32C-311 (6) VIII. ZONING PLAN EXAMINERS—NOTES
DISTRICT
USE
FRONT • .
SIDE YARD SIDE YAR D
REAR YARD
NOTES
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NOTES and Data — (For department use)
I
411
fv
IV. IDENTIFICATION — To be completed by all applicants "
Nome Mailing address — Number, street, city, and State P coi' Tel. No.
Owner or '�, ' LL.t `,, '(• .�.� /�st:`,fG% C-l1rF4< Gtf/ jf
Lessee
Bui
License No. Git'
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.
Signature of applicant Address Applica ion dfpte
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 Notes
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obta ned Number By Permit or Approval 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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
/`
Permit issued �'� Z ?
I ig 5`
Building v _ Fire Grading
Permit Fee $ ll, CI
Live Loading
Certificate of Occupancy
Occupancy Load
A "? d by:
Drain Tile $
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
� e
OFFICE of the INSPECTOR of BUILI)INGS
Page -49 C_ Plot APPLI CATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, VII, IV, and IX. O
_ ZONING '�'
I• AT (LOCATION) `� „.t.� DISTRICT fec
LOCATION (NO.) (STREE
O F BETWEEN 'Sp� 6'L` Zt-Cn.+-... 14(- A N D BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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
M
1 ❑ New building Residential Nonresidential
2,.Jkf Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13N'Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - --> 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 L❑ Parking garage
4 Repair, replacement or dormitory - Enter number
5 ❑ 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 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other - SpeciJy 25 E] Public utility
26 ❑ School, library, other educational
B. OWNERSHIP L� ►V� 27 ❑ Stores, mercantile
�y ^ 28 ❑ Tanks, towers
8 Private (individual, corporation, V 29 ❑ Other - Specify
nonprofit institution, etc.)
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,,,•,•,,,..•...• ,L7L 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 I$ t1iil C' ,
111. 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) A Public or private company 48. Number of stories......w�^�..
31,%Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... g
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 M 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
31�<6as Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
���� L. RESIDENTIAL BUILDINGS ONLY
3 ' Electricity 44 ❑ Yes 4 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
r 54. Number of
46 F] Yes 47 No bathrcoms
Partial.......
4 `
�'
I
rw ya'° ��
Department of Building Inspections ,
212 Main Street's r gUILUING ¢�
Northamp tonh,�,Ma. 1010Q 'o< 1#5 0 0
PERMIT
32C - 311
VALIDATION
DATE n tnher 22, 19 R2 PERMIT NO. 6Q 1
APPLICANT Charl Ac 7 PaquPttp ADDRESS 75 Hpnry „Z07900
(NO.) (STREET (CONTR'S LICENSE)
NUMBER OF
PERMIT TO 01 t�c�$t�„Ri3 (_2—) STORY r$cy�egti$l t DWELLING UNITS —
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 75 QlSTRICT iTR(
(N0.) (STREE
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: With i or, 381I.a -add-p orch
AREA OR ESTIMATED COST $ 2000 FEEMIT In 0n
VOLUME
(CUBIC/SQUARE FEET)
OWNER Charles J_ Pam tte BUXDI
ADDRESS 25 Hganry Stre nptonv MA. B
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY COPY
PINK ASSESSORS