35-062 (2) ZONING •
FRONT YARD
SIDE YARD SIDE • .
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants -
Name Mailing address — Numbrr, street, city, and State ZIP code TJNo.Owner or
Lessee
Builder's
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.
Signature of applicant Address Application slate
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
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 0btta ned 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 19
Building Fire Grading
9
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
ved by: r
Drain Tile $ �j 1t
l�
Plan Review Fee $
TITLE
�o CITY OF NORTHAMPTON
MASSACHUSETTS
qy {' OFFICE of the INSPECTOR of BUILDINGS
lV 1 'i
Paged Plot 6 2— APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
t- ZONING
I• AT (LOCATION) 1 °�� V DISTRICT"_'
LOCATION (NO.) (STREET)'
OF e l�'1
BETWEEN- �f1,. ��,F�� AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
IL 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 Fz�ne family 18 ❑ Amusement, recreational
of new housing units added, if any,
13 Two or more family - Enter 19 Church, other religious
i Part D, 13) Y ❑ gious
number of units- - - - -+- 20 �� Industrial
aeration (.See 2 above) 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)
17 ❑ Other - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 C❑ Stores, mercantile
8 E, Private (individual, corporation,
28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 D 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,,,,,,,,,,,,,,,, 'i) 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 $ �����
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 /
.
.
.
Number of stories.... ...... .. . 4
30 ❑ Masonry (wall bearing) 40 ❑ Public or private company 48.
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. TY7public WATER SUPPLY
50. Total land area, sq. ft. ...34 ❑ Other - Specify 42 or private company """"
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 L-� Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 E Electricity 44 [-] Yes 45 ❑_No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
S4. Number of
46 ❑ Yes 47 ❑ No bathrooms Partial........
Department of Building Inspections
212'Main -Stregt BUILDING �°
Northampton, Ma. 01060 PERMIT
O<
tY,
35 - 62
VALIDATION
DATE May 3, _19 82 NO. 156
APPLICANT n ++a ;
___._7_ F�Breen ADDRESS I $7 Rnrts Pit Rd.0 F1 A•
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Add;Lion (�) STORY Closed in rejig(}f __DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPSSEO USE)
ZONING SR
AT (LOCATION) 1387 R++rtc Fit Fxt. DISTRICT
(NO.) (STREET)
BETWEEN Rvan Road AND Ryan Road
� R 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)
f
REMARKS: NOW rlljoceA 43a povcJ3 f
AREA OR PERMIT
VOLUME ESTIMATED COST 3�nnn FEE
(CUBIC/SQUARE FEET)
OWNER nani cl F Rraan - BUIL T
ADDRESS 1 52
47 Bux-ts A+t Fart Nnrthasntnn MA 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY