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23B-044 (7) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use � k � c `a-§;..a.p 4, ° r fir; k j gr 7 1 a ¢; 44 i i --i ." : t rj p - r V Um s r ca '-, I 4.iw TI 3 4 $ -4_j 44-, IT TU4 } M"a",I'T t +T s + 14y .."sz t y - . q" ,,� ,! + 'ae + } - s -a� - + it . a sS -it a #1" !}E 11 w c a 44-t", -b 3 f HVI "1 J - ,. ir&� 4; a%f ^ 4°" {�4t� � 4s.d p 4 a_a .:.-.-:-...E. .. t: .: , `. ... - } g { -rs�tys"pit 31F a# 4��v-9 ap} t -$.a�- .-P j.f. .-3S s"} -N If L F-4 1�.§..rert i-+,-s E� p +aq�f.:� +.,_ J zl z i-. -a _4- 3 4 p tf i:.'S.a b f @ -S r 4 s + 's>$ 'I-+{:C: -§-ia ''� p ;�8 P BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name f/Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or ✓ ' C �7% G'—�_ C. l C? L. O Lessee f � Bui Ider's 2. �fI •).1 f'` 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 ki:,44 0 4 00 NOT WRITE BELOW IS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes 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 Obtta t 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 I OTHER VII. VALIDATION Building /'Z"J FOR DEPARTMENT USE ONLY Permit number Bui(ding 0e G 19 Use Group Permit issued Building Fire Grading p,. Permit Fee IFV•CX) Live Loading Certificate of Occupancy $ Occupancy Load d by: Drain Tile $ Plan Review Fee $ TITLE NOTES and Data — (For department use) < t • CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 ��'� PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O '7` t ZONING I• AT (LOCATION) a/ / t�' -'t-{--�L� DISTRICT, LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE (A II. TYPE AND COST OF BUILDING — A11 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 residential, enter number �. f 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 (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) 17❑ Other — Specify 25 E] 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 ..................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 0 e 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 48. Number of stories................ 30 Masonry (wall bearing) 40 Public or private company 80 ,GK3s„b 31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior / y 32❑ Structural steel dimensions ..................... (J 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 F__1 Other — Specify 42 X] Public or private company 50. Total land area, sq. ft. ........... f 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........................ S� 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44 X1 Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47� No bathrooms Partial....... o crxt� of Ni amts 11 ptan \ �� $ �IassACl�nsetts - i Offire of flit 'hoptrfor of jAuilbings W 212 Main Street•Municipal Building Northampton,Mass. 01060 CERTIFICATE OF OCCUPANCY July 99 1980 Page No. 7 To Plot 44 Building (Name) T.nCnAt St,-pat ASQnn4AtPs Address 41 T,pr,jQt Street Owner Same An shove Address Same An above Applicant same an shove Address same as above let. floor Professional office Dr. Joseph Holik Use: 1st ProfasaionAT offire Occupancy George Bane D.D.S. lst. floor Professional office Catherine Holik M.D. 2nd Professional office Occupancy Phillp K----k4-- D.D.S, 2ud. floor Professional office Michael O'Brien D.D.S. 3rd Lrofessiomal ©f£ice Occupancy Sim-iWiokW Atto=ey Basement 4th Laboratozy Occupancy Ca»era i.ab Zone District Hit Required Inspections: New Building ___X—_ Existing Building Elevator Electrical�rex� 7U� 1 Plumbing 4 Fire Building Other Inspector of Builcrings T a.R.l 10 rrrtess 3 I hereby certify that the proposed work is authorized by the -ow."r of record and I have been authorized by the owner to make this application a his ' Yom.° 2 " c authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 J Zo DEPT. FILE COPY c, BUILDING Ia DEPT. OF BUILDING INSPEC-nONS BUILDING L T 212 Main�t PERMI ■ VALIDATION emw'd ,MOM 01000 23B - 44 19 DATE October IM, 19 78 PERMIT NO. 491 APPLICANT RdW 7"d Ma- Y)nwaki ADDRESS WeSt St. NO ET)Hatfield, Ma (N0.) (STRE (CONTR'S LICENSE) PERMIT TO Addition ( 2 STORY Offices o ELLI2NG OF UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) ZONING AT (LOCATION) 41 TnCUSt DISTRICT (NO.) (STREET) w BETWEEN AND m (CROSS STREET) (CROSS STREET) w LOT B' SUBDIVISION LOT BLOCK SIZE m a 0 BUILDING IS TO BE 80 FT. WIDE BY �.5 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) oa REMARKS: Addition t� prOfeSSlOYlal offices VOLUME 2Rnn ESTIMATED COST $. 6o,o0_ FERMIT 180.00 (CUBIC/SQUARE FEET) OWNER n„4+ S'+ Aec ;a tP4 ADDRESS 41 Tn u zI Street, Northa=ton, Ma. BYI (Affidavit on reverse side of application to be completed by authorized agent o wner)