32C-155 (2) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
NOTES REAR YARD
/ :mss _ � ►..If'
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
A/-V
V gel
� 7
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
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 applicant Address Application date
�`f 6/
00 NOT WRITE BELOW THIS LINE
V. PLAN 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
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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Bui(ding. ONLAC,�u , Use Group
Permit isued 9
Building Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr a y:
Drain Tile
Plan Review Fee
TITLE
�o CITY OF NORTHAMPTON
MASSACHUSETTS
r �
OFFICE of the INSPECTOR of BUILDINGS
'"t Page en5-� �'- Plot - APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all itbms in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (N0.) 5TREET
OF BETWEEN AND
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 XNew building Res'dential Nonresidential
2 Addition(If residential, enter number
1 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— — — — --o- 20 C_� Industrial
3 Alteration (.See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 Repair, replacement or dormitory — Enter number ( �
22 u Service station, repair garage
5 ❑ Wrecking (If multifamily residential, of units ------- - ---
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 [—] Carport 24
6 Moving (relocation) Office, bank, professional
�� 17 Other — Specify 25 n Public utility
7 Foundation only ✓
26 � School, library, other educational
B. N
0 ERSHIP O)t 27 Stores, mercantile
Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 D Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
�Q processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,•,,•,,,,...... .3 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 .......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
? �J
11. TOTAL COST OF IMPROVEMENT $'9x'�
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 u Public or private company 48. Number of stories.............
31 Wood frame 41 El Private (septic tank, etc.) 49. Total square feet of floor area,
- all floors, based onyr�teyyr q�
32 trucTural steel dimensions .....
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 Other — S Ect fy 42 Public or private company
43 n Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 L-J Gas Will there be central air 52. Outdoors........................
36 F'i Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ,; Electricity 44 j Yes 45 r ) No 53. Number of bedrooms..............
38 �_. Coal
39 Other — Specify Wi1I there be an elevator? Full..........
54. Number of
46 Yes 47 1 No bathrooms
Partial.......
212 MADEPARTMENT STREET
NILDING INSPECTIONS BUILDING
o°
1+3ATHAMPTON,, Mu. 01060 PERMIT as
32C + 155 VALIDATION
DATE March 4, 19 81 PERMIT NO. $3
APPLICANT jlrnpct pjnt+-rd ADDRESS 31 Kirlga Ae_
(NO.) v(STR V ET) y (CONY R'S LICENSE)
�) STORY garage & deck
NUMBER LLING UNITS 1 _
PERMIT TO C:RTAL✓� do 9ttaC11_ dP iQ
(TY OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 31 DISTRICTU
(NO.) TREE )
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Deck 16 12
BUILDING IS TO BE 22 FT. WIDE BY 22 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: — Construct attached deck and build detached garage
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE 7 Q
(CUBIC/SQUARE FEET) �
OWNER Rrntagt Plpurd BOIL N I �.
ADDRESS 3� $�ngslP AVPti Nl tOt1� - Ma_ 01060 BY i
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY