29-342 (6) NOTES%nd Data — (For department use)
if
IV. IDENTIFICATION — To be completed by all applicants Ja e A
Name Mailing address — Number, street, city, and State ZIP code_ ° Tel
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.
Signat of applicant IL Address Application date
4&r1J"-' ;-e4W LQ , T/-
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
Q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obttai ed Number By Permit or Approval Check 0bttained 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
Building. / Use Group
Permit issued ,�i. 19 _
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
A ove by:
Drain Tile $
Plan Review Fee $
TITLE
AM I CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page1�2 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• ZONING
c�lA "' ` T;` r'ry j a�
LOCATION i
DISTRIC
AT (LOCATION) I
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — A11 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 12XOne family 18 E:1 Amusement, recreational
of net, 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, ❑
❑4 ❑ Repair, replacement or dormitory - Enter number 21 Parking garage
5 ❑ Wrecking (If multifamily residential, of units ------- - -3. 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑❑ Hospital, institutional
Part D, ]3)
16 Carport 24 ❑ Office, bank, professional
6 ❑� Moving (relocation)
17 Other - .Specify — 25 ❑ Public utility
7 C� Foundation only 26 L� School, library, other educational
B. OWNERSHIP 27 �❑ Stores, mercantile
6 ❑� Private (individual, corporation,
28 ❑ Tanks, towers
nonprofit institution, etc.) f�/_ o I 29 ❑ Other - Specify coL 1w
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,,,,,,,,,,,,,,,, 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.).............
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) 40KPublic 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 4X Public or private company
50. Total land area, sq. ft. ...........
43 FJ1 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYP OF MECHANICAL
35 ❑ Gas Will th a be central air 52. Outdoors.......................
36 1 Oil condition g?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No `
�eN _- 53. Number of bedrooms..............
38 Coal
39 j - Spcci Will t re be an levator�
_� Other /y Full..........
54. Number of
4 1 Yes 47 No bathrooms partial........
wr -
s
INSPECTION RECORD
DATE ,NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
�/"`
R
AI r
� d
1
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00p
ARINCRT OF 1031DING INSPI CrMIS FIELD COPY
MAIN STRM BUILDING
. MA. 01060 PERMIT
29 - 342
DATE 3muam 8 19 a— PERMIT NO. 9
APPLICANT ADDRESS AmUls ttrel!
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO i (�-) STORY FAX $OEf d hAJIrn f �! - DWELLING UNITS i
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE1
ZONING u
AT (LOCATI N) li 110 DISTRICT
(N0.) 1 """',.; 2(ST�R
AND
BETWEEN (CROSS STREET)
10 CROSS T E ,a
rn
LOT
m SUBDIVISION
BLOCK SIZE
. t
J Y' (ING
u BUILDING IS TO BE PT. ID B ; BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O Z TO TYPE USE GROUPASEMENT WALLS OR FOUNDATION
(TYPE)
f
o REMARKS: At&ll ilMlid&burni8a stara in existftta
AREA OR PERMIT
VOLUME ESTIMATED COST FEE
S- (.(CUBIC/SQUARE FEET)
OWNER Steshou X. D veere - BUIL01
ADDRESS Ito Austin rArcle. floTe ce BY