25C-007 (17) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE •D
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants 4
Name Mailing address — ''umber, street, city, and State ZIP code Tel. No.
1. /Q✓ i ✓ /J
Owner or
Lessee
Builder's
1.
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.
Signs "of applicant Address Applications date
�
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By y
Date Plans B Notes
9 Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
Permit or Approval Check Obtained 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 FOR DEPARTMENT USE ONLY
Permit number
Building � Use Group
Permit issued S�. 19 A!�,
Building Fire Grading
Permit Fee $ ZD 15Q
Live Loading
Certificate of Occupancy $
Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITL
�Q CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page ('2_5 Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
C/ ZONING
I• AT (LOCATION) /�J �/ i DISTRICT
LOCATION ("O•) cSTREETT_
OF BETWEEN AND
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 New building Residential Nonresidential
2 Addition(If residential, enter number 12❑ One Family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13X 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 El 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 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17 Other — Specify /- z� 25 E] Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP t^� A/rXLi!!idu 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•,,•,,•,,......• 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$
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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 X Gas Wi there be cen al air 52. Outdoors........................
36 ❑ Oil co ndi 'oning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 4/tere 45 �1 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Wbe an evator? Full.........54. Number of 4 s 47 ❑ No bathrooms
Partial.......
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
DEPARTMENT OF BUILDING INSPECTIONS FIELD COPY
212 MAIN S'T'REET
WRTII[AiPT0116 MA. 01060 BUILDING
25C - 7 PERMIT
DATE Sept. 19, 19 80 PERMIT NO. 498
APPLICANT Steve Terrini ADDRESS 142 North St.
(NO.) (STREET) (CONTR'S LICENSE)
NUME OF
PERMIT TO Wood stove ( 2 ) STORY Wood•bumin install, DWELLING UNITS 2
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ING
AT (LOCATION)
142 North DIOSTR CT UM
(NO.) (STREET)
a BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
rn
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
0 BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
o REMARKS: Install wood-burning stove in existing fireplace.
AREA OR
i
VOLUME ESTIMATED COST $ 1� PERMIT 1osoa i
(CUBIC/SQUARE FEET)
OWNER
Daniel O'Connor a
ADDRESS 142 North St., N'ton.* Ma. 01060 BU D PT