25C-145 ZONING •
DISTRICT UR13
FRONT YA,RD
SIDE YARD Is-L,6 SIDE•
• .
REAR YARD
IX. SITE OR PLOT Applicant
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NOTES and Data — (For deportment use)
3e—c "
27
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or i {/" � W!X1 b�---'�/. G�V�OQ a
Lessee
CA Builder's
2.
License No.
Contractor
vcrf3r
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 applico Address Application d to
� �
00 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 Permit or Approval Check Obttai ed Number By Permit or Approval Check Obttoitned 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 1
Building. ..// Use Group
Permit issued 7' 19W per}L
Building Fire Grading
Permit Fee �0 1 40
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap roved by: r
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
,�. Page '?`T�' Plot y'S� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant—to�n/complete all items in sections: 1, 11, 111, IV, and IX. /�/� O
I• AT (LOCATION) 3�3 O'• '-_Tom"" - ZONING CT4lt/Z '
LOCATION (No.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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(1/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 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (11 multifamily residential, of units ------- - -- 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 L❑ Hospital, institutional
Part D, 13) 16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) p
17❑ Other - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 L❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 L❑ Other - Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
n processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 4V C3 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 $ 2Za v
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 F-] Masonry (wall bearing) 40 Public or private company
48. Number of stories..............
31 Wood frame 41 � Private (septic tank, etc.) 49. Total square feet floor area,
all floors, based on exterior
32 ❑ 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 �❑ Gas Will th be central air 52. Outdoors........................ .3
36 Oil conditionin
37 ❑ Electricity 44 �� Yes 45 ❑ No L. RESIDENTIAL BUILDINGS ONLY rr��
53. Number of bedrooms.............. v/
38 ❑� Coal /
39 ❑ Other - Specify Will ther e an elevators Full...(......
54. Number of
46 Yes 47 ❑� No bathrooms Partial........
Department of Building Inspections
212 Main Street BUILDING Z
Northampton, Ma. 01060 oa /�f
25C — 145 PERMIT �a /U
VALIDATION
DATE JaMlAry 14 19 63 PERMIT NO. 7m" QZ/
APPLICANT Yoyi., f blotto ADDRESS 68 union St_ _ N'tnn� 001317
(NO.) (STREE�— (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (7_) STORY DWELLING UNITS 1
(I?qff OVEMENT) NO. (PROPOSED USE)
ZONINGS
AT (LOCATION) 3,3_ Orchard 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)
REMARKS: Pytena7 back porch roof for Car=Art 151 X In': mi AC. changes in Awelling,
replace windows.
AREA OR 270n-no FEE MIT 10-00
VOLUME ESTIMATED COST 7
(CUBIC/SQUARE FEET)
OWNER ,jaxy4Q & r1autijA EA Hnftas BUILDI���
ADDRESS 3" Orchard St*eA*; A�t ampten- a- DY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY