32C-349 (3) AN ORDER THAT THIS APPLICATIONMAY BE ACCEPTED,THE DATA CALLED FOR BELOW MUST BE SO SET FORTH THAT
CAN DETERMINE FROM THE APPLICATION AND THE ACCOMPANYING PLANS WHAT THE EXLSTING CONDITIONS ARE AND
WHAT THE FUTURE CONDITIONS WILL BE.
Plans,in duplicate,mustbe filed with this application beforeapermit will begranted,oneof which,upon issuance
of the permit shall be kept at the site during the progress of the work.
New...............11
Addition........❑
No.................—D, Zone..................., Type..................., Map...................., Parcel..................... Alterations....❑
Repair............❑
�a CITY OF NORTHAMPTON Demolition
MASSACHUSETTS
Application for other than a Dwelling Permit
(To be filled out in ink OR on a typewriter)��y
To the Building Inspector: Date.......................... .............. 19.....f
Application for a permit is hereby made cicIording to the following:--
1. Location,Street and No..... ...........S.r............................................................
2. Nearest cross street ..................................................................... ......................................Lot No........,...........
3. Owner's name............IC..Jp........... Address...�. `1.f l>. �.. .............
4. Architect's name .... .....................................p.......................... Address............p.......y......................./j....�...........
.
5. Builder's name. � 15 ...!!..� / �.Y ill k'1.`�............. Address.....( ..11?*.:.......
6. Use of building,Present..N.Q. 1.An?..�......... Proposed....U..I.LZ.. ..........� rL�.r................
7. Building fronts on how many Streets?.........L.......................................................................................................
8. Is building in fire district?............. .'f.'.... ..................................................................................................
............
9. Size of building,Width in ft.....N!�.................... Length in ft.....?�.U.........., Height in D 1 'M I d
10. Distance of building from Street Line................ left lot line..........., right lot line..........., rear lot line...........
11. Type of construction(check one):1—A.......... I—B.......... 1--C.......... R.......... III.......... IV.......... V..........
Stories B 1 2 3 4 5 6 7 Roof
Story heights in ft
Thickn's of walls in ins.
Material of walls
Material of floor/roof
Design live load
Design dead load
Occupancy or Use
No.of persons/families
No.of stairs
12. Soil under footing is.................................................................................................................................................
13. Depth of footing below grade................................... ft. Will piles be used?...................................
14. Area of entire building(Present plus new)................................................................................................. sq.ft.
15. Type of roof—flat.......................pitched................... Material of roof covering..................................................
16. No.of elevators..............Method of heating.............. System................................. Fuel.................................
17. Are live loads noted on drawings?............... Are all other structural conditions noted on drawings?...................
18. Building(will be)(is)equipped with sprinklers?.................................With sprinkler alarm?.............................
19. Is building to be used as a factory,workshop or mercantile or other establishment employing 10 or more persons?
...................................................................................................................................................................................
20. Is building to be used as an office building,dormitory,hotel,family hotel,apartment or boarding house,lodging
house or tenement house having 8 or more rooms above the second story?...........................................................
21. How many exits(per floor)to street?................:.....................................................................................................
22. Is building a"Place of assembly"as defined by the General Laws?.......................................................................
23. Will building conform to the General Laws?.........................Building and Zoning Ordinances?.........................
24. If a garage,distance from nearest building?............................................................................................................
25. If an addition,alteration or demolition,when was building erected?......................................................................
26. Estimated costs:— The undersigned certifies that the above statements aretrtletothebest
General ............•• of-his r kn e e d
Plumbing......................................... a� .I-�.. ...........�111.
......................
Gas Piping SC/?.y e of owner,architect or engineer
.......................................
Sprinklers........................................ WRITTEN DISCRIPTION OF WORK TO BE DONE
Heating............................................ (Use blank half of reverse side,if necessary)
Electric............................................ /. .... �?.G.. �. �....................
Other................./..../........................ ....__.. .. . .....i. .
Total$.. 1:�. .'..................... ......... ................ .............................................................................
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. I�eceoxber• 2 3 19 9/ Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location 11 P eaSa n i f reP� ly �-f- MA- 6/ 0 is 6 Lot No.
2. Owners name LT Aru rham 02 e Address PQ ISM a5_15 1Ljd1WOke1,13? -
3. Builder's name UG e/' /�a r i 2C c� Address /39 R At on ket 1 N ;4o AJA_
Mass.Construction Supervisor's License No. (9j `Y 715 0 Expiration Date G�/�g3
4. Addition 1`la
5. Alteration V/ R&pivr a4ld geno�c e>i s
6. New Porch
7. Is existing building to be demolished? kW
8. Repair after the fire
9. Garage _71te No.of cars JVA- Size A/A-
10. Method of heating oil
11. Distance to lot lines
12. Type of roof
13. Siding house No
14. Estimated cost:-
131 rw �- y� The undersigned certifies that the above statements are true to the best of his, her
wle ge a6b ief.
V� Signature of responsible applicant
Remarks_ Clean, P-em®ve (�)in,� GUQ Ql s �•1 /�,� Dro p('21'fi g S F4�i n ,
(n fer%a 2 v a�hQr► s �r�l 5% n O 17/4 AJ_S ide
PRINTaSHOP
Date Filed File No.
ZONING PERMIT APPLICATION (510 . 2 ) '
I. Name , of Applica t: �LO V 10 N yt, '.1 a-t e-
Address : p3 'e1ephone: a
2 . Owner of Property:
Address : p >bo�9. T ephone:
3 , Status of Applicant: Owner Contract Purchaser
kf�_Lessee Other (explain:
A , Parcel Identification: zoning Map Sheet# Parcel# :5 '10 ,
Zoning District (s) (include overlays) _ _
Street Address A N I
1lecquired
S . �� Lxisting Proposed by 2gnincr
Use Structure/Property 61JjPVA&eC1 _
(it project is only interior work, -skip to #6)
Building height 510 .L
%B ldg. Coverage (Footprint;) i 7e 0
Setk)acks - front b ---
- side ,-r i'x So,7 /3 •� -- - ----
- rear o
Lo 4 size .-------
Frontage �.
Floor. Area Ratio -----
%open Space (Lot area minus ------
building and parking) p
Par.•};ing Spaces ---
Loading o --- -_.--
Signs A/ yX� r5N - --- -
Fill (volume & location) ni •� ry/ � . - --
6 . Narrat.ive Descr ' tion of Proposed work/Project : (Use additional 1�haets
if ,iecessary) J e- L0 0 f o ft4 LA-'A-
I l S
. S � 7
h1 6 G
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowl
'Date: ,/� ' `�'/� Applicant ' s Signature . s� --r
—THIS SECTION FOR OFFICIAL USE ONI,`l: — — — -- - - - --
Approve-d as presented/based cn information presented `
kDenied as presented
,,,,�'easpn for Denial :
Signature' f Build -rl'g Inspector Date
NOTE: Issuance of a zoning permit does,not roliuwo an applicant's burden to comply with all zoning requirements and obtain all r•.cluircd porrits
from U�o Board of Flonith, Conaorvation commission,�, Dopartmont of Public Works and other applicable permit granting authorities.
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PERMIT APPLICATION CHECK LIST Page & Plot M Address: "7l C 3�C .3,Vq
Yes No Date
PFD
1 . Zoning Form Application k
2. Permit Application V
�Y
3. Homeowner statement if a licable Li if t V
4. 2 sets of plans
5. Curb cut
6 Water Department memo
7. Permit fee - check onlyA#o YYl-0. 16SLI432.
8. ci J
�. �. nersection 127 -
N,fgKVA— Form
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