32C-205 (5) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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 art/�� S ZJ otG�C c1 �
Lessee
Builder's
2. n ' 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 (mac �� Application date
�i e�cL �Z' J—�KLZ/� � J/ /!i 0 7
DO NOT WRITE B LOW 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 is
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtai ed 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
VII. VALIDATION
Building qq FOR DEPARTMENT USE ONLY
Permit number `JD
Building Use Group
Permit issued 19a
Building C1
G , t Fire Grading
V C)
Permit Fee $ '
Live Loading
Certificate of Occupancy $ Occupancy Load
App d by
Drain Tile $
Plan Review Fee $
TITLE
_ CITY OF NORTHAMPTON
�• MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page 3,2, Plot °' °� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) �� / D
ZONING CT C
LOCATION ("O•) (STREET)
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 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number
12 �One Family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 Two or more family — Enter 19 ❑� Church, other religious
i Part n, 13) number of units— — — —
3 ❑ All teration (See 2 above) —)� 20❑ Industrial
14 ❑ Transient hotel, motel, 21 parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 L� 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❑ Public utility
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,,••,•,,•......, 2 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 Is 7 tY '
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�ISPOSAL J. DIMENSIONS
3C❑ Masonry (wall bearing) 40 ❑ Public or�vate company 48. Number of stories.......area, ...
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet n floor area,
all floors, based on exterior ��
32 Structural steel dimensions ..................... S
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 420 Public or private company 50. Total land ores, sq. 41. ...........
43 ❑ Private (well, cistern)//1 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? L. RESIDENTIAL BUILDINGS ONLY
37 ❑) Electricity 44 ❑ Y 45 es � NO
V/)O 53. Number of bedrooms.....N1 ..
38 Coal 1
39 ❑ Other — Specify Will there be an elevator?
54. Number of Full.......... ,
46 [_] Yes 47 ❑ No bathrooms
Partial.......
7 =o-
DEPh. OF BUILDING INSPECTIONS BUILDING Z0 0
! 212 Main Street o<
Northampton, MA 01060 PERMIT <a
32C — 205 VALIDATION
DATE June 24, )g 86 PERMIT NO. 328
APPLICANT Mary-Elizabeth Beach ADDRESS 5 Kary Street Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT To Addition (_) STORY One Family Dwelling DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
5 Kary Street DISTRICT URC
(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 addition of a deck, per ZBA Approval
AREA OR $ 985.00 PERMIT 10.00
VOLUME 144 Sq. ft. ESTIMATED COST
(CUBIC/SQUARE FEET)
Same as Applicant
s pp ican s
OWNER BU I LD I
ame a
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY ^ APPLICANT COPY - PINK - ASSESSORS COPY p 0-11'
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