25A-184 (13) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION '— To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or b L� 1lE- I 1—EL�I
Lessee A���C1111��
_ Builder's
2. t_O.1 L/�� �'l(v'c� License No.
Contractor
L C,? �!4-7-�Lv1
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
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Require Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obta ned Number By Permit or Approval Check 06tt.ined 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 f Fire Grading
Permit Fee $ �J �� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
NOTES and Data — (For department use)
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET `S _ APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to tcomplete alfl items in sections: 1, 11, 111, IV, and IX. p
1' AT (LOCATION) I�f�` ,^.�' G�'1•,.(_.- L 7t�I V DONIN CY"�
LOCATION (N 0.) (STREET)
OF BETWEEN C7A/�\C�►�1 (�-���� AND
BUILDING (CROSS STREET) (CROSS STREET)
_ ITL7► 1 tlJt��``-�j 1��❑ G��.�t�iL 2L\ LOT
sueoivisioN �l
LOT BLOCK SIZE
11. 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'tj447New building Residential Nonresidential
2 ❑ Addition(1/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
3 ❑ Alteration (See 2 above) number of units- - - - --). 20 Industrial
4 ❑ Repair, replacement 14 E] Transient hotel, motel, 21 ❑ Parking garage
or dormitory - Enter number
5 F-] Wrecking (if multifamily residential, of units ------- - -- 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ Carport 24 ❑ Office, bank, professional
7 ❑ Foundation only 17❑ Other - Specify 25 ❑ Public utility
26 ❑ School,, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, 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................ $ I -C 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 ..................... L fxl`' Ede--,�` ~.c _>i �L_
c. Heating, air conditioning........ �) 2 4
2.
- l
d. Other (elevator, etc.)............ ,�
11. TOTAL COST OF IMPROVEMENT $ ��'1 "Y'f i( �� `��/� f�I'�'f Q- .1 G.
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; ,3
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 8. Number of stories................ N�
y (wall bearin g) 40 Public ublic or private company
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior 2
32 Structural steel dimensions ..................... l L
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42� Public or private company 50. Total land area, sq. ft. ...........
[`1'� $l-4
43 F-1 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 X No bathrooms
Partial.......
gn
I 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.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY
APPROVED BY TITLE
DATE 19
DEPARTMM OF BUTLD]NG INSPECTIONS DEPT. FILE COPY
ZQ
212 MAM NORTEiAMP'3'ON 4 464 BUILDING a
PERMIT VALIDATION
25A .» 178 CODE # 79
DATE November 19,, 197.9 PERMIT NO. 672
APPLICANT Ha=,gh3rA Corm st. Go- Tnn. ADDRESS 7 RIM S�',_ _ Hatfield
(NO.) (S REET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New business ( I ) STORY Machine Shop DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Industrial Dkive Lot 13A DISTR cr GI
(NO.) (STREET)
0, BETWEEN Damon Road AND Bates Street
(CROSS STREET)- (CROSS STREET) .
LOT
a
m SUBDIVISION Noon_ Industrial Park —LOT 13A BLOCK SII E 1.5 A
i
O pp '.^
U BUILDING IS TO BE O0 FT. WIDE BY 40 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
aY
LL REMARKS: Conetruetion of machine shop per plans on file.
AREA VOLUME 3.200 ESTIMATED COST $ 6o,. OQ Q FEE 180.00
.180.00
CUBIC/SQUARE FEET)
OWNER _&y State Machine
BOIL NG D T
ADDRESS 1�A-Federal St,.7 NItt= BY
(Affidavit on reverse side of application to be completed by autho gent of owner)