32C-135 (5) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name
`t Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or ,v .o • 4" ,�I{!�-
Lessee
►•d- /- /510 AIPSIC 67 axe n
2, Builder's
Contractor License No.
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
0, S a.5
00 NOT WRITE BELOW THIS LINE
V. P A 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 ApprovoI Check DOTe Number B 5WRECKING r Approval Check Obtained
Number By
Obtained Y PP
BOILER G
CURB OR SIDEWALK CUT
ELEVATOR
ELECTRICAL BILLBOARD
FURNACE GRADES
GRADING UBLIC AREAS
OIL BURNER G OTHER
VII. VALIDATION
Building
Permit number FO R DEPARTMENT USE ONLY
J
Building qq
Permit issued %(e 19�_ Use Group
Building Fire Grading
Permit Fee $_ 0.r2o- 0 b
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
t Page Plot 4 34�-; APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, 1V, and IX. O
s� /f� ,y./! ZONING
I• AT (LOCATION) /`] / LeR�T s/�_ '� j[(@'GU DISTRICT�S
LOCATION (N0.) / (STREET) — / .1
OF BETWEEN ��+&�AAt I S� AND W,0 L/lm5
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 New building Residential Nonresidential
2 Addition(IJ residential, enter number 120 One family 18 Amusement, recreational
of new housing units added, if any,
Two or more family — Enter
in Part D, ]3) 13 F 19 Church, other religious
3 Alteration (See 2 above) number of units— — — — 20 Industrial
14 Transient hotel, motel, 21 �� Parking garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (If 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)
7 Foundation only 17 Other — Specify 25 Public utility
26 School, library, other educational
B. OWNERSHIP 27 L J Stores, mercantile
8 Private (individual, corporation, 28 n 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
10. Cost of improvement,,,,,,••,••,,,,. $ school, secondary school, college, parochial school, parking garage for,
deportment 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..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ C
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 f
30 asonry (wall bearing) 40KPublic or private company 48. Number of stories................
31 Wood frame 41 n 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. ...........
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 C�;Gos Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
n Yes 45 _' No 53. Number of bedrooms.............
37 Electricity 44
38 Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 [-1 Yes 47 D No bathrooms Partial
e DEPT. OF BUILDING INSPECTIONS BUILDING
*� 212 Mfin Street Da `
Northampton, MA 01060 PERMIT
32C - 135 & 136
VALIDATION
DATE A(1q(1Sf. 24��N9V. DU1� J7UE 1 11UC J� - -
APPLICANT John Fortier ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration (_) STORY Office Space NUMBER NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
403 Pleasant Street ZONING
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: permit for interior renovations to create office space
AREA OR rj 000.00 PERMIT 20.00
VOLUME ESTIMATED COST $ FEE ."0
ICUSIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS Same as Applicant's BY'
WHITE - FILE COPY . GREEN - FIELD COPY CANARY ^ APPLICANT COPY PINK - ASSESSORS COPY plNf' ' p