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NOTES and Data — (For department use)
GC�
IV, IDENTIFICATION — To be completed by all applicants qt's
Name Mailing address — Number, street, city, arui State ZIP code Tel. No.
Owner or
Lessee
Builder's j
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.
Sig ature of q�plica�t /� Address Applicatioat
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
Fee Started y Approved Y Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or A Date
Obtained Y pproval 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 1 1
Building FOR DEPARTMENT USE ONLY
Permit number 4
Building. Use Group
Permit issued Q 19 ,"
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
$ Approve y'
Drain Tile
Plan Review Fee $ r
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
9 or •
e OFFICE of the INSPECTOR of BUILDINGS
V i
Page r*r +_. Plot f APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. 0
ZONING
I• AT (LOCATION) D -� DISTRICT49�E
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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
1 N3 New building Residential Nonresidential
2 ❑ Addition([/ residential, enter number 12❑ One family 1B ❑ Amusement, recreational
of new housing units added, if any,
in Part D. 13) 13 F-1 Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - •-> 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 El Wrecking (!f multifamily residential, of units ------- - -1 ❑ Service station, repair garage
enter number of units in building in 15`� Garage +t,�1t��r�fi'ert� 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) 25❑ Public utility
17❑ Other - SpeciJy
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 `Q 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
e= 't school, secondary school, college, parochial school, parking garage for,
10. Cost of improvement................
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..................... v) \�
�• 7 J
b. Plumbing .....................
c. Heating, air conditioning.........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ d
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 Public or private company 48• Number of stories...............
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet floor area, `ate
all floors, based on exterior ,:•'�� L-�
32❑ Structural steel dimensions ..................... ',
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F__] Other - Specify 42 Public or private company 50. Total land area, sq. ft. ...........
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 ❑ Electricity 44❑ —Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 ❑ No bathrooms Partial........
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DAP OF BUILDING INSPECTIONS BUILDING -°
212 Main Street 0a
Northampton, MA 01060 PERMIT
29 _ ,'1t" VALIDATION
t DATE August b? 1 , 85 PERMIT NO. 471
APPLICANT Gl-i rles l�ih ADDRESS � I
(N0.) (STREET) (CONTR'S LICENSE)
New g uildii 4 2 Qir Gayago NUMBER OF
PERMIT TO (_I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 15 Golden Dill ! DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET) '
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 215 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
j REMARKS: for the:. C.,.aist:ruct:ioil QY a t car °prara e,W*Ln raglit.. rear of existing CiwiAl.iig
Detacncj
i
f �-t
t.3 �° '� ?tJ� PERMIT
AREA OR a�
VOLUME `� � ESTIMATED COST FEE `.,,,
( (CUBIC/SQUARE FEET)
I r r
a7
OWNER alfle as plic#:jCld
y BUILDING
s
ADDRESS at(* gas 1%p�)lic""IntA S BY
i
1
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY APPLICANT COPY • PINK ASSESSORS COPY pjNTS P
DEPT. OF BUILDING INSPECTIONS BUILDING Z° ,
�""' "� 212 Main Street Oa
Northampton, MA 01060 PERMIT
29 - 419 VALIDATION
DATE August 8, 1 85 PERMIT NO. 471
ADDRESS
APPLICANT Charles L'Abbe 5o �'rive Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO
New Building (_) STORY 2 Car Garage D ELL NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) iTp A
AT (LOCATION)
15 Golden Drive D STIR CT V=im
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 25 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: ernit for the construction of a 2 car garagetin right rear of existing dwelling
Detactied
AREA OR 600 S • ft. ESTIMATED COST 6,000'00 FEEMIT 30'00
VOLUME
(CUBIC/SQUARE FEET)
Sane as Applicantf
OWNER BUILDING
ADDRESS Same as Applicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNT NP