File
(NO.) (STREET) (CONTR•S LICENSE)
Alteration (_) STORY Computer Room/Office Space NUM DWEBER LLING OF
PERMIT TO UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
36 Smith Street ZONING
DISTRICT 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: permit for the alteration of 'Partitions for computer room/office space 9'2" x 8'4"
AREA OR
VOLUME ESTIMATED COST $ 1 .200.00 air" $ 10.00
(CUBIC/SQUARE FEET) rr(( f.-"�
CM / "
OWNER Ralph Thompson BUIL -11.,,,.:41+ �`' .
``
ADDRESS Smith Street. Northampton, Mass. 01060 BY W
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY ►•Ni ,►
7