25C-075 (7) ZONING •
DISTRICT
USE
FRONT
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants _
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Owner or rJ,�j a pr-4 C V W b
Lessee
Builder's
2• U License No. L7�
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 Re wired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtai ed 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
Bul Iding• Use Group
Permit issued 112� 19 '72
Building '\ Fire Grading
Permit Fee /,r, 0 C,l
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr,Qy ed by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�•�� - MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
-
,uT Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
I• AT (LOCATION)__ _ _�" !T To+^3 DISTRICT/
LOCATION N0.) STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 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 art U, 13) 13 [X Two or more family — Enter 19 �� Church, other religious
number of units— — — — 20❑ Industrial
3 Alteration (See 2 above) 14 ❑ Transient hotel, motel,
❑4 ❑ Repair, replacement or dormitory — Enter number 21 Parking garage
5 ❑ Wrecking (If multifamily residential, of units ——————— — --)- 22 ❑J 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) p
7 �� Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
B ❑ 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.).............
z
11. TOTAL COST OF IMPROVEMENT 1$ p
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 ❑ q� 48. Number of stories................
M�onry (wall bearing) 40 Public or private company
31 ❑�,'ood 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
37 Electricity 44 es !�i o
�� Y 45 �= N 53. Number of bedrooms..............
38 ❑ Coal
39 L Other — Specify Will there be an elevator? Full..........
54. Number of
46 C Yes 47 .No bathrooms partial.......
Building Inspections Office
212 Main Street
Northampton, Mass. 01,060 BUILDING :a '9 / d . e) 'D
25C - 75 PERMIT g
VALIDATION
DATE April 19, _t9 83 PERMIT NO. 167
APPLICANT Kevin C. Netto ADDRESS 68 Union Street 001317
(NO.) (STREET) (CONTR'S LICENSE)
Renovate existing bath NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
290 Bridge Street ZONING
r
AT (LOCATION) DISTRICT LTRB
(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; Renovate existinz bathroom and remove partitions
AREA OR E. 1500.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
Ann Kos tides
OWNER
BUI ✓/
ADDRESS RrtCI&e Road Noxthamp tom BY —
WHITE - FILE COPY . GREEN - FIELD COPY . CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
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