25A-163 ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
............
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and Stag ZIP code Tel. No.
Owner or z, �' q/ /L 7 f/ 7 v /J �O o
Lessee
Builder's
2. 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
ma is application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
S gnature f applica Address Application dote
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Number By Permit or Approval Check Date
Permit or Approval Check Number B
Obtained Obtained y
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 r
Permit number ) FOR DEPARTMENT USE ONLY
Building �n Use Group
Permit issued V \r� )� Iq
Building —�� Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: r7
Drain Tile $ /✓,''
Plan Review Fee $ ,
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ B OFFICE of the INSPECTOR of BUILDINGS
Page ��`� — Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT/y— Ap�plliica/nit to Jcomplete all items iin"y�sections: 1, 11, 111, IV, and IX. O ZONING
(• AT (LOCATION) -3, IV-)ea-/!y ,� - _/_4 L-{_ae!4 J �� �'t DISTRICT
.
LOCATION (NO.) (STREET)
OF BETWEEN
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 XNew building Re idential Nonresidential
2 Addition(! residential, enter number
❑ / 12 One Family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Past D, 13) 13 Two or more Family — Enter 19�� Church, other religious
number of units— — 20 r Industrial
3 Alteration (.See 2 above)
14 Transient hotel, motel, 21 parking garage
4M 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 L_� Hospital, institutional
Part D, 13) I
16 L—� Carport 24 1 � Office, bank, professional
6 �J Moving (relocation) //��..��-- ,,,,
17 � Other — Sped/y� ��G! ��T�_. 25 Public utility
7 ❑ Foundation only
—7 t 26 L� School, library, other educational
B. OWNERSHIP ) x `� C h L 27 j Stores, mercantile
8� Private (individual, corporation, 281 Tonks, towers
nonprofit institution, etc.) 29 Other — Specify
9 D Public (Federal, State, or
local government)
C. COST (emit 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.
deportment store, rental office building office building at industrial plant.
To be installed but not included If use of existing building is being choi.ged, enter proposed use.
in the above cost
a. Electrical....................... AA Al 144
X_. V
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, corplete 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 L—] Public or private company 48. Number of stories................
31 Wood frame 41 El Private (septic tank, etc.) 49. Total square feet of floor area, r
all floors, based on exterior �/
32 ❑ Structural steel dimensions 4°
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 elevator? Full..........
54. Number of
46 Yes 47 ❑ No bathrooms
Partial.......
DrzPT. OF BUILDING INSPECTIONS BUILDING is
212 Main Street PERMIT
O<
Northampton, MA 01060
4�
25A - 163
VALIDATION
DATE May 4, 19 89 P RMIT NO. 289
APPLICANT Pauline & Charles Berube ADDRESS North reeVt Owners
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO NPW Riii lding (_) STORY Tool Shed NUMBER OF
UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
UKb
AT (LOCATION) 239 North St. ZONING
D)STR)CT
(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 for the replacement of existing shed 120 sq. ft.
AREA OR ESTIMATED COST FEE
8/5.00 PERMIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same a C App l i rant s
BUILD
ADDRESS Same—as Ann l i r a nt'3 1 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pJNT I(P