25C-157 (10) ZONING •
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REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants �. .
Name Mailing address — Nurnbcr, street, city, and State JP code Tel. No.
A6!�a r—
Owner or
Lessee AV l
Bui Ider's
2 rV ��/ License No.
Contractor
3.
Architect or
Engineer
1 hereby certif that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
make this placation as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signot of applican Address / Applic on d to
DO NOT WRITE B LOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obttatned 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
J
Permit number
Building.
Use Group
Permit issued 19 G�
Building Fire Grading
Permit Fee $ /��1� �
� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TIT
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page h z� Plot /6`7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O
ZONING
I• AT (LOCATION) Tc t, L^'P_ � DISTRICT J c�
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 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 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --)P. 20 ❑ Industrial
3 Alteration (See 2 above) 14 l
t
l
t
t h
i
Transenoe , motel,❑ 21 ❑ Parking garage
4,M Repair, replacement or dormitory — Enter number
5 Wrecking (II multifamily residential, of units ——————— — --o- 22,>4�.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
17 Other - Specify 25 ❑ Public utility
7 Foundation only 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
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 ..................... -� ` y-
c,. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ 20.00,
III. SELECTED CHARACTERISTICS OF BUILD( G — 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
30XMasonry (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
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 there be central air 52. Outdoors........................
36X Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 �J Electricity 44 ❑ Yes 45No
53. Number of bedrooms.............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
_ 54. Number of
46 C1 Yes 47'A No bathrooms
r'C Partial........
Department of Building Inspections _
H2 Madu Street BUILDING s0
Northampton,-.14a. 01060 PERMIT ya
25C - 157
VALIDATION
DATE May 18, 19 82 PERMIT NO. 205
APPLICANT HAre1 d Duf fy, jr. ADDRESS_ 200 BY4.d�e
(NO.) ( BEET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Reps;+-- replace I STORY roof DWELLING UNITS
r(TYPE OF IM OVEMENT) NO. (PROPOSED USE)
ZONING MR
(LOCATION) DISTRICT
(NO.) (STRE )
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: Repair and replace existling x0of
VOLUME ESTIMATED COST $ 7,O01 FEEMIT 10-00
(CUBIC/SQUARE FEET) Y
OWNER Harold Duffy. Jr
ADDRESS 200 Bridge Street. Northampton Ma, 01060 BYIL NG PT.
WHITE - FILE COPY . GREEN FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY