32C-135 (2) ZONING •
FRONT DISTRICT
SIDE YARD SI DE •D
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — ,dumber, street, city, and State ZIP code Tel. Ng.
O
Owner or iAEAAJ
Lessee 02.\07
CC II Builder's
2. 7 /•Z License No.
Contractor
A c s� U 413
Architect or
Engineer
8a—o0M
1 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.
Si a of applic nt ,,,:,,,s. Address Application date
NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained y PP N b
Obtained y
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
Bui(ding.
ri
Permit issued l9 Use Group
,/-G- 'jt��_
Building Fire Grading
Permit Fee $ /J
Live Loading
Certificate of Occupancy $ Occupancy Load
A ved by: `
Drain Tile $ /
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
'$ MASSACHUSETTS
r a
OFFICE of the INSPECTOR of BUjyDINGS
°t Page �LL Plot i,3 A APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
3 � )1� ZONING
AT (LOCATION) ,,.,�
I(�,�c�1 DISTRICT
(• (STREET)
LOCATION ("O•)
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 A
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑� Church, other religious
number of units— — — — ---o. 20 ❑, Industrial
35< Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential,
of units ——————— — -f 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)
❑ 17 ❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
{ 28 ❑ Tanks, towers
8 VC Private (individual, corporation,
��� CCC 29�J Other — SpeczJy
nonprofit institution, etc.)
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
10. Cost of improvement................ 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.......................
b. Plumbing .....................
c. Heating, air conditioning.......... r
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 tKIpublic or private company
R
31 tic tan
❑ Private (septic etc.) 49. Total square feet of floor area,
Wood Frame 41 all floors, based on exterior
321KStructuralsteel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify
42 Public or private company 50. Total land ores, sq. ft. ...........
43 ❑ 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 52. Outdoors........................
360;�A Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 bathrooms
No Partial........
,.
U
� 6..
tea
.moOke,partment of Building Inspections BUILDING ZQ
21 Main Street O<
IL
Nor P tham ton, Man. 01060 PERMIT a
32C - 135 VALIDATION
DATE_Apr3l 30-, 19 Al PERMIT NO. 192
APPLICANT ADDRESS_ 6L3 �(i7�n Ct . yCnnpe
(N0. (STA� �� (CONTR'S LICENSE)
PERMIT TO (4--) STORY Offices DWELLIING UNITS
OVEMENT) NO. (PROPOSED USE)
ING
AT (LOCATION) 23 Service Center Road DIOSTR ICT SI
(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: Intpri nr f(1 fire Al twra ti nn c
AREA OR PERMIT
VOLUME ESTIMATED COST $ 51 9500- FEE $ 156.00
(CUBIC/SQUARE FEET)
OWNER NPw F.ngl and TP1 PphonP Co_
BUILDI Q
ADDRESS 185 Franklin St.. Rnston} Ma. 02107 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - AS ESSORS COPY