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NOTES and Data — (For department use)
j
_ r
IV. IDENTIFICATION — To be completed by all applicants r
Name Mailing address — Number, street, city, and .State ZIP code Tel. No.
W. tGS. 1
P)rt,c.1Cef 30 L.,, 5f ocf�SM, n MA 6!8 { ogo
Owner or
Lessee 7�
nn JJ� Licenser N0. D'L
2. kq t'O Ce.!!•.}'�, I.o• BO Gs s R Al.r+'^4.a 4a+� S8Y-y 2
Contractor an
F�lG
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.
Sign t e of applicant Address Tex4 5 Rd AJar K�t.,p/-M Application date
Lza::d 1 is -Z3 8y
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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dte Do
Permit or Approval Check obttaained Number By Permit or Approval Check Obta t ed 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 FOR DEPARTMENT USE ONLY
Permit number 1 7
Building Use Group
Permit issued 19
( t �/� Fire Grading
Building
Permit Fee $ 1 �t l .L__.�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
_ Plot Page t APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
�r ZONING
3 O LQ�U cJt � �1 DISTRICT
I• AT (LOCATION)
LOCATION (N0.) (STREET)
O F 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 X
M
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 F-1 One family 18 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- - - - --0- 20 n Industrial
35Z Alteration (See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 El Repair, replacement or dormitory - Enter number
5 [71 Wrecking (If multifamily residential,
of units ------- - --� 22 � Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 El Carport 24 Office, bank, professional
6 E] Moving (relocation) _ 25 Public utility
17 � Other - Speci/y
7 D Foundation only 26 School, library, other educational
B. OWNERSHIP _ 27 Stores, mercantile
28 Tanks, Towers
8,�< Private (individual, corporation,
nonprofit institution, etc.) 29 Other - Specify
9 D 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 i
10. Cost of improvement............... 11,00 0 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 r1 l
a. Electrical..................... yf75 p 1/a 1 1�� :s11
b. Plumbing ..................... i / LL :LZ 4l4.1
C. Heating, air conditioning..........
d. Other (elevator, etc.)............. (` /
11. TOTAL COST OF IMPROVEMENT Is II OO
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...............
30X Masonry (wall bearing) 40 E] Public or private company
P
41 E] Private (septic tank, etc.) 49• Total square feet of floor area,
31 Wood frame 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 n 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 n Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
r—
37 ��I Electricity 44 r-] Yes 45 No 53. Number of bedrooms..............
38 Coal
39 f Other - Spc°cify Will there be an elevator? Full.........
54. Number of
46 Yes 47 �D No bathrooms Partial.
DEPT. OF BUILDING INSPECTIONS BUILDING ZO
! 212 thin Street 'a
Northampton, MA 01060 PERMIT
23B - 46 VALIDATION
DATE October 23, 19 84 PERMIT NO. 594
APPLICANT Aquadro & C,errutl ADDRESS Texas Road, Northampton On File
(NO.) (STREET) (CONTR'S LICENSE)
Alterations NUMBER OF
PERMIT TO (_) STORY Hospital Gift Shop DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
30 Locust Street ZONING U B
AT (LOCATION) DISTRICT
(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 minor alterations to existing gift hop; take otlt parti t;nn anci makes new
window leading to hallway and also and new door. Put in lentles above openings
VOLUME ESTIMATED COST � 11TQW ff) FEE MIT .0 (([(•Q(
(CUBIC/SQUARE FEET)
W.H. Brucker President
f�
OWNER o0 ey lc enson Hospital, 30 Locust Street BYILDI f
ADDRESS <�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK ESSORS COF