32C-140 (9) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants _ _ 14
Nome Mailing address — Number, Str(let, city, aruf Stat, ZIP code Tel. No.
Cr Owner or L� r �A / j r C ( .�-+ 11 j` I t �. J X520
Lessee •c�
2 i L
, �V� t/� Y� Builder's
lacer it icense 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
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
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 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued Iq J
Building Fire Grading
Permit Fee $ c �
Live Loading
Certificate of Occupancy $ Occupancy Load
r by:
Drain Tile $ Appa
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
T Page ` Plot `f APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to `comyp-lete /all items in sections: I, 11, 111, IV, and IX. O
I• AT (LOCATION) . tf�L- ZONING
DISTRICT i j
LOCATION / (NO.) (STREET)
OF BETWEEN iC.l t Z. L. L•��L/�c. A-+� AND J�CI (_. i'� ) L4.' <-1—
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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(!/ 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- - - - --> 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 [;K Wrecking (!f multifamily residential, of units ------- - -)p 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 E:] Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 K 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
Processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,..•..•....... l.% A school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building of 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 $
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❑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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? r L. RESIDENTIAL BUILDINGS ONLY
37 [2j Electricity 44❑ Yes 45 7 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will there be an elevator? 54. Number of Full..........
t
46 ❑ Yes 47 ❑ No bathrooms Partial........
e DEPT,OF.BUILDING INSPECTIONS BUILDING Z
212 Main Street $a
Northampton, MA 01060 PERMIT
32C - 140 VALIDATION
DATE April 3, 19 85 PERMIT NO. 161
APPLICANT Michael Sissman ADDRESS P.O. Box 1096 Owner
IND.) (STREET) (CONTR'S LICENSE)
PERMIT TO Demolition (_) STORY Garage NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 351 Pleasant Street ZONING CT
(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 the demolition of a garage
AREA OR 350 PERMIT 35.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) f�
OWNER Same as Application /f'[
III
P ?� "
ADDRESS B
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - /SSESSORS COPY p01111P