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VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE ' j� --
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 01969 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.
4�7t 19
Owner or A.7
Lessee
i? 5� F Bui Ider's
2. G 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.
Signat pplicant Address Application date
C1
3� �f, zic ; �'e,;zi��ra 70•� ��I �7` 3
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 Obtained 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 �_ y Use Group
Permit issued :` 19`, !�
� Fire Grading
Building3
Permit Fee - Live Loading
Certificate of Occupancy Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
0
T
NOTES and Data — (For department use)
1 �
C — _2
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) 2.7 3-itew, stcfz 4=Critm? ZONING
DISTRICT
LOCATION /� (NO.) (STREET)
OF BETWEEN ow SOUS, S�_e AND
BUILDING (CROSS STREET) a {l (CROSS STREET)
. 1 LOT
SUBDIVISION LOT ^� BLOCK �/ SIZE
N
11. 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 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
din Part D, 13) 13 /� Two or more family — Enter ,. 19 ❑ Church, other religious
3 Alteration (See 2 above)
number of units— — — — --)� 20 ❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ 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 — Specify 25 F:] Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 Other — Specify ti'd'us-
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,,,,,,,,,,,,,,,, $ 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 n
a. Electrical..................... S�V
r the s�,�Rs��, 4. Z ��6rLa,�, �,b4 :�,:
b. Plumbing ..................... 7 OQ A
c. Heating, air conditioning.........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ / 000
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) 40 ❑ Public or private company 48• Number of stories................
31 ❑ 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❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. fT. ...........
43F] 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.......
I 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. _
SIGNATURE' OF `A6EN7
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
,
DEPT. FILE COPY
Z
} OM.OF BUILDING INSPECTIONS BUILDING
a a
212 MoIn St m PERMIT VALIDATION
Nomamptm MU&0?060 32C - 3Y3
DATE October 25, (9 78 — PERMIT NO. 533
APPLICANT Eric Gross ADDRESS 33 Aldri N I-bon,
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO .Alterations ( 2 ) STORY Mixed Use DWELLING UNITS 2
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 27 Brewster Cou.>et DISTRICT 013
(NO.) (STREET)
a BETWEEN Old South AND
(CROSS STREET) (CROSS STREET)
rn LOT m SUBDIVISION LOT 32C BLOCK 32 SII E 7�o=�'1 .��
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
DD
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
it (TYPE)
o REMARKS: Cnir(pl ete renovation - 11 pstairs to he 2 - 1-bedroom ants_ with _Lofts
Downstairs to be nonspecific commercial space.
AREA OR s
VOLUME ESTIMATED COST $ 3`x,000 FEEMIT 93.GG
(CUBIC/SQUARE FEET) -
OWNER Standick. Trust BUILC IN EPT.
ADDRESS X 231 , I ,on_ BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
1111111 Mill 1111111, 1