25C-114 (6) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
Ix. SITE OR PLOT PLAN For Applicant
.�,. �� � ��� s :�' '� ass" «.�#�.' �" � •.r !• sss::::: ..z......■...,.
t Ss� ii nriaiiwiiiiieoieiiiiiiiii
afire o . .■xworra#f.�■r■•Mrolr\a■.■!.•r
■ • pf1• �5�.'1�■r�N•a�•iiirlaiNames
••{{ • ■■■.rrr r��• urr■prarrl•!■r#rr•u■"a use M1lM ■ �r�1.i�SI#S�SSSSIfrI.IZ1SZSMSSiSfSI'•'#•ii
any•■ r• • r: :\ Mae n on Sol■
• a aara! r:\16■11•uraa8u!••:rrr�ea
r r■! a 8:\1\:16• r•r■aue •■
4` ZI *.i •.si i i ul�irnnre'8,
■ rr a:' •■��' • ■1r• sta •r/Ilalal■!:p■
' • i •H•S�S •*SSSSSSSSSrrNS%SS::SS
■ .'1I'iSi"ir#liisiiiliiiiilitiiiaiiii
r �•�gq�aa.Faaa.!•Mr11•. i*1r• :.■■.N■rlal■/MM:#a. •
1 S\!1 �.�■�. UZZIr#:NZZSIZNZI�S��.S��ISaSM■.Z
S �iaN IS«'q#'iZ1SS1SHSSSI#r:Sr"#SZ
in a"
! r a
Bing
' "' ��ii�i•Syi'!�' '��ir�i�i't��i�i�■iisiriiiia
�a/H/1MSSSiZSSSi
.. 161 •r 1Z ZZ�NY ■�rwas:
■ ■
was 'rwS�•rri•°I
I Is
ri !\:oa•\IO16
�+
In
•
Z
' iii,i':=�
� a i uSSiiiii
! ■ a � sells,
il: iiiii
Hif
llifi�il■'iii=i'a s
uull =
11i\iil
16 r ii
r : rZrSrr•■irrlZ�■:•�
�i. is • • i�i.•.ri■ h t�
I ones
man
•lr 11 11 tir•16: al
s �i= r ,i lii� ii
as
a.was
a WAS
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .%'umber, sircul, cif}, and State ZIP/code Tel. No.
Owner or t C��!, �.Z ERP:7v v(✓f
Lessee
Builder's
L. ? License No.
Contractor s
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
DO 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
V1. 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
Permit number -3173
Bui Iding
Permit issued 19, ,
Building
Permit Fee $ le% e",0
Certificate of Occupancy S
Ap ov by:
Drain Tile � J
Plan Review Fee
TITLE
of Xort4amptou
$ � �Iassxdfnsetfs
t`A Offire of the �ngvertor of `Puilbi>itgs APPLICATION FOR
1l T ZONING PERMIT AND
Page , Plot BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. r O
I• AT (LOCATION) 6V � � 7�r---- iY _ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
CA
11. TYPE AND COST OF BUILDING - A11 applicants complete Parts A - D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 ❑ New building Reside n Nonresidential
2 ❑ Addition(it residential, enter number 12 One family 18 ❑ Amusement, recreational �1
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 Church, other religious a
number of units— — — — i 20❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
22 ❑ Service station, repair garage
5 ❑ Wrecking (if multifamily residential, of units ——————— — --� �
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Car p art 24❑ Office, bank, professional !�
ees
6 ❑ Moving (relocation) 25 ❑ Public utility
17 ❑ Other — Speci/y
7 ❑ Foundation only 26 ❑ School, library, other educational I
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 ❑ 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
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..................... i/ S G d%/ Cl��lW'�S
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ )GL s
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. D
!7
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 111
48. Number of stories...............
30❑Masonry (wall bearing) 40 ❑ Public or private company j
49. Total square feet of floor area, tt__
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) all floors, based on exterior
32 ❑ Structural steel dimensions ..................... fn'j
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 ....................... O
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................ I
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
bathrooms
46 Yes 47❑ No Partial........
November 80 1977
Mr. John L. Cooper
56 Grant Avenue
Northampton, Ma. 01060
Dear Aar. Coopers
On .November 4, 1977 I inspected your completed chimney
at 56 Grant Avenue.
'roe► the ground a visual inspection indicates that this
is a legal installation.
Sincerely,
Cecil I. Clark
BUILDING INSE2CTOR
CC/ljw
hereby certify that the proposed work is authorized by th owner of record
and I have been authorized by the owner to make this application as his
authorized agent. u
SIGNATURE OF 'AGENT
F
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE l4
r
DEPT. FILE COPY
ZO
CITY OF NORTHAMPTON BUILDING a a
PERMIT VALIDATION
NORTHAMPTON, X&SS. 25C - 114
DATE,Auiru.St 22, 191_t__ PERMIT NO. 373
APPLICANT john C flamer ADDRESS 5Fi Sr=t Avenue
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO [� ]11n (_) STORY Chi1►>rr�ev DWELLING UNITS
(.TYPE OF IMP OVEMENT) NO. (PROPOSED USE)
ZONING
AT iiRR
AT (LOCATION) ,�+ Grant — DISTRICT
(NO.) (STREET)
n BETWEEN AND
D (CROSS STREET) (CROSS STREET)
A
LOT
L SUBDIVISION LOT BLOCK SIZE
O
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
M
O USE GROUP BASEMENT WALLS OR FOUNDATION
Z TO TYPE (TYPE)
I
It
O
LL REMARKS:
AREA OR $ FEEMIT $ 10 00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER john r. CCoopC-Y' - BUI I
ADDRESS ICA Axsnua BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)