36-261 (11) ZONING •
DISTRICT
SIDE YARD SIDE YARD
IX. SITE OR PLOT
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address_— Number, street, city, ant! State ZIP code Tel. No.
Owner or
Lessee ' rA
Builder's
2. �(JtMJ�^ License No. 9L/ 17
Contractor
C
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 date
lo Mq Gtr'
DO 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 / ( Use Group
Permit issued l L /l 13 19 _
Building Fire Grading
Permit Fee {,/
1
$ � / Live Loading
Certificate of Occupancy $ Occupancy Load
Ap
,iDroved by:
Drain Tile $
Plan Review Fee $
s
TITLE
CITY OF NORTHAMPTON
9• MASSACHUSETTS
• a
$ OFFICE of th INSPECTOR of BUILDINGS
t Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
MANE ( ZONING
I• AT (LOCATION) u? Fl f'� �... ; � )� I p.° DISTRICT
LOCATION (N0.) (STREET) ❑c�
OF BETWEEN _AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
--f
1 ❑ New building Residential Nonresidential
2 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 C] parking garage
4 ❑ Repair, replacement or dormitory — Enter number r
5 ❑ Wrecking (If multifamily residential, of units ——————-- — --f 22 �� Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 F] Hospital, institutional
Part D, 13) ❑
16 Carport 24 El Office, bank, professional
6 ❑ Moving (relocation)
17 Other — SpeciJy 25 F] Public utility
7 ❑ Foundation only '— 1 CC26 ❑ School, library, other educational
B. OWNERSHIP ` L Y �'� 27 ❑ Stores, mercantile
8 Private (individual, corporation, ? VV� C C. "�1, 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•••••••••••••,•• /f.�l 00 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 $ C16 S r
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 � Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ..................... CiS
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 O Public or private company 50. Total land area, sq. fT. ...........
43 ❑ 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 L oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 i_' No
_—. 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Sprcify Will there be an elevators'�__1 Full..........
�
� 54. Number of
46 1 Yes 47 No bathrooms
Partial.......
i e
-{DEPT OF BUILDING INSPECTIONS BUILDING & / Z)0
212 Main Street 0a
IL
Northampton, MA 01060 PERMIT
X3% 36 - 89&90-16 VALIDATION
DATE Anr_ 14, 19� 89 PERMIT NO. 230
APPLICANT Plumb KNX L.B.C. ADDRESS P i na �t._ 044171
IN0.1 (STREET) (CONTR'S LICENSE)
PERMIT TO Addition/Alterationn'� One Family NUMBER OF
'Y_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) C
AT (LOCATION) 163 Maple Ridge D STR CT SR
(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: permit to alter existing basement space into family room
AREA OR
4,675.00 FEE $ 16.00
VOLUME ESTIMATED COST
ICUSIC/SQUARE FEET)
OWNER Ri rhard c)1 dwPl l BUI�
ADDRESS 1 h� Map1 P Ridge. Florence BY'�r •,�/�
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY owp