36-158 (3) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
,
t
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or STA D T (SSG �GGI
Lessee
Builder's
2. /L/, License No.
Contractor Q'
ld !L3
3.
Architect or 9,46 TO
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.
Signfure of t Address Application date
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 Is
OTHER Is I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote
Permit or Approval Check Obtained Number By Permit or Approval Check Date 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. VALIDATIbN
Building FOR DEPARTMENT USE ONLY
Permit number
Bul Iding- Use Group
Permit issued 3 19_
Building Fire Grading
tlUa '
Permit Fee U�
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr
Drain Tile $ by:
Plan Review Fee $ t
TITLE
CITY OF NORTHAMPTON
�* MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,Q, Page 36 Plot /SCS APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) I c� S /T �n DISTRIC
LOCATION (NO.) (STREET)
OF BETWEEN V4 &1 7�n n AND iPE�'C' S Rn
BUILDING f (C 0 STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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 w building Residential Nonresidential
2 u Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 �❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, f units ------- — --� 22 ❑ Service station, repair garage
enter number of units in building in 15 F Garage 23 ❑� Hospital, institutional
Part D, 13) 16 ❑ Carport 24 Office, bank, professional
6 L] Moving Moving (relocation) 17 Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 C7 Stores, mercantile
8 Private (individual, corporation,
28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — .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,,,,,,,,,,,,,,,, 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 $ vv
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
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories................
31 N Wood frame 41 [�Frivate (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. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
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 elevatorVN Full..........
54. Number of
46 ❑ Yes 47 bathrooms
Partial.......
Department of Building Inspections
212 Main Street BUILDING Zo
Northampton, Ma. 01060 0< '
36 - 158 .
PERMIT 70.
VALIDATION
DATE November 23, 19 A2 PERMIT NO. 659
APPLICANT William M- Mauch ADDRESS_ 19 Wactern Avenue 010916
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO New etrijC,tijrE STORY DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. ROPOSED U E)
AT (LOCATION) 1120 Ru Pit i t R DINING d+ DISTRICT-0
(NO.) (STREET)
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. rnnctrjiCt attarhpd garage (149 X 161) and porch (9' X 20�)
AREA OR
VOLUME ESTIMATED COST FEEMIT $ 25.20
(CUBIC/SQUARE FEET)
OWNER Raboxt $tackow
BU
ADDRESS 1120 Surtc Pit Rd.y Florence Ma, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - SSESSORS COPY