25C-083 (6) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
A /
I
s
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing/address — Number, street, city, and State ZIP code Tel. No.
Owner or e s--N-73793
Lessee
Builder's
2. 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 dote
00 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 Obttait ed Number By Permit or Approval Check Obtained Date
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 19 L
Building Fire Grading
Permit Fee $ ���� ��✓�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ � X-n
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�+ «� MASSACHUSETTS
• a
OFFICE of the_INSPECTOR of BUILDINGS
A.t Page rf-�� Plot s APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING A / '
I• AT (LOCATION) 31F ry-° '� T DISTRICT �C.
LOCATION (NO.) (S7 EET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 F-1 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 n Church, other religious
number of units— — — — -i 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parkin
g garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -- 22 a 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
26 School, library, other educational
B. OWNERSHIP 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,,•,,,,,,,,,...• 0'(,)` U C, 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 $ 4 QC�.O
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
32F-1 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 E] Gas Will there be central air 52. Outdoors........................
conditioning?
36� Oil L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n Yes 45 Ij No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevatorP Full..........
54. Number of
46 Yes 47 J No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS Z o r i° \'
212 Main Street BUILDING ' �:a
Northampton, MA 01060 PERMIT
25C _ 83 VALIDATION
DATE April 8, 19 86 PERMIT NO. 137 _
APPLICANT Joseph W. Kielec ADDRESS 319 Bridge Street OxmPr,
(NO.) (FTREET) (CONTR'S LICENSE)
Replacement NUMBER OF
PERMIT TO p (_) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
319 Brib dgP Street ZONING CT URA
(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: permit to replace existing window with a bay window
AREA OR VOLUME ESTIMATED COST 600.00 FEE MIT .� 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ame as Applicant's BBu I LD I�A_zz_ADDRESS Y
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSESSORS COPY p1INT IIP