32C-113 (6) 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
^\
Name Mailing
f�\yA` Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or `�J1��� A✓ V.j' 5
Lessee ` 53;L_
Builder's �/"/
2. /g9615'y t,Ck- License No. /
Contractor G6 tj _ �f
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.
Sig ure ap i nt Address Application date
, --",p/Vr7/7 17; ,
//
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check
Plan'Review Date Plans B Date Plans B Notes
Q Pee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number Nb B
Obtained Obtained 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 d /) FOR DEPARTMENT USE ONLY
Permit number
Building
Permit issued \ 19� Use Group
Building Fire Grading
Permit Fee $ ` Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ �p� ,�
Wit 9
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
1 MASSACHUSETTS
AA��.4 'Mhl
='� ,' .„..l . OFFICE of the INSPECTOR of BUILDINGS
k Page L3)-C, /13 13 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
//'�, j1J ZONING tied
I. AT (LOCATION) 1✓C" ��- 5 ZONING if
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
CA
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
1 I I New building Residential .11 Nonresidential
2 I I Addition(If residential, enter number 12 I I O a family 18 I I Amusement, recreational
of new housing units added, iJ any,
'n Part D, 13) 13 YFTwo or more family — Enter 19 LA Church, other religious
number of units— — — — —3. 20 L_ I Industrial
3 r71.
Alteration (See 2 above)
14 II Transient hotel, motel,
l__ 21 L i Parking garage
4 I J Repair, replacement or dormitory — Enter number
5 LJ Wrecking (If multi family residential, of units — -_ r 22 l-i Service station, repair garage
enter number of units in building in 15 L I Garage 23 L—j Hospital, institutional
Part D, 13) 24 ❑ Office, bank, professional
16 I I Carport
6 U Moving (relocation)
17 L] Other — Specify 25 LA Public utility
7 I I Foundation only
26 L--i School, library, other educational
B. OWNERSHIP 27 [ 1 Stores, mercantile
8 I—/Private (individual, corporation, 28 I___L Tanks, towers
nonprofit institution, etc.) 29 Li] Other — Specify
9 Ll 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 $ aka/ school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building of 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 I/
1 ``/L, i_f ._ Li' h / ..!it ...'I I,y1)4
b. Plumbing
+ A tei4 n / - iol
c. Heating, air conditioning ;/" ('�tif� (L L L7JrGG%�/
CO d. Other (elevator, etc.) i jj!! PULL)
11. TOTAL COST OF IMPROVEMENT $
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
I 48. Number of stories
30 I I Masonry (wall bearing) 40 I�J Public or private company
31 I I Wood frame 41 Li Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33 j Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other — Specify 42 L_] Public or private company —50. Total land area, sq. ft. —
43 LJ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 I I Gas Will there be central air 52. Outdoors
36 I I oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 CJ Electricity 44 L_] Yes -r--1 No 53. Number of bedrooms
38 Li Coal
39 Li Other — Specify Will there be an elevator', Full
54. Number of
46 PI Yes 47 H No bathrooms Partial
.f..
•
DEPT. OF BUILDING INSPECTIONS Z o
BUILDING
F /1) ` (/��/
212 Main Street 04
7.1..0c, PERMIT a
-= - Northampton, MA 01060
32C - 113 o VALIDATION
DATE May 12, )9 87 PERMIT NO. 280
APPLICANT Diggins & Worden ADDRESS 59 Conz Street Owners
(NO.) (STREET) (CONTR'S LICENSE)
Alteration Interior Alterations NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO, (PROPOSED USE)
AT (LOCATION)
59 Conz Street ZONING
DISTRICT URC
(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 remodel existing bathroom on second floor rear apartment/also 2 new windows
AREA VOLUME ESTIMATED COST $ 2,500.00 ;NWT 10.00
(CUBIC/SQUARE FEET)
C
OWNER Same as Owners
BUILD!
�; �C1'�"`
ADDRESS Same as Owners BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK ^ ASSESSORS COPY pjNT P