25C-062 (6) ZONING EXAMINERS-NOTES
DISTRICT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
MORTGAGE LOAN INSPECTION
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I V
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.:�26 Z-
I hereby report that the premises shown on this plan is not located within a Flood
Hazard Area as shown on Department of H.U.D. Federal Insurance Administration Maps,
Community Number 250167 0002A
Identification to April 3 1978
By:
��" 9
TO THE FIRST NATIONAL BANK OF BOSTON OWNER,
DAVID L. VANASSE
AND THE FIRST AMERICAN TITLE INSURANCE CO.- LOCATION,
only
To the best of my knowledge , informs- 262 BRIDGE STREET, NORTHAMPTON, MASS.
t ion and hr'l irrf , I hereby report that I ALMER HUNTLEY JR. a ASSOCIATES
na,.e e•amlHeil the premises and that t.11S ,
-I ,#, rk—r fHa ;,, n„nr.,cnt nr SURVEYORS - ENGINEERS - LANDSCAPE ARCHITI]”
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
Builder's
2, License No.
Contractor G'
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.
Signatu o opplica Addre Application date
WL
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtai ed Number By Permit or Approval Check Obta ned 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 ri� FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19
Building
Fire Grading
Permit Fee $ Ct'`ctU
Live Loading
Certificate of Occupancy $ Occupancy Load
Approve
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
• a
OFFICE of the INSPECTOR of BUILDINGS
G a
Pa .,�,�
t g Plot 4 2' APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT/— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONIN
1• AT (LOCATION) /��� ,`—��•� ^ C�f� D STR
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 ❑ New building Residential Nonresidential
2 Addition(11 residential, enter number
12 One family 18 ❑ Amusement, recreational
of new bousing units added, if any, 13 Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13)
umber 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 ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 L❑ Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 ❑ Moving (relocation)
17X Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 School, library, other educational
B. OWNERSHIP ✓�� 3 Z J 27 ❑ Stores, mercantile
8 X 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................ Dt� D� 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.....................
C-'
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
Ovd
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. 41. ..........
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
37 ❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — .Specify Will there be an elevators Full..........
!� , 54. Number of
46 �� Yes 47 1 _1 No bathrooms Partial........
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DEPT. OF BUILDING INSPECTIONS BUILDING ZO
212 Main Street o`
Northampton, MA 01060 PERMIT <a
25C - 62 VALIDATION
DATE 19� R�icPge"fit No 462 Owner
APPLICANT David Vanasse ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
Swimming Pool (_) STORY 4 Family NUMBER OF
PERMIT TO DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)__ ZONING UK13
AT (LOCATION)
262 Bridge Street DIISTR CT
(N0,) (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)
REMARKS, permit for the installation of a swimming pool (in-ground)
must be surrounded by 4' fence with a self-locking gate
AREA OR ESTIMATED COST $ 8,000.00 FEEMIT 10.00
VOLUME
(CUBIC/SQUARE FEET) f F
OWNER Same as-- Applicant,
BUILDING D
ADDRESS Same as Applicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - SSESSORS COPY pINT xP