32C-213 (3) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name y E Mailing address \— Number, street, city, and State ZIP code �Tel. No.
5�)
Owner or 3 !
Lessee L �J
Builder's
1. 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 auth 'ized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of plicant '7 Address Application date
31 S+ m P UT)a
' DO N WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obta ined Obtained Y
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 FOR DEPARTMENT USE ONLY
Permit number
Building
Permit issued Use Group
Building Fire Grading
Permit Fee $ /0 C)o
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro by:
Drain Tile $
Plan Review Fee $
TITLE
t CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
Page2�.C- Plot `113 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, I11, IV, and IX. O
ZONING
I• AT (LOCATION) y DISTRICT(
LOCATION (NO.) STREET)
OF BETWEEN ' \ (CROSS STREET)
BUILDING (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
4
1 0 New building Residential Nonresidential
2 ❑ Addition()/residential, enter number 12 ❑ One family 18 Amusement, recreational
of new byp using units added, if any, 13 Two or more family — Enter 19❑ Church, other religious
in Part D, 13) number of units— — — — -->— 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 Parking garage
4� Repair, replacement or dormitory_= Enter number
of units — — --� 22 �� Service station, repair garage
5 Wrecking (fl multifamily residential, 23 ❑ Hospital, institutional
enter number of units in building in 15 F__1 Garage
Part D, 13) 16 Carport 24❑ Office, bank, professional
� �
6 ❑ Moving (relocation)
fy 25❑ Public utility
17 Other — Speci
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 l (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................ �.-+V 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..........
c^�
d. Other (elevator, etc.)............. V V1c�
11. TOTAL COST OF IMPROVEMENT $ 2�tC:Q
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L
for wrecking, complete only Part oia others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories................
30 asonry (wall bearing) 40 Public or private company
31 Wood 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 QF WATER SUPPLY
34 Other — Specify 42X Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRIN AL 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 Electricity 44 C] Yes 45 No 53. Number of bedrooms..............
38 Coal
39 n Other Specify Will there be on elevator" Full..........
54. Number of
46 �� Yes 47 No bathrooms
Partial........
oil
DEPT. OF BUILDING INSPECTIONS BUILDING '-° .'�
212 Main Street 0< ,/�;
Northampton, MA 01060 PERMIT <a
32C - 213 VALIDATION
DATE May 2 8$
19 PERMIT NO, 259
APPLICANT Chel Horowitz A Deborah FriedroaPREss 3.�.){oiTke St
Repair Two Family House (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO I_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) O. DISTRICT �Rl
N (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREETI
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
rep 1 ace (TYPE)
REMARKS: O�,-ri- to 04194a d-@coke_
AREA OR r 2 QQ�,�� PERMIT $ 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUAB FEET
Shel Horowitz Deborah Friedman
OWNER ADDRESS 9 Holyoke St. BY(L °� "`'`t..
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pONIP