25A-179 (11) Vill.-ZONING PLAN EXAMINERS NOTES �: L
DISTRICT
7!.
FRONT a
SIDE r
SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN For Applicant Use
_ _ \
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-_ ---
IV. IDENTIFICATION — To be completed by all applicants
Name j �7 Mailing address
`j— Number, street, city, and State ZIP code Tel. No.
Owner or �y��� C�S / � aC � ��Y GIf� C� 3 �r1� ��� �C 'y / �— � _
Lesseefy
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
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
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
te Date
Permit or Approval Check ObtaaTned 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 p ^t� FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued _ 19 _
Building ,^aJ,,w,.. `` ''__ Fire Grading
U t4L
Permit Fee $ •n Pit
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr ed"5y
Drain Tile $ 4'+��
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
$� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
M
Page e� Plot l��
wt APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O
/-�° ZONING
I• AT (LOCATION) rYO�'"r�/�'f,,g. t._. /�✓c'/l�rrL A74, / DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
2 Addition(►/ 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 Parking garage
4 Repair, replacement or dormitory — Enter number
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)
17 Other — Specify 25 n Public utility
7 C] Foundation only 26 School, library, other educational
B. OWNERSHIP 27 r Stores, mercantile
8 Private (individual, corporation, 2B Tanks, towers LTi L 7-
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government) fY o A
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
Cam, processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 116C. school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical....................... °^
b. Plumbing .......................
'77
c. Heating, air conditioning..........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$ /�
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 `
N`_4 48. Number of stories...........
30 ❑ Masonry (wall bearing) 40 n Public or private company
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior ;,2 C,
32 Structural steel dimensions ..................... •G
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
X/� 50. Total land area, sq. ft. ........... Z
34 Other — Specify 42 Public or private company
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................�/
35 F7 Gas Will there be central air 52. Outdoors.......#/A.............
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 [—] Yes 45 !__1-r'No 53. Number of bedrooms..............
38 L Coal
39 n Other — Specify V_A Will there be an elevatoro Full..........
_ 54. Number of
46 [-1 Yes 47 ! o bathrooms
Partial.......
i a
DEPT. OF BUILDING INSPECTIONS BUILDING ;_
� 212 Main Street °a
Northampton, MA 01060 PERMIT
25A - 179
VALIDATION
DATE Oct• 18 19 88 PERMIT NO. 670
APPLICANT Van Court Instruments, Inc. ADDRESS 29 Industrial Dr. East Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO New B )ildin (_) STORY Utility uildi NUMBER OF
(�9� Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) XXXX28X 29 Industrial Drive East DIISTR CT GI
(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)
permit for the construction of a metal storage building to store miscellaneous parts
REMARKS:
AREA OR 280 sq. ft. 1 ,160.00 PERMIT 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Same as Applicant •
ame a$ pp ican s BByILD E r
ADDRESS �r
M'
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Pixf"