32C-149 (10) ZONING •
FRONT ■
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT
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NOTES and Data — (For deportment use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State code Tel. No. y
(u
Owner or
Lessee t
Builder's
L. / 91aN-) License No.
Contractor Q ll 4!12 r})A_O3�
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.
Si nature 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approva I Check Obtai ed Number By Permit or Approval Check Obtta t ed 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
V11. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building• Use Group
Permit issued 17 19 Y3
Building V Fire Grading
Permit Fee $ f�r Live Loading
Certificate of Occupancy $ Occupancy Load
by:
Drain Tile $ Ap
Plan Review Fee $
TITLE
a* �S CITY OF NORTHAMPTON
MASSACHUSETTS
s i
OFFICE of the INSPECTOR of BUILDINGS
,YT Page �32-c Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT
^�— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
r ZONING 0 t3
I• AT (LOCATION) (Jv DISTRICT
LOCATION (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vf
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(If residential, enter number
12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13)
13 Two or m re family – Enter 19 n Church, other religious
numberr o units– – – – 20 J Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 Repair, replacement or dormitory – Enter number
❑ _–_--- – 22 ❑ Service station, repair garage
5 Wrecking (1l multifamily residential, o units --�
P 9 9
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 ❑ Moving (relocation) P
7 ❑ Foundation only 17 ❑ Other – Specify 25❑ Public utility
26 School, library, other educational
B. OWNERSHIP 011-0' C1j 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tonks, towers
nonprofit institution, etc.) `% 9, 29❑ Other – Specify
�
9 ❑ Public (Federal, State, or IF
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,
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..................... 75-0,cI3
b. Plumbing ..................... 7`5Vta .J
c. Heating, air conditioning..........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT 11,4'Id.0o
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 Woad frame 41 Private (septic tank, etc.) 49. Total square feet floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other – Specify 42S4 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 here be central air 52. Outdoors........................
36 ❑ Oil conditi ing? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes No 53. Number of bedrooms..............
38 �J Coal
39 L Other – Specify Will there be n elevator Full..........
54. Number of
46 Y s 47 ❑ No bathrooms
Partial.......
Department of Buiiding-Inspecti.ons
212 an Street ZD
ie
ortharpton Mass. 01060 BUILDING 'a
PERMIT
32C - 149
VALIDATION
DATE May 17, 19 83 PERMIT NO. 229
APPLICANT William McCarthy ADDRESS 64 Ly ian Road _ 014612
(NO.) (STREET) (CONTR'S LICENSE)
Renovations 4 famil NUMBER of
PERMIT TO (`) STORY y DWELLING UNITS —,
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) {
263 Pleasant Street ZONING GB
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: Renovate existing bathroom, move existinh partition, new windows (4), rewire
AREA OR ESTIMATED COST $ 4. 00.00 PERMIT
VOLUME EE 10_00
(CUBIC/SQUARE FEET)
OWNER William aPl `'CCarth BUI
ADDRESS _64 Lycian Road BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - SESSORS COPY