32C-119 (5) 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 address — Number, street, city, and State ZIP code Tel. No.
1. )�.1446/ ,;
Owner or �I► �. • " ./ is L.,' // Y 'f'v � ,
Lessee
Builder's
2.2. r / 1. / / ,i �< License No.
Controctor
3.
Architect or `L / . ►/1., _
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 appli nt -. Address Application dote
DO NOT WRITE BELOW THIS LI E
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or A rovol Check Date Number 8
Obtained y Pp 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 FOR DEPARTMENT USE ONLY
Permit number C!1
Building- I Use Group
Permit issued 19
Building �'^ \ Fire Grading
Permit Fee $ V' V
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Appro by:
Plan Review Fee $
TITLE
M.14� - CITY OF NORTHAMPTON
MASSACHUSETTS
-`� , ra OFFICE of the INSPECTOR of BUILDINGS
44 Page 2--C.. Plot ! ' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
I. AT (LOCATION)
/6 eepo,3 % c , ZONING VVV ZONIN As
LOCATION (NO.) (STREET)
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 7
A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m m
1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter number 1 2 Ind One family 18 Amusement, recreational
of new housing units added, if any.
in Part D, 13) 13 I I Two or more family – Enter 19 Li Church, other religious
number of units– – – – –0. 20 Industrial
3 {Y Alteration (See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 I I Repair, replacement or dormitory – Enter number
5 1 I Wrecking (If multifamily residential,
of units – -0- 22 Service station, repair garage
enter number of units in building in 15 ( I Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
I I
6 I Moving (relocation) 25 Public utility
17 I Other�– Specify
7 I I Foundation only 02144r 26 School, library, other educational
B. OWNERSHIP (/XJ 27 Stores, mercantile
8 CZPrivate (individual, corporation, C git to _i_1 28 Tanks, towers
nonprofit institution, etc.) u✓�/y/ 29 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 5 &a06 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 4.0 _
a. Electrical
b. Plumbing (1(100
c. Heating, air conditioning
d. Other(elevator, etc.)
11. TOTAL COST OF IMPROVEMENT _$ /0000 ""
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
48. Number of stories
30 I I Masonry (wall bearing) 40 I I Public or private company
31 I I Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33[ Reinforced concrete H. TYPE OF WATER SUPPLY
34I I Other – Specify
42 I I Public or private company 50. Total land area, sq. ft.— —
43I I 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 L Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑
Electricity
44 L_ _I Yes 451 j No 53. Number of bedrooms
38 LII Coal
39 LJ Other – Specify Will there be an elevator' Full
54. Number of
46 I_ _I Yes 471 I No bathrooms
Partial
C
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DEPT. OF BUILDING INSPECTIONS BUILDING ,° �D �C'
_E 212 Main Street o< ``` 1 ---''
Northampton, MA 01060 PERMIT 4
32C 119 VALIDATION
DATE November 1, 1 qq1g,OnZ 85
1J PERMIT Iv O. 646
APPLICANT /Stephen Finn ADDRESS I� Street
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration ( One Family STORY Y NUMBER OF DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) *�
AT (LOCATION) 15 Conz Street Z IN CT NB
(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 is for new door openings (interior)
AREA OR 10,000.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
OWNER F&J Enterprise `
ADDRESS
P.O. Box JU, worthington BUIL `r4, •
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - SESSORS COPY P1Nfi SIIP