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DEPT. OF Bd+Ueu INSPECTIONS
BUILDING o
212 Main Street IL
Northampton, MA 01060 PERMIT
VALIDATION
32C - 130 _
QATR �1:. '$ .gfw * :, PPERM17 NO. 602
LICANT Stephen Brown A00RIESS 74 CC7V5ZRX St. Owner
two.) (STREET) (CONTR•! LICENSE)
Existing Two/Add One Unit NUMBER of +1
?MIT TO Alteration (_) STORY DWELLING UNITS
(TYPE Or IM►ROVEMENTI NO. (PROPOSED USE)
ZONING S1
r (LOCATION) 74 ConZ Street DISTRICT
(NO.) (STREET)
ETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
BDIVISION LOT BLOCK SIZE
;ILDING IS TO BE FT. WIDE BY -FT FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TYPE USE GROUP E 5 OR FOUNDATION
(TYPE)
_MARKS.
erm t far, t alterations ad i i
o7 another ni
1
REA OR PERMIT '11 263.00
'OLUME
COST FEE
(CuSIC/SQUARE trEET)
OWNER Same as Annl i ant - Bu�?444
ADDRESS Same as Ann 1 1 n 1 S BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY riwf' '_ r
rowers
nonprofit institution, etc.) 29E] Other - Speci/y
9 Public (Federal, State, or
local government)
. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
��jj �17"j •� /� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ .G. V 00 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 /200
a. Electrical..................... V !�
b. Plumbing .....................
C. Pleating, air conditioning.........
d. Other(elevator, etc.)............. /
11. TOTAL COST OF IMPROVEMENT 3
I. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Part J, for all others skip to 1V.
-. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS V ��•t'- Y:':\
30[--]Masonry (wall bearing) 40 X Public or private company 48. Number of stories................
31 JK Wood frame 410 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32E] Structural steel dimensions
.....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 0 Other - Specify 42 g Public or private company 50. Total land area, sq. ft, ..........
430 Private (well, cistern) K. NuMatit OF OFF-STREET
PARKIING SPACES i
.
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ......... .............
35 [] Gas Will there be central air 52.
36 n Oil conditioning?
/�yj, L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 F] Yes 45�F No 53. Number of bedrooms..............
38 Cool
39 Other - Specify Will there be on elevator) Full.........
54. Number of
(
�
46 t ' Yes 47,29 No bathrooms Portial........
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Fm2 3 20M File No. wdt)- 130
DEFT OF SUS' ,►, PERMIT APPLICATION (§10.2)
Please type or print all information and return this form to the Building Inspector's Office with the
$10. filing fee (check or money order) payable to the City of Northampton
1. Name of Applicant:
Address: n �',� �-�% Telephone:
2. Owner of Property:
Address: S �'1�� Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other(explain)
4. Job Location: 14
Parcel Id: Zoning Map# 3 2 G Parcel# ! 3 D District(s): U R C
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property Al L- Y In1 tij — C-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
N L nJ J^ } T V B C D f= C X! S i-
\ rJC> UN I �
7. Attached Plans: Sketch Plan V Site Plan Engineered/Surveyed Plans
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued: 1 1J
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW _ YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook,body of water or wetlands? NO DON'T KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(Form Continues On Other Side)
File# MP-2000-0130
APPLICANT/CONTACT PERSON BROWN STEPHEN A
ADDRESS/PHONE 74 CONZ ST
PROPERTY LOCATION 74 CONZ ST
MAP 32C PARCEL 130 ZONE URC
THIS SECTION FOR OFFICIAL USE ONLY_
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FI OUT
Paid " L'
Building Permit Filled out
Fee Paid
Typeof Construction CHANGE OF USE FROM 3 TO 4 FAMILY _
New Construction
Non Structural interior renovations
Addition to Existing
Accessoa Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
--Approved as presented/based on information presented.
' Denied as sented:
Special P mit and/or Site Plan Required under:
:_PLANNING BOARD ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § _ w/ZONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed_
Variance Required under: § _ w,/Z,ONING BOARD OF APPEALS
Received& Recorded at Registry of Deeds Proof Enclosed
Other Pennits Required:
Curb Cut from DPW _Water Availability ------Sewer Availability
_ Septic Approval Board of Health _Well Water Potability Board of Health
_Permit from Conse ation Commission
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission, Department
of public works and other applicable permit granting authorities.