32C-137 (5) ZONING •
FRONT ■
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
Name Mailing address — Number, street, city, and State ZIP code Tel. No,
t. t ,`f
Owner or c) �
Lessee Ly(q�r,JE: n/ :/�
Builder's 7—
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
AN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING
PLUMBING $
MECHANICAL
ELECTRICAL
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtta ned 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 ��yy FOR DEPARTMENT USE ONLY
_. 01
Permit number 9:'
Building Use Group
Permit issued _ 19
s
Buildin g Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ } panty Load
Approve y:
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
OFFICE of the INSPECTOR of BUIL INGS
Page4
Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete oil items in sections: 1, 11, 111, IV, and IX. O
1• AT (LOCATION �g / L M�Z P-, ZONING
j/ •r: / Ofiq,�% � � DISTRICT �`�
LOCATION (N 0.) (STREET)/J
OF BETWEEN DQ✓/GE Ci��.tN'�tr /`jG AND i�VG�E.SM.Li%
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
11. TYPE AND COST OF BUILDING — Alf 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(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
3 Alteration (See 2 above)
number of units— — — — ► 20 F] Industrial
� _
14 Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory — Fnter number
5 n_ 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, rel
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
8 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
1 processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,•,,,,,,,,,,,,, 4 C U,Q V 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 ..................... /1
c. Heating, air conditioning........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ �Z 0 6 D l
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
t
30 Q Masonry (wall bearing) 40 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. ..........
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........................
36 Oil conditioning° L. RESIDENTIAL BUILDINGS ONLY
37 -� Electricity 44 �,, Yes 45 - No 53. Number of bedrooms..............
38 Coal
39 j Other — SPccify Will there be on elevators Full..........
54. Number of
46 Yes 47 ! No bathrooms Partial........
i
a DEPT. OF BUILDING INSPECTIONS BUILDING
+ % 212 Main Street 0 Jt cy:
Northampton, MA 01060 PE RMIT
32C - 137 VALIDATION
DATE
APPLICANT John Fortier ADDRESS 3P-,�R'MIIl�Q 507
P I I
(NO.) (STREET) (CONTR'S LICENSEI
OF
Alteration Off ice Space NUMBERNG UNITS
PERMIT TO (-_) STORY
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
395-403 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 to relocate one non bearing wall and door approx 15' in length
AREA OR $ 2,000.00 PERMIT 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Same as Applicant BUILDING�E�F
ADDRESS Same as Applicant's BY
4 0,
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pm IIp