25A-190 (32) i - I I I - -
ZONING •
DISTRICT
FRONT
SIDE YARD SIDE - .
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
L
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — `'umber, street, city, and State ♦ ZIP code Tel. No.
Owner or t
Lessee
Bui Ider'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 I Address Application dote
D If NOT WRITE BELOW HIS 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
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaain d 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
II. VALIDATION
Building ry/ FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued
Building f' Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Aqpfe.yed by.
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
B �
OFFICE of the INSPECTOR of BUILDINGS
Page 42- � Plot
g APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
AT (LOCATION) to l Li 1�/
���f'� � DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN _AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -�
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 L❑ Amusement, recreational
of "Cu, housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 L❑ 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 ❑ Public utility
7 ❑ Foundation only __ __ dd ^ 26 ❑ School, library, other educational
B. OWNERSHIP '/1� pyye 27 ❑❑ Stores, mercantile
8 � Private (individual, corporation, P �!
28 ❑ Tanks, towers
nonprofit institution, etc.) La 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,,,,,,,,,,,,,,,, U a(J" 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 .......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$ ! U .�►
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 ❑ 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
F]37 l__] Electricity 44 [❑ Yes 45 -, No 53. Number of bedrooms..............
38 ❑ Coal
39 L_� Other — Specify Will there be an elevators Full..........
_ 54. Number of
46 ❑ Yes 47 I�] No bathrooms Partial.......
DEPARTMENT OF BUILDING INSPECTIONSir
212 MAIN STREET 60 BUILDING ZD-
W
NORTHAMPTON, 0 1P ytIL /
PERM IT Q
25BD - 61
VALIDATION
DATE AI_igiict 1 q 19 Al PERMIT NO. 176
APPLICANT john F Zalesky ADDRESS 101 Old Ferry Road
(NO.) (STREET) (CONTIVS LICENSE)
1 NUMBER OF
PERMIT TO Addi ti nn (_1_) STORY Porch DWELLING UNITS 1 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) . 101 Old Ferry Road DISTRICT URA
(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)
� fl 1 1/
REMARKS: -
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1 Ann FEE $ 1 f) nc)
(CUBIC/SQUARE FEET) ��p N
OWNER john R Elizabeth 7al e�ky _ BUIL
ADDRESS 101 (11 ri FerrV Rd- . Nn_rtha�ntntt� Ma. 01060 er
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
. .....� . _r.,�� �.
�.�. ._,.,.�.,�r__. .�,,�, �..,.�... .
�;:
�_
I ^�
z -IRx BUILDING .
NOMAMPTONO 14A. r PERMIT <4
251D w 61
VALIDATION
DATE Angitnt 10,E 19 Al PERMIT NO. 7,6
APPLICANT John F. Zal:esih,Y ADDRESS 101. Old Ferry RoLld
(NO.) (STREET) . (CONTN'S LICENSE)
NUME OF
PERMIT TO all ( ) ;STORY Porch DWELLING UNITS
1 PE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING um
AT (LOCATION) 10 1 Qlj Ferry Rgad DISTRICT
( TREET)
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 SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ti. (TYPE)
REMARKS: liaw oc zai'r ad 1" poirh 261'wn,' X 16000011
PERMIT
VOLUME ESTIMATED COST $ FEE $ la,00
(CUBIC/SQUARE FEET)
i. tau s
OWNER �1lil'�'L L it 1 4 1-rAht*tb Z a2 as ''
ADDRESS 1I1J 01A Farr* Rd., wnr tan, - 01060 13Y
MITE - FILE COPY . GREEN - FIELOtCOPY • CANARY - APPLICANT COPY • RINK - ASSESSORS COPY