25A-182 (25) ZONING •
DISTRICT
FRONT YARD
SIDE • . SIDE YARD
X. SITE OR PLOT
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NOTES and Data — (For department use)
s
•!� /qo
---
IV. IDENTIFICATION — To be completed by all applicants V
Name Mailing address — .\'umhcr, ,trc°cf, ci/N, rrricl State ZIP code Tel. No.
Owner or (.� ,.1. /'l / ".. ,p.a•... .. �.- a `T a
Lessee �r
B u I Ider,s
License No.
c:C lf�.L'f� _ � t-< �� f'. �,1✓.�r �L� ��.C`i�d'.�',�i:�.?1�:*.�'c r•i
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 Applicati n date
y
.' j: jr
00 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 B Permit or Approval Check Date Number B
pp Obtained y pp 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
Permit number =V/7
Building
Permit issued ¢ -,�L� �_� 19 _
Building
Permit Fee G PLC% CYC7
Certificate of Occupancy
Approved by:
Drain Tile
Plan Review Fee s_
(rxty of Nort4alliptou
� � �Tli[assttdTnsetfs
T` Offite of the �ngpertor of 'Puilbillp
APPLICATION FOR
ZONING PERMIT AND
Page Plot--� BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Z
O
/ ^/�""•` -/`.J, ZONING -
I• AT (LOCATION) .,•Vtf/N��/`r/��n'°.j/j%! °''f y '�`*�''r`�'a,o"^ %t'''ti.�G i'"/Jt. .� DISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET) 7
LOT �r/ f?tt�c.:z
SUBDIVISION LOT BLOCK _SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
M
A. TYPE OF IMPROVEMENT I D. PROPOSED USE — For"Wrecking" most recent use M
few building./'✓ c Gst -' Residential Nonresidential
2 ❑ Addition(If residential, enter number 12❑ One family 18 E] Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 19 EJ Church, other religious
number of units— — — — --)� 20E:] Industrial
3 ❑ Alteration (See 2 above)
14 Transient hotel, motel,
4 ❑ Repair, replacement or dormitory — Enter number 21 F� Parking garage
5 ❑ Wrecking (If multifamily residential, of units ——————— — --� 22 �� Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 E] Hospital, institutional
Part D, 13) ❑
16 Carport 24 El Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — SpeciJy 25 E] Public utility
7 ❑ Foundation only
26 El School, library, other educational
B. OWNERSHIP 27 E] Stores, mercantile
8 Private (individual, corporation, 28 E� T ks, 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,,,,,,,,,,,,,,,, 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 ..................... s /
c. Heating, air conditioning........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ -'�"'t"r'�L
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. D
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS !, m
48. Number of stories................
30 Masonry (wall bearing) 40 Public or private company
31 ❑ Wood frame 41 F1 Private (septic tank, etc.) 49. Total square feet Floor area,
all floors, based on exterior
"r
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F__] Other — Specify 42 ublic or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
.D
51. Enclosed ....................... f
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35❑ Gas Will there be central air 52. Outdoors........................ � y?
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45 L;�j No 53. Number of bedrooms..............
38 ❑ Coal /
39❑ Other — Specify Al 'Y r Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 [No bathrooms Partial........
1- 'r
hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as, his
authorized agent.
SIGNATU17Ef 'OF AGENT
ADDRESS
1 (NUMBER) (STREET) (CITY)
F.
APPROVED BY TITLE
DATE 19
�; Y
DEPT. FILE COPY
ZO
�- BUILDING as
CITY OF NORTHAMPTON PERMIT
VALIDATION
NORTHAMPTON, MA. 01060 25A-178
DATE June 21 , 19 78 PERMIT NO. 247
APPLICANT Edward P. Goll ADDRESS� 7 Main S FrPPt F N'-ton.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Construct Warehouses ( 1 1 STORY Moderate storage DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING ('TT
AT (LOCATION) orhan4jtt n Tnd stria Uwrk DISTRICT
(NO.) (STREET)
a BETWEEN AND
m (CROSS STREET) (CROSS STREET)
a
LOT 3.8 acres
B SUBDIVISION LOT BLOCK SIZE
m
FT. WIDE BY -FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
p BUILDING IS TO BED
m
Z TO TYPE 3C USE GROUP BASEMENT WALLS OR FOUNDATION_
(TYPE)
I
It
OL REMARKS: (2) m,-ni .storage warehouses moderate storage
AREA OR PERMIT
VOLUME - 2,300 ESTIMATED COST � FEE 600.00
(CUBIC/SQUARE FEET)
OWNER R � }'f T Foote BU JQPT
n
ADDRESS 16 Ce Tter Street, N'ton
(Affidavit on reverse side of application to be completed by authorized agent of owner)