25C-098 (4) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE - .
REAR YARD
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NOTES and Data (For department use)
s
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and S(-it"" ZIP code Tel. No.
. �,�- t• �" my (93 C4 ��� ��� �l,?cs12�'tidm � d rc� 5�'y
Owner or
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.
Sign u of appl' ant JA Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Plans By Notes
Fee Started y 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 OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number r
Building . I a
;r Use Group
Permit issued '� �`�.J 19
Building Fire Grading
Permit Fee Live Loading
Certificate of Occupancy Occupancy Load
Appf v by.
Drain Tile !
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
T
Page `^� Plot APPLICATION FOR
!V
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
ZING
• AT (LOCATION) CQ&�- ���^rl��� DIOSTRICj-
LOCATION (NO.) (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 A
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 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, 13 ❑J Two or more family — Enter 19 ❑� Church, other religious
in Part D, 13)
number of units— — — — --]� 20 Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑� Wrecking (If multifamily residential,
J units ——————— — -i 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) p
g ) 17 ❑ Other — Sped/y 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 L,-� Private (individual, corporation,
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
loop processing plant, machine shop, laundry building at hospital, elementary
o10. Cost of improvement,,,,••.•........ op 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 $ Oa
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
48. Number of stories.........
30❑ Masonry (wall bearing) 40 ❑ Public or private company '/�1t�SL!r1
41 ❑ Private (se tic tank, etc.) 49. Total square feet of floor area,
31 Wood frame p all floors, based on exterior ry� y
32❑ Structural steel dimensions ..................... ! /
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
❑ 50. Total land area, sq. ft. ...........
34 Other — Specify 42 ❑ Public or private company
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 there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
_ L. RESIDENTIAL BUILDINGS ONLY
37 C_� Electricity 44 ❑J Yes 45 IL✓rNo 53. Number of bedrooms..............
38 Coal
39 ether — Specify .N Will there be an elevator? 54. Number of Full..........
46 [--1 Yes 47 bathrooms
Partial.......
..�. .- �-
�:, �..
..,, i:F�?'^":4TM'ya.,+a a.��:_s;i�S3F'Civev.yY•+?
♦i
�. '+ �� � .
,Depar t�pf. SAIding Inspections
212 gain r(� �` BUILDING z
Norte, ton, Miss. 0106Q 0 d ��
2 U
PERMIT a
259 • 98 VALIDATION
Edmunds DATE August 23, 19 83 PERMIT NO.
Robert L. 4 $
za`x�t Avenue N6 A
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
14*w Building Garage NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO.. (PROPOSED USE)
ran ' Avenue ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 32 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE '' USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit to build a taew ,garage
VOLUME r67 square et ESTIMATED COST t r PERMIT 4, 8*40
(CUBIC/SQUARE FEET)
OWNER
Robert L, Edmunds BU
ADDRESS 63 Grant Avenue,, Dit,rth ampton BY
WHITE - FILE COPY GREEN - FIELD COPY CANARY APPLICANT COPY PINK ^ ASSESSORS COPY
Department of Building Inspections
222 Main Street BUILDING D Y ,
Northampton, Mass. 01060 C<
PERMIT q
259 - 98 VALIDATION
DATE August 23, 19 83 PERMIT NO. 418
APPLICANT ADDRESS
Robert L. Edmunds raenue N/A
(N0.) (STREET) (CONTR'S LICENSE)
g
New Building Garage NUMBER of
PERMIT TO (_) STORY DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Grant Avenue ZONING URB
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
24 32
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 build a new garage
AREA VOLUME 767 square feet ESTIMATED COST $ 3,100.00 FEEMIT $ 38.40
(CUBIC/SQUARE FEET)
OWNER Robert L. Edmunds
63 Grant Avenue Northampton eu
ADDRESS � p BY
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY