32C-295 ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data (For department use)
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A�
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
U L tr_'��//f/1'J ' a Builder's
2. G
�t. \k r � License No.
Contractor
L
jy;q., ..77- -✓ i-' o L o U t/Z 7 a(c -S,?s
3.
Architect or 0?
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 Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans By Plans B Notes I
Fee Started y Approved y
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 Obtained N b By
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 Use Group
Permit issued C . — 19
Building Fire Grading
Permit Fee $ �c �( Live Loading
Certificate of Occupancy $ Occupancy Load
Apaoved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
$. .� MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
wt
Page Plot — APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
I• AT (LOCATION) ✓ l DISTRICT
LOCATION (NO.) (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
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 ❑ New building Re i ential Nonresidential
2 Addition(!/ residential, enter number 12nOne family 18 ❑ Amusement, recreational
o/ new bouszrzg units added, if any,
in Part D, 13) 13 Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 F Parking garage
4 Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (I(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 17 Carport Other - Speci/y 24 r Office, bank, professional
❑ 1--�
6 ❑ Moving (relocation) A-W-66 � 25❑ Public utility
7 ❑ Foundation only / 26 ❑ School, library, other educational
B. OWNERSHIP �d r 27 L] Stores, mercantile
8 X] Private (individual, corporation, t /7 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 E] Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
p processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,••••....... ��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 J '�
a. Electrical.......................
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b. Plumbing ..................... s c�c7
I
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ r;L"O
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 L] Masonry (wall bearing) 40 ❑ Public or private company
Private rivate (se tic 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
Specify 42 ❑ Public or private company `� Total land area, sq. Ft. ...........
34 ❑ Other - p /y K. NUMBER OF OFF-STREET
43 ❑ Private (well, cistern)
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 tF--1 Yes 45 !_I No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator° 54. Number of Full..........
-
46 Yes 47 D No bathrooms
C Partial......
DEPT. OF BUILDING INSPECTIONS BUILDING r`. J
212 Main Street Oz
Northampton, MA 01060 PERMIT <a
32C - 295 Q VALIDATION
DATE Mar. 23, 19 89 PERMIT NO. 165
APPLICANT Ed Lennihan ADDRESS .)( .) TREET (CONTR'S LICENSE)
PERMIT TO Addition (_) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 30 Valley Street ZONING DISTRICT IIRc
(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 onto existing dwelling second floor only/dressing room & bath
AREA OR ESTIMATED COST $ 20,000.00 FEEMIT $ 64.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Bart Gordon BUILDIN�
ADDRESS . 30 Valley St. , Northampton BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY pwP