25C-166 (13) ZONING •
DISTRICT
I USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants '' It
Name Mailing address — umber, street, city, and State ZIP code Tel. No.
Owner or
Lessee
�( --------" — Builder's
2. YJJICC I✓l S f WG'� w /'�Z—. S� License No.
Contractor
bS
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 ap licant Address Application date
r 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 t C"C"�� FOR DEPARTMENT USE ONLY
Permit number
Building. < Use Group
Permit issued tC1l 'NV�WA B!L 19
Building Fire Grading
Permit Fee $ ( Live Loading
Certificate of Occupancy $ cupancy Lo
P ed by:
Drain Tile $ --
Plan Review Fee $
TITLE
oQS CITY OF NORTHAMPTON
$+ !►-�. MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
,p7 Page — Plot I WO APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
c� /� �j/ ZONING
I• AT (LOCATION) +� � 7 �r"/ /'�✓�� �� DISTRICT
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 ❑ ne family 18 ❑ Amusement, recreational
(/new bousing units added, if any,
Part D, 13) 13 Two or more family — Enter 19 ❑j Church, other religious
number of units— — — — --� 20 �❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
a 21 ❑ Parking garage
4 ❑� Repair, replacement or dormitory — Enter number
5 l❑ Wrecking (11 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
26 ❑ School, library, other educational
B. OWN RSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 L❑ 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,,,,,,,,,,,,,,,, ,�5 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 $
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 [N 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
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 .......................
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
37 C_ Electricity 44 Yes 45 _ No 53. Plumber of bedrooms.............
38 Coal
39 �❑ Other — Spcci/y Will there be an elevator? Full.........
54. Number of
46 1 Yes 47 [X No bathrooms
Partial.......
DEPT,0 3 ILDING INSPECTIONS BUILDING `° S �() •�
212 Main Street Oa
Northampton, MA 01060 PERMIT
25C - 166 VALIDATION
DATE November {qP, 1984 P RMIT NO. 655
APPLICANT Diggins & Worden ADDRESS J onZ S:EreeT (3t4271
(NO.) (STREET) (CONTR•S LICENSE)
PERMIT TO Alteration (_) STORY Two Family NUMBER OF
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
22-24 Orchard Street 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
(TYPE)
REMARKS. permit for alterations to existing 2 family dwelling; remodel 2 existing bathrooms
install two awning win ows
AREA OR ESTIMATED COST $ 1,500.00 FEEMIT $ 0.0
VOLUME
(CUBIC/SQUARE FEET)
OWNER Eric Konheim
ADDRESS P.O Box 1038, Amherst, Mass. 01002 BYI N
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - JSSSORS COPY �INT p P