25C-085 (16) ZONING
DISTRICT
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NOTES and Data — (For department use)
IV, IDENTIFICATION — To be completed by all applicants '
Nome Mailing address — Nurnber, street, city, and State ZIP code Tel. No.
Owner or
Lessee
Builder's
2. / t !. License No.
Contractor n
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}pplicant Y Address Appli tion date
00 NOT WRITE B E L Ifi 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 Obtained 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 j OTHER
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number '377
Bui Iding. Use Group
Permit issued e 19 A—)
Building Fire Grading
Permit Fee $ l��'C3 Live Loading
Certificate of Occupancy $ Occupancy Load
A rov by
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
$• .� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
„ t Page `� C_— Plot ,>r APPLICATION FOR
INSPECTOR
ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: III, 111, IV, and IX. O
ZONING
I• AT (LOCATION) "�«- "' D STR CT
LOCATION ("O•) (ST ET)
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
1 ❑ New building Residential Nonresidential
2 ❑ Addition(l/ 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 ❑ Parkin g garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1l multifamily residential, of units ------- - --0. 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 t7❑ Other - Specify 25 ❑ Public utility
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
-5 0'F 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 $
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
50. Total land area, sq. ft. ...........
34 ❑ Other - SpeciJy 42 ❑ Public or private company
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 44 it
i
t
El
, ecrcy es !�
❑ [_-] Y 45 —... No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be on elevator? Full..........
54. Number of
46 [r] Yes 47 ❑ No bathrooms
- Partial........
DEPT.POF,AILDING INSPECTIONS BUILDING
+ ! 212 Main Street
Northampton, MA 01060 PERMIT,,"?
-- VALIDATION
# DATE 1Ci. 1 } t PERMIT No.-r
APPLICANT d ADDRESS :_,.�w. h1:3,
,. ( J (STREET) (CONTR'S LICENSE)
a.
NUMBER OF
.�i I,.te3L's ; ,r,
PERMIT TO (_I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
�� ZONING TI_'
AT (LOCATION) ��"' 4j a3¢'L( .r.Rt. fi DISTRICT
(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)
g
REMARKS: t..€`:iCi ."�s;:8.1. f.�
)'. (i PERMIT $ r`
VOLUME 4,
ESTIMATED COST $ ,t�)�r°'"O FEE $
(CUBIC/SQUARE FEET)
OWNER
BUILDIN fit. r
ADDRESS BY
WHITE - FILE COPY . GREEN r FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY p'INT P
DEPT.-OF BUILDING INSPECTIONS BUILDING Z°
! 212 Main Street �`
Northampton, MA 01060 PERMIT
25C _ 85 VALIDATION
DATE July 1, —19 85_ PERMIT NO. 377
APPLICANT Paul A. Wing Inc. ADDRESS 116 XXX Valley Rd. . Southampton 021847
(NO.) (STREET) (CONTR'S LICENSE)
Alteration Stores mercantile NUMBER OF
PERMIT TO (_) STORY 9 DWELLING UNITS
(TYPE OF IMPROVEMENT)
t.IMPROVEMENT) NO. (PROPOSED USE) T'I7�
ZONING
AT (LOCATION)
238 Bridge Stree D STR CT MB
(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: XNXEM Installation of exterior entrance door to Hampshire Office
Supply
AREA OR $ 500.00 FE
ESTIMATED COST EMIT 10.00
VOLUME
(CUBIC/SQUARE FEET) ~
James Tuns
ta11
OWNER BUILDING G
, BY
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY po..fp