25A-155 VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE
NOTES
IX. SITE OR PLOT PLAN For Applicant Use
......................_--- .....,....
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
0 oM Y A 6 Good d I..,/ V_____ ��06d 3 Gy-
wner or
Lessee /(o 7 ( C( �/�✓ 0/06 10,67
2 (/ Builder's
t({Q K_ M /V' 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.
Sig atu a oftapplicant Ad/ress u/a e�it-K Application date 4 L e
o r a Tee►/ At-4
DO 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
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 _
Bul lding• Use Group
Permit issued 19
Building / ` Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
A ro by:
Drain Tile $
Plan Review Fee $ C/
TITLE
CITY OF NORTHAMPTON
�•;� MASSACHUSETTS
r
OFFICE of the INSPECTOR of BUILDINGS
Page �S 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
I. W0000 r/gp- Ave— /� `�✓ �
AT (LOCATION) �' L 1 ZONING
� DISTRIC
LOCATION (NO.) (STREET)
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. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2AWWAddition(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- - - - -�
3.;K Alteration (See 2 above) 20❑ Industrial
�� 14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 LJ 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[7] Hospital, institutional
Part D, 13) ❑
❑ Office, bank, professional
6 ❑ Moving (relocation) 16 Carport 24
7 ❑ Foundation only 17 Other - Specify 25 Public utility
26❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 FV Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 C] 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
�) school, secondary school, college, school, parking garage for,
10. Cost of improvement,,,,,,,,,,,,,,,, `� y g , parochial p g g g
department store, rental office building, office building at industrial plant.
To be installed but not included If use of exist' building is b 'ng changed enter proposed use.
I the above cost
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ d �`
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 .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 F-1 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 ❑ G s Will there be central air 52. Outdoors........................
36 L-_] conditioning?0 I A1 L. RESIDENTIAL BUILDINGS ONLY
37 E ec city 44 E] Yes 45 L_ j No 53. Number of bedrooms..............
38 C a I11II �-�-
39 ❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46P Yes 47 ❑ No bathrooms
Partial.......
Department of--:;uilding Inspections
212 Main Street
Northampton, Mass. 01060 BUILDING Z° `
PERMIT �a /
25A - 155
VALIDATION
DATE May 3, 19 84 PERMIT NO, 175
APPLICANT David J. Munska ADDRESS 46 Woodbine Ave.
(NO.) (STREET) (CONTR'S LICENSE)
Alteration New roof on NUMBER OF
PERMIT TO (_) STORY. araL'• DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO, (PROPOSED USE)
Lot #155 Woodbine Ave. ZONING URB
AT (LOCATION) DISTRICT
(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 construct a new roof Onto existing garage. permit is for a roof only
AREA OR 500.00 PERMIT s 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) /^7
OWNER Thomas J. Munska Sr.
ADDRESS Woodbine Ave. , Northampton, Mass. 01060 BBYI I
WHITE - FILE COPY - GREEN - FIELD COPY ■ CANARY - APPLICANT COPY - PINK - ASSESSORS COPY