36-168 ZONING •
DISTRICT
FRONT ►
► ► SIDE ►
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
`�Naamey 1Q�� /y Mailing address — Number, stmt, city, and States ZIP code Tel. No.^�
Owner or 4�h / 1C✓7J7L"'e1 /5 lilt a W1111 k&<afteh-12 �//7'• 014b e) 5h;z v`-
Lessee
Builder's
L.
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.
Sign lure of applicant Address Application date
` 3 d3
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 Permit or Approval Check Obtained Number By Permit or Approval Check Obttained 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 �p�� Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,V, Page A16 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items! in sections: 1, 11, 111, IV, and IX. O
. �"�1 /��s+`��.ST /(//�/r ZONING
AT (LOCATION) ✓ l-- yC �1C.� DISTRICT
LOCATION N0.1 (STREET) t
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 ❑ New building Re idential Nonresidential
2,X Addition(If residential, enter number 1 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 C� Industrial
3 Alteration (See 2 above) 14 `❑ Transient hotel, motel,
21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
J y
5 Wrecking (11 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)
❑ 1� ` Other — Specify 25 ❑ Public utility
7 Foundation only Off— 26 ❑ School, library, other educational
B. OWNERSHIP e , 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, n 28 ❑ Tanks, towers
nonprofit institution, etc.) �^ 29 ❑ Other — SpeciJy
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,,,,,,,,,,,,,,,, r 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 /
30❑ Masonry (wall bearing) 40 Public or private company
48. Number of stories.......
I........
31 Wood frame 4!M Private (septic tank, etc.) 49• Total square feet of floor area,
�'� all floors, base ex}
32 Structural steel ,, ,,,,,.erior
❑ dimensions .
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY k.
34 ❑ Other — Specify 42V Public or private company 50. Total land area, sq. ft. ...........
3 _ 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 NLY
3 Electricity 44 ❑ Yes 40 No 53. Number of bedrooms.. .....
3t( Coal
— S cci Will there be an elevator
39 � Other p� /y Full..........
54. Number of
46 ❑ Yes 47M No bathrooms
Partial.. ...
Department of Buildir�,In;pections
212 Main street BUILDING zp
OIL / V �✓
Northampton, Mass, 01.060 PERMIT 4
36 - 168 VALIDATION
DATE May 23, _19 82 PERMIT NO. 246
APPLICANT John k� , %�i -hg1 , ADDRESS_ 757 Florence Road NA
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
— PERMIT TO remove & replace porcD(_) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 757 Florence Road DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT 1,
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 12 FT. WIDE BY 16 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit to remove and replace ace 1 2' x 16' porch
AREA OR 500 QQ PERMIT 10.00
VOLUME ESTIMATED COST Feign
(CUBIC/SQUARE FEET)
John Michalski
OWNER BUILD G ZQ
ADDRESS Florence Road BY
WHITE - FILE COPY . GREEN ^ FIELD COPY ■ CANARY - APPLICANT PINK - AS ESSORS COPY