32C-142 (6) 0 1 -
ZONING •
SIDE YARD SIDE YARD
REAR 1
IX. SITE OR PLOT
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NOTES and Data — (For department use)
i
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or 5
Lessee
2 Builder's QO�g6
A, \p jt•,U 1il� D 10 License No, v
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
D I
00 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 Is
OTHER is
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Nb 8
Obtained y pp umer 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
0
Building (;1
�F/ v Use Group
Permit issued
Budding Q� ��`Q � Fire Grading
Permit Fee $ ��/�
Live Loading
Certificate of Occupancy
Occupancy Load
Approv
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ a OFFICE of the INSPECTOR of BUILDINGS
Page 3 Z C Plot / ¢z APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
:3 1 � �wt— G
AT (LOCATION)
b ` DISTRIC
LOCATION `(NO') (STREET)
OF BETWEEN trl+�• 1KA,3 Arc AND GC-CU IC.'c (_Cjv�yl.s'
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION ' LOT BLOCK fS 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
—a
1 A New building Residential Nonresidential
2 ❑ Addition(if 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 L❑ 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 – F.nter number
5 ❑ Wrecking (/1 multifamily residential,
of units ––––––– – -- 22 ❑� Service station, repair garage
enter number of units in building in 15 W Garage 23 Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) 17 ❑ Other – Speci/y 25
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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ �0 5 co. d 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..................... Op0• Y�. hl { �(T&
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ �DO
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
Number of stories.........
30❑❑ Masonry (wall bearing) 40 ❑ Public or private company .......
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 rStructural 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 1. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37E] Electricity 44 Yes ❑'
❑ 45 No_-- 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other – Specify Will there be an elevators m Full..........
54. Number of
46 ❑ Yes 47 ❑j No bathrooms
Partial.......
DEPAUF BUILDING INSPECTIONS BUILDING I-°
! 212 Main Street Oar Cj
a.
Northampton, MA 01060 PERMIT
32C - 142 VALIDATION
DATE October 28, 19 86 PERMIT NC!. -1
APPLICANT Paul Britt ADDRESS 4 aM1�f—'1n St., Haydenville
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO
New Buildin g STORY g 3 Car Garage NUMBER OF
(_) DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
319 Pleasant Street ZONING GB
AT (LOCATION) DISTRICT
(N0.) (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 construction of a parking garage (3 Car)
AREA OR 951 6 $ ft. ESTIMATED COST .� 1 O•8�6•60 FEEMIT 47.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Michael Sissman
ADDRESS 351 Pleasant Street Northampton BYILDI
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INT P