25C-110 (3) VIII. ZONING PLAN EXAMINERS NOTES � s
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV.-IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
'. MARION keRA 5 5$4'
Owner or J Q yy��II /
Lessee RA-4R T Z RIAR T =60
Bui Ider'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 date
A4oVL
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date y Plans B 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 OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number 4
Building /�^'' Use Group
Permit issued 35-19 _
Building � n Fire Grading
Permit Fee � � . Q(! Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
TI °
t-
NOTES and Data — (For department use)
y11e Are. COMIR A" r��o h� e Stl'� Gln�rh�e arch ��5�a,1
u d c er .
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 J PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
3e f R tAT A TTv ZONING
I• AT (LOCATION) V t'SlV Y G DISTRIC
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. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building g Residential Nonresidential
2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 K Two or more family — Enter 2 19 ❑ Church, other religious
number of units— — — — 20 ❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, mote ,
❑ T i h l l 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — - 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 F—] Foundation only 17 F__1 Other — SpeciJy 25 ❑ Public utility
AA `'YV' 26 ❑ School, library, other educational
B. OWNERSHIP T-NSTXLL OOD nloVE 27 ❑ Stores, mercantile
8 V 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,,,,,,,,,,,•,,,• at 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 . $ 65 co
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 It
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. TY,eE OF WATER SUPPLY
34 F-1 Other — Specify 42, ublic or private company 50. Total land area, sq. ft. ...........
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
3 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevators Full..........
54. Number of
46 ❑ Yes 47 No bathrooms
Partial.......
�,mW ter,
I .hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) _ (CITY)
APPROVED BY TITLE
DATE 19
DEPART OF BUILDING INSPECTIONS DEPT. FILE COPY
Zo
ldoRTH PTI�DT t3,
BUILDING
25C - lid PERMIT VALIDATION
DATE August 30, 19-79 PERMIT NO. 419
yPPLICANT Marion Abrams - Hrayr Tamzarian ADDRESS 38 Grant Avenue
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wood atnyeS (-2-1 STORY WrInd-tal --tnyaq DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED l7SE)
ZONING
AT (LOCATION) 38 Grant Avenue DISTRICT 11RR
(NO.) (STREET)
Ch BETWEEN AND
'o (CROSS STREET) (CROSS STREET)
10
IL LOT
m SUBDIVISION LOT BLOCK SIZE
D BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
K
REMARKS: Install 2 mood-burning
AREA OR ^""' PERMIT
VOLUME ESTIM/ED OST $ FEE lO.00l
(CUBIC/SQUARE FEET)
OWNER _ Marion Abrams - Hrayr Tazzariam ^ ✓
BUILDING
ADDRESS 38 Grant Avenue, NorthamPtnn BY
4
(Affidavit on reverse side of application to be completed by authorized agent of owne