32C-213 (2) ZONING
FRONT
• .
REAR 1
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
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7
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt 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 authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sign ture f plicont Address lic d date
l Appis o
00 NOT WRITE BELOW THIS LINE
V. LAN RE EW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes
9 Fee Started Approved
BUILDING
PLUMBING
MECHANICAL $
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check obttaain d 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 l� FOR DEPARTMENT USE ONLY
Permit number /
Bui lding• Use Group
Permit issued �� /r 19
Building Fire Grading
Permit Fee $ r ( ^ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
Page ° ��` Plot ��� APPLICATION FOR
JV T
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, I1, 111, IV, and IX. 0
\\
�^ DISTRIC ZONING T` y_c,
,�
I• AT (LOCATION) (S
LOCATION NO.
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
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(if residential, enter number 12❑� One family 18 ❑ Amusement, recreational
of new bousing units added, if any, 13 5eTwo or more family — Enter 19 ❑ Church, other religious
in Part D, 13)
—
number of units— — — 0- 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4XRepair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential,
of units ——————— — -i 22 ❑ 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
(relocation)6 ❑ relocation p ❑
_ 17 ❑ Other — SpeciJy 25 Public utility
7 �� Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
BXPrivote (individual, corporation,
``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,,,,,•.......... s 30DIM 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 3Dt�.6c�
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
(� 48. Number of stories................
30❑ Masonry (wall bearing) 40�[l Public or private company
41"I�� Private (septic tank, etc.) 49. Total square Feet of Floor area,
31 Wood frame p all floors, based on exterior
32 Structural steel dimensions ...................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 ❑ Other — .Specify 42 Public or private company
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 there be central air 52. Outdoors.......................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 L) Electricity 44 [—] Yes 45 .XI No 53. Number of bedrooms.............
38 Coal
391 1 Other — .SpeciJy Will there be an elevator? Full..........
54. Number of
46 ] Yes 47 �XNo bathrooms
Partial.......
apartment of Building Inspections
Main Street
orthampton, Maes. 01060 BUILDING
PERMIT a a. C)o
32C - 213
VALIDATION
DATE April 12, 19 84 PERMIT NO. 134
APPLICANT Jeffrey Holman ADDRESS 218 North Street Owner
(NO.) (STREET) (CONTR'S L CENSE)
NUMBER OF
PERMIT TO Repair, replacem enit ) STORY 2 Family (existing) DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZING 39 Holyoke Street D STN CT URIC
AT (LOCATION)
(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 to do repairs as per requested by the Board of Health(2nd means of egress -
back stairway and railings).
AREA OR 300.00 PERMIT 10.00
VOLUME ESTIMATED COST FEE $
(CUBIC/SQUARE FEET) >
Jeffrey Holman
OWNER BU
North Street, Northampton, ass. BY
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY