32C-137 (3) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Owner or
� �ffli/ —JF C)
Lessee d� ��F t ' n f /� 'Wr —
Builder's
2. 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 app 'cant Address Application date
/ 00 NOT WRITE BELOW THIS LINE
i—POAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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 � FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued — 19
Building4 JJ Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ 1991 panty Load
Approve y:
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
�$ MASSACHUSETTS
� r
e OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
INSPECTOR
ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
`�-j C-y� ZONING f /,�
I• AT (LOCATIO,)2 ` ,n� ��%r E'�j.:iA'Irfll�T trJ! DISTRICT_
LOCATION (NO.) ��'STREET) y�
OF BETWEEN J ,�t/t C.E� �j , l Kr /& AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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 Residential Nonresidential
2 Addition(I f residential, enter number
12 One family 18 n Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 n Two or more family - Enter 19 n Church, other religious
number of units- - - - 20 Industrial
3 Alteration (See 2 above) �-
14 Transient hotel, motel, 21 C Parking garage
4 ��Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 ❑ Carport 24 r`� Office, bank, professional
6 Moving (relocation)
17 Other - Speci/y 25 n Public utility
7 Foundation only
26 n School, library, other educational
B. OWNERSHIP 27 r`� Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
90 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,,,,,,,,,,,,,,,, 0 C t1,0 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 t
a. Electrical.......................
— ( �f..% b""r"lYG' �rt�a'1""t✓ Nf3���i(►! -'L�fJ("p'�l.it
b. Plumbing ....................
c. Heating, air conditioning........
d. Other(elevator, etc.).............
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 Q Masonry ) 48. Number of stories................ 1
y (wall bearing) 40 � Public or private company
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 IT/ Public or private company 50. Total land area, sq. ft. ..........
43 F-] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 Gas Will there be central air 52. Outdoors........................
conditioning's
36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 �.-_.j Electricity 44 I� Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other - Specify Will there be an elevator° Full..........
54. Number of
46 Yes 47 No bathrooms Partial........
DEPT. OF BUILDING INSPECTIONS
BUILDING Z°
e 212 Main Street 4- C�o
IL
Northampton, MA 01060 PERMIT a
32C - 137 VALIDATION
DATE A))gl)st. 9. pjrR'Ml�lor�. 507
APPLICANT John Fortier ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO Alteration I-) STORY Office Space DWELLLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 395-403 Pleasant Street ZONING
DISTRIC
(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 to relocate one non bearing wall and door approx 15' in length
AREA OR ESTIMATED COST $ 2 000'00 FEE
10.00
VOLUME
(CUBIC/SQUARE FEET) /
OWNER Same as Applicant BUILDING
ADDRESS Same as Applicant-'s eY ' ��
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK -/ASSE'S'SORS COPY p�Nj 'p