32C-339 (2) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX SITE OR PLOT PLAN For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
a...�e. or
Lessee
uj� Builder's
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 of appl/��t Address T-/Z-A�/'ication date
M
D0 NOT 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 Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 p Use Group
Permit issued �0 19 R
Building Fire Grading
Permit Fee $ !Ci•00
Live Loading
Certificate of Occupancy $ Occupancy Load
A ed by:
Drain Tile $
Plan Review Fee $
TITLE
hereby certify that the proposed work is authorized by the owner 'of record
and I have been authorized by the owner to make this application as his
authorized agent.
t ,
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPARTMENT OF BUILDING INSPECTIONS Z2 DEPT. FILE COPY
212 MAIN STREET B, t I L D I N G O a
NORTHAMPTON► MA. 01060 V 1�IV a
32C 339 PERMIT VALIDATION
DATE June 18, 19 80 PERMIT NO. 316
APPLICANT E-ArCi1 Specialists Inc- ADDRESS 239 Pleasant St.
(NO.) (STREET) (CONTR'S LICENSE)
System NUMBER OF
PERMIT TO (_) STORY ar SVetem DWELLING UNITS
TYPE OF IMPROVEMENT NO. (PRO OSED USE)
AT (LOCATION) 239 P1R $ant 8 ZONING
DISTRICT CB
(NO.) (STREET)
a BETWEEN AND
(CROSS STREET) (CROSS STREET)
w
4 LOT
SUBDIVISION LOT BLOCK SIZE
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I
Ir (TYPE)
IL REMARKS: Tngtallatian of a solar iQVSj--4Pm an the roof.
AREA OR PERMIT
VOLUME ESTIMATED COST $_ 2-nnn FEE
(CUBIC/SQUARE FEET)
OWNER EneritySeCialists Inc. t
ADDRESS 239 F1eaAgant Str@et- Northampton BY I r
(Affidavit on reverse side of application to be completed by authorized agent of owner)
NOTES and Data — (For department use)
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS 3 3�
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
3 ZONING
I• AT (LOCATION) • DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
11. TYPE AND COST OF BUILDING — A11 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 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13) number of units— — — — -->
3 Alteration (See 2 above) 2 ❑ Industrial
14 ❑ Transient hotel, motel, 21 1 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 F-1 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 E:] Foundation only 17❑ Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 � Stores, mercantile
28 Tanks, towers
8 Private (individual, corporation, i Other — S ec
nonprofit institution, etc.) 29 ❑ 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
10. Cost of improvement•,,,,,•,•••,•,•, s 2.c,0u 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 ..................... �/7 !J✓
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 2�aa
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 VMosonry (wall bearing) 40 L Public or private company 48• Number of stories...............
31 F7 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Specify 42 [A Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I>Yes HANICAL 51. Enclosed .......................
35 ❑ Gas ntral air 52. Outdoors........................
36 Oil
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 5 ❑ No 53. Number of bedrooms........38 ❑ Coal
39 ❑ Other — Specify n elevatorFull..........
54. Number of 47❑ No bathrooms
Partial.......
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