25C-065 (3) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
s
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
� Builder's
`L ..d.
.
��� 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.
Sign e o ,pplicant Address Application date
t �
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 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 q FOR DEPARTMENT USE ONLY
Permit number sl
Building- Use Group
Permit issued 19_l
Building p Fire Grading
Permit Fee $ �� (�V Live Loading
Certificate of Occupancy $ Occupancy Load
Appr d by:
Drain Tile $
Plan Review Fee $
TITLE
aCITY OF NORTHAMPTON
A� ,+� MASSACHUSETTS
a e
�` OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
Ch ZONING _ / .
AT (LOCATION) DISTRICT \/
LOCATION rN 0.) (STREET)
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 -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New 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
number of units- - - - 20 ❑ Industrial
3 ❑ Alteration (.See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 Repair, replacement or dormitory - Enter number
554 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) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 � Foundation only 17 ❑ Other - Specify 25 ❑ Public utility
_ v 26 ❑ School, library, other educational
B. OWNERSHIP "�► Cf1l 27 ❑ Stores, mercantile
❑6 � 28 Tanks, towers
Private (individual, corporation, jj�� ��--
nonprofit institution, etc.) J 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
�.1Z4 `' processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, G 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 $ —�
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 ISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 40 ❑ Public o vote company 48. Number of stories................
31 Wood frame 41 ❑ Private a 'c to etc.) 49• Total square feet f floor area,
all floors, bas on exterior
32 Structural steel dimensions ....................
33 ❑ Reinforced concrete H. TYPE OF W TE SUPPLY
34 ❑ Other — Specify 42 ❑ Public o rivate company 50. Total land area, sq. ft. ...........
43 ❑ Private we cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ..... .................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there b central air 52. Outdoors.. .....................
36 Oi conditioning.
_ L. RESIDENTIAL BUILDINGS ONLY
37 C� eciricity 44 ❑ Yes 45 No 53. Number of bedrooms.. ...........
38 ❑ o
39 Othe — Specify Will there be a elevator. Full..........
54. Number of
46 F] Yes 47 ❑ No bathrooms
Partial......
m.._ ,.� _�� .�.--,.�� r���-.
_-��-���Q�-,��. �..,.�.�,.n �...���R., _..._ �.._,.�...
DEPARTMENT or BultDzNC Ixspc2aN5 a BUILDING ZQ
23,2 MAIN STREET O<
t�t�dTH3AMPTON, MA, 01060 PERMIT <a
25C 65
VALIDATION
DATE July 10, is 81 _ PERMIT NO.
APPLICANT Paul B®ivin ADDRESS 14 nAv4d 4ggnu atmntnn
(NO.) '(C NTIVS LICENSE)
NUMBER OF
PERMIT TO DPmnI I ti ro (_) STORY �}l�d111��$�t�T1 DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. ' (PROPOSED USE)
ZONING t1RA
AT (LOCATION) DIS-rRICT
(NO.) (STREET)
BETWEEN AND '
(CROSS STREET) (CROST STREET)
LOTx
° SUBDIVISION h kOCK SIZE
N �g'�fi
BUILDING IS TO BE FT. WIDE BY LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP
VEM"T WALLS OR FOUNDATION
(TYPE)
REMARKS: Demolition ion Af existimp atpre `» �" accam an= Mdse
PERMIT
AREA OR VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) .
a
OWNER Cnrno Iius F_ f fnrd
ADDRESS 284 BrUg�,, Nnrth�rnFF tpin, MA. 0113611 :Y
WHITE - FILE COPY GREEN - FIELD', COPY • CANARY - APPLICANT COPY PINK - AXSESSORS COPY
4
r °
DEPARWRNT OF BUILDING INSPECTIONS
212 MAIN"STREET BUILDING '_ t6�
NORTHAMPTON, MA. 01060 PERMIT
25C - 65 VALIDATION
DATE July 10, 19 81 PERMIT NO. 323
APPLICANT Paul Boivin ADDRESS 14 David Sttpn Southamp
(N0.) (STREET! (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Demnlitinn (_) STORY Dimol_ition DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 284 Bridge ZONING CT TMA 0 fSTR(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: Demolition of existing store - a _ _ ssn v,_ bldg.
AREA OR PERMIT
VOLUME ESTIMATED COST $ _ 3 FEE
(CUBIC/SQUARE FEET)
OWNER Cnrnel ius F. C1 i ffnrd
ADDRESS 284 Bridge St., Nnrthamptnn, Ma, 01060 BYIL
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ESSORS COPY