25C-062 (8) ZONING •
FRONT DISTRICT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, aruf State ZIP code • Tel. No.
Owner or '��+'•L ± �-
Lessee
Builder's
L.
t„_ 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 Address Application date
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
Date Permit or Approval Check Obta ned 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 7� FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued
1.3 19 C
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Appr by:
Drain Tile
Plan Review Fee
TITLE
�P CITY OF NORTHAMPTON
�a MASSACHUSETTS
y OFFICE of the INSPECTOR of BUILDINGS
Paged Plot 62' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. o
" QQQ ZONING
Lt
I• AT (LOCATION) �Co DISTRICT
LOCATION ("O•) (Sf EET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
-a
1 ❑ New building Residential Nonresidential
2 ❑ Addition(I/ 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
number of units— — — — --> 20 ❑� Industrial
4 Repair, replacement
3 � Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 E] Parking garage
❑ or dormitory — Enter number
5 ❑ Wrecking (It 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 � /�6f — 26 ❑ School, library, other educational
B. OWNERSHIP r 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 $/aC/o
111. 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 ❑ Gas Will t e be central air 52. Outdoors.......................
36 FV Oil conditioni o
L. RESIDENTIAL BUILDINGS ONLY
37 �� Electricity 44 L❑ Yes No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will It
e an elevator? Full..........
54. Number of
46 Yes 47 ❑ No bathrooms Partial........
Department of Building Inspections
212 Main Street BUILDING �° ,l `
Northimptoity Ma. 01060 Oa
PERMIT Ia.
25C - 62
VALIDATION
DATE August 13. 19 82 PERMIT NO. 378
APPLICANT navi d VAnaQQP ADDRESS 2 Br
(N0.)46 TREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al tnratinn (—I-) STORY New how window DWELLING UNITS 4
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 262 Bridge 0IISTR CT I1RR
(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)
REMARKS: new bow window
AREA OR $
VOLUME ESTIMATED COST $ _l oo01) FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER 11�v4ti Van:+c @a
BUIL
ADDRESS 769 Rr?g_Street- Northampton. Ma. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY
__.__,___ �.m.._____._
,,,_.
Department of Building Inspections
212 Main Street BUILDING zD
North=pt6iit Ma. 03.060 O<
fa J/iyct
25C - 62 m '
PERMIT a
VALIDATION
RATE Au&ust_13. 19 82 _ PERMIT NO. 378
APPLICANT T)JLV4d Vsm9A RA - ADDRESS P2 %tid ro
(N0.) STREET) (CONTA'S LICENSE)
NUMBER OF
PERMIT TO A� srr�►t4�n ( _) 'STORY New 'bore windaw DWELLING UNITS 4
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 262 Bridal° DISTRICT milk
(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)
REMARKS: new bow winday
AREA OR �^ PERMIT
VOLUME ESTIMATED COST 1��Q FEE $ to no
(CUBIC/SQUARE FEET)
OWNER D(j_, d Y'mas s—z - BUIL
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK ASSESSORS COPY
x