38B-124 (6) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE 1
REAR YARD
NOTES
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NOTES and Data — (For department use)
a"
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
1. I t(G��L *D, s�
�I v�'v-
Owner
Lessee T
VT 0106 0
K
r j�dX f ` S
Builder
License's
2, >G ti .-> ,J r t (r y, l ( License No.
Contractor
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.
Signature of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By y
Date Plans B Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtai ed 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 FOR DEPARTMENT USE ONLY
Permit number
Building /'� (� r{t^ Use Group
Permit issued 19j---
Building Fire Grading
Permit Fee
$ � 00 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
8 .� MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
,. t �^ Page 39 Plot a APPLICATION FOR
INSPECTOR ( ZONING PERMIT AND
\, S,zSSwS yS� lit; �Z�J` BUILDING PERMIT
IMPORTANT — Applicant to complete all Jitems in sections: 1, 11, 111, 1V, and IX. O
I• AT (LOCATION) y / lJ '� M 0 ZONING
DISTRICT
LOCATION C (NO.) (STREET) ( -J
OF BETWEEN -r ' S.-F - AND4..-S"� J J
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION "- -----....'. LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
rn
1 ❑ New building Reside al Nonresidential
2 ❑ Addition(l/ 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- - ----)N' 20 Industrial
- - C❑
3Alterafion (See 2 above) 14 Transient hotel, motel,
❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (if multifamily residential, of units ------- - --► 22 Ll Service station, repair garage
enter number of units in building in 15 L❑ Garage 23 ❑� Hospital, institutional
Part D, 16 ❑ p
Carport 24 C� Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ Other - Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑� Stores, mercantile
8 Private (individual, corporation, t _ 28 Tanks, towers
nonprofit institution, etc.) .�1��fv4 liv Arun -PJ L"b,a LCM 0' 29 ❑ Other - Specify
a
9 ❑ Public (Federal, State, or �' o
local government) tJ� af`fi /y
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...................C -5 0 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..................... L� 4 1,6
b. Plumbing ..................... J S U li
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUIL ING — 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 Masonry (wall bearing) 40 Public or private company a
31Wood frame 41 ❑ Private (septic tank, etc.) 49. Total @guore 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 KPublic or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRIRCIAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gos Will there be central air 52. Outdoors........................
36 ❑ oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY r�
37 ❑ Electricity 44 ❑ Yes 45-t�eN0
53. Number of bedrooms..............
38 ❑ Coal
39 Other - .Specify Will there be an elevators Full..........
54. Number of
46 ❑ Yes 47 No bathrooms partial........
DEPT.OF BUILDING INSPECTIONS BUILDING Z°
+ ! 212 Main Street Oa
Northampton, MA 01060 PERMIT as
38B - 124 VALIDATION
DATE April 11 , 1989 PERMIT NO. 227
APPLICANT Harry Masterton ADDRESS pDn R(1Y (S' _�Sh�ItpChl)r�r,_Mass-(�D034316NSE)
One Family NUMBER OF
PERMIT TO Alteration (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
22 Columbus Ave. ZONING URB
AT (LOCATION) DISTRICT
(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; Rermit for alterations to existing attic area (bedroom and 3/4 bath)
AREA OR 25,500.00
PERMIT 76.00
VOLUME 690 SCI f -ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Mi chap' R Mari/ Ford BUIL
ADDRESS 22 Cn1 umhil,; kp _ Nnrthamoton BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'(NT SIIP