38A-120 (5) NOTES and Data — (For department use)
s-
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ZONING 1
FRONT DISTRICT A7
SIDE YARD SIDE YARD
REAR YARD
•
IX. SITE OR •
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_ $ Sims$ ��S�S�i��� I ����l�is�:::IV 14R------1
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Q 1 Tea/- "-
Lessee f T
/ Builder's
2 h License No.
Contractor
o S"c'-pzeeS, ss rN S T•
3. l T
Architect or Sv /
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 /=.203- Application date
00 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
Dae 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 J� FOR DEPARTMENT USE ONLY
Permit number cJ
Building. Use Group
Permit issued p7i 19 Y
Building Fire Grading
Permit Fee /J
ir--� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
IT E
CITY OF NORTHAMPTON
9* `� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot �-�- ' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I •AT (LOCATION) o�V S-feogk1y (,O,,b / ZONING
pl
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
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Res'd ntial Nonresidential
\2 Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 ❑� Church, other religious
number of units— — — — ---)- 20 Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It multifamily residential, of units ——————— — -� 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) p
7 ❑ Foundation only 17 Other S eci/y 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
G.X Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ 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
G school, secondary school, college, parochial school, parking garage for,
10. Cost of improvement,,,,,•,,,,,•,,,,
department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical....................
b. Plumbing ....................
c. Heating, air conditioning.........
d. Other (elevator, etc.).............I
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
30 Masonry (wall bearing) Public or private company 48. Number of stories.......
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 [--] Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
45 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air S2. Outdoors........................
36 oil conditioning?
L. RESIDENTIAL BUILDINGS Y
7 C j Electricity 44 N
❑ Y e s 4 o 53. Number of bedrooms...... ......
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators Full...
54. Number of
46 ❑ Yes 47 No bathrooms
Partial.. ...
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
IWART)NEINlt OF BUILDIM USPECTIONS
FIELD COPY
zsz » STREET BUILDING
wanumTo• Mu. 4106x, PERMIT
385 • 120
DATE Septesber 26, 19 80 PERMIT NO. 512
APPLICANT if anZj or ADDRESS S VISS. S01*V $#I,'V es• it+�
(NO-1174 $ ooBe St.9 Suffieldg tOONTR'S LICENSE)OF
PERMIT TO i�.z6tBI.I, I" LAanels (�) STORY Hot water DWELLLRING UNITS
(TYPE OF IMPROVEN ENT) NO. (PROPOSED USE)
AT (LOCATION) 20 Stearns Court ZONING un
DISTRICT
(NO.) (STREET)
rn BETWEEN AND
(CROSS STREET) (CROSS STREET)
rn
IL LOT
m SUBDIVISION LOT BLOCK SIZE
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
� (TYPE)
LL REMARKS: _ Insltatl_ 'A Skanal it an aids of 2nd. story for het water
AREA OR PERMIT
VOLUME - ESTIMATED COST $ 3T � _ FE<-r-�y
(CUBIC/SQUARE FEET) 1
OWNER — Silas Kof I
Gn
ADDRESS 20 Stearns Ct.f N'tou.,o Ma, 01060 BYLD NG T yy