25A-058 (2) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
/ (mp M AKSl4 C.C. -
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
vet b.s L 17r� 1�,. / 5 C:)( o i
Owner or
Lessee �.3
Bui Ider's
C License No.
ontroctor
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
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans BY Notes
Fee Started Y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate
Permit or Approval Check Obtained Date Number By or Permit Approval Check ObtOained 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 I
Building
� Use Group
Permit issued 19
Building h Fire Grading
Permit Fee $ 1[�A�
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr e
Drain Tile $
Plan Review Fee $ '
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the NSPECTOR of +BUILDINGS
Page ` ' Plot fl APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
//// /
/ 6 �^� �"r - ��- DISTRICT
I• AT (LOCATION) 66 ------II YY
LOCATION (NO') (STREET)
OF BETWEEN AND (CROSS STREET)
BUILDING CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 D New building Residential Nonresidential
2 E] Addition(1/ residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, ]3) 13 Two or more family - F.nter 19� Church, other religious
number of units- - - - -T 20 Industrial
3 E:] Alteration (See 2 above) 14 Transient hotel, motel,
21 C � Parking garage
4 Repair, replacement or dormitory - Enter number
5� Wrecking (11 multifamily residential,
of units ------- - -i 22 � Service station, repair garage
enter number of units in building to 15 Garage 23 �� Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 �� Moving (relocation) 25 Public utility
17 C� Other - Specify
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 L Stores, mercantile
28 Tanks, towers
8 Private(individual, corporation,
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
f, processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,.....•......... GJ 0 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 1-j /- q ' 7 ^
a. Electrical....................... //Q✓L�G If
�E �.�i�eG��
b. Plumbing .....................
c. Heating, air conditioning..........
d• Other (elevator, etc.).............
it. TOTAL COST OF IMPROVEMENT 1$
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
48. Number of stories..............
30 Masonry (wall bearing) 40 Public or private company
41 n Private (septic tank, etc.) 49. Total square feet n floor area,
31 n Wood frame all floors, based on exterior
32 Structural steel dimensions .....................
33 concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 Other - Specify
42 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING F I. TYPE PF MECHANICAL
35 E Gas jWi ll there be c`Mtral air
52. Outdoors........................
36F] Oil =�tnionmg� L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity a 4 Yes 45 No 53. Number of bedrooms.............
38 ❑ Coal
39 n Other - Speci/y Will there be an elevator m Full..........
54. Number of
46 [ bathrooms
] Yes 47 �i� No Partial........
h, 9s INI.
DEPT.OF BUILDING INSPECTIONS BUILDING �O � f
212 Main Street
1060 PERMIT o<
Northampton, MA 0 <a
25A - 58 VALIDATION
DATE C'Ant 1Q P RMIT NO. 606
APPLICANT
Stephen Moos ADDRESS St. r
(N0.) (STREET) (CONT R'S LICENSE)
PER Rea
MIT TO / p (it Re lacement Two Family NUMBER OF
_) STORY —DWELLING UNITS
p
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
16 Marshall Street ZONING
AT (LOCATION) DISTRICT
(N0.) (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 for repair existing porch
AREA OR ESTIMATED COST $ 700-00 FERMIT 1 0.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant B , D P
ADDRESS Same as Applicant' s
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PIN - ASSESSORS COPY PINT P