25C-167 (9) ZONING
DISTRICT
� � r
FRONT
SIDE YARD SIDE YARD _�4i
REAR YARD 2,0 J
NOTES
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and Sttit,' ZIP code Tel. No.
Owner or
�L -
Lessee
Builder's
1.
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.
Si n�of ap t Address Application date
D01 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check Obttat ed 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
Building.
Permit issued r 19537 Use Group
Building Fire Grading
Permit Fee a��
Live Loading
Certificate of Occupancy $ Occupancy Load
App d by:
Drain Tile $ 7.
� )
Plan Review Fee $
TITLE
�Q CITY OF NORTHAMPTON
9+ `� .ice _ MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page -- Plot 167 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. o
Q. 030 ZONING "16
I• AT (LOCATION) f► DISTRICIVL
LOCATION (NO.) (STREET
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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 fomily — Enter 19 ❑J 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 (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 ❑ Foundation only 17❑ Other — SpeciJy 25 ❑� Public utility
A) II ��'''' , 26 ❑ School, library, other educational
B. OWNERSHIP A)_Xfol i�✓� 27 ❑ Stores, mercantile
8 Private (individual, corporation, Q 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 ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT Is 8O0a r
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❑ 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. 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. PE OF MECHANICAL
35 ❑ Gas Will ere be central air 52. Outdoors.......................
36 � Oil conditi 'ng?
L. RESIDENTIAL BUILDINGS ONLY �q
37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms.............. �+�.C /'".
38 ❑ Coal
39 ❑ Other — Specify Will the e an elevator. Full........
54. Number of
46 — Yes 47 ❑ No bathrooms
Partial........
. _� BUILDING o°
PERMIT Qa
4 OZA �9.SY:— L 7
I „VALIDATION
PERMIT O`✓93
APPLICANT , I��YtrC.l ADDRESS�^ �
�, (N0.) (STREETY' (CONTR'S LICENSE)
PERMIT TO b�`�■�+' (_) STORY NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
7(5 cl'►�/ ZONING
AT (LOCATION) 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
�%//�J '• 1P )`� .N (TYPE) �+
REMARKS'LL.t z, 1 b "'U x CV yyC.�4t+ %lul
AREA OR /`�� ESTIMATED COST $ FEE MIT
VOLUME �P p �1 pop(CQl4WSOUARE FEET)
OWNER BUILD 96T �' 2
ADDRESS 'A BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK /SSESSORS COPY
.,
BUILDING
zo
`� PERMIT xIL r
f VALIDATION
/ TE • 6 19 �' IR!"otim
APPLICANT ADDRESS
++,�+'�� f't/T� ---.•�iw. (STREET7 (C0�'S LICENSE)OF
PERMIT TO �a4^" V ( ,) :STORY D ELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) .0 73 D STN CT_:�.^=,uG
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
I
i
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 ( W -'Cl to �44a" 'J+ f r � i
+
AREA OR
VOLUME � ESTIMATED COST PER MIT
G1 o Q FEE s /0,00
(C )W4/SQUARE FEET).
OWNER '
BUILD �4
ADDRESS BY
WHITE ^ FILE COPY GREEN ^ FIELD COPY CANARY APPLICANT COPY • PINK �ASSESSORS COPY
y