25C-260 (2) VIII. ZONING PLAN EXAMINERS NOTES
i DISTRICT
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
a, r
IV. IDENTIFICATION — To be completed by all applicants
t\Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
t�
Owner or
Lessee
Builder's _
2.
License No.
Contractor
A U
Architect or, o,
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.
Sign at of a 7ka nt A ddress Application date
00 NOT WRITE BELOW THI LINE
V. PLAN RE IEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes
Q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL I SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
II. VALIDATION
Building / FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19�
Building t Fire Grading
Permit Fee $ t� �. �-� Live Loading
Certificate of Occupancy $ Occupancy Load
Appro by:
Drain Tile $
a A4
Plan Review Fee $
TITLE
4W CITY OF NORTHAMPTON
�+ .8 MASSACHUSETTS
r
a OFFICE of thq INSPECTOR of /B_U�I1LDINGS
s 1L'V
t
Page- � Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) Cr/,'�^ ^ ZONING
�,,�� �: t n f"� 1� DISTRICT
LOCATION (NO.) ((/(STREET)
OF BETWEEN t do � butf 'r/ly AND
BUILDING (CROSS'STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING - Alf applicants complete Parts A - D -+
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 F-1 New building Residential Nonresidential
2 Addition(It residential, enter number
12 F-1 One family 18 E] Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 F7 Two or more family - Enter 19 n Church, other religious
3 ❑ Alteration (See 2 above) number of units- - - - --> 20 n Industrial
140 Transient hotel, motel, 21 Parking garage
4[::�] Repair, replacement or dormitory - Enter number
re
5 Wrecking (!/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) P
7 E:] Foundation only 17 Other -„Sp.E+cify°"”--'°�- 25� Public utility
6 26 School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
,
B 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
Y1G� school, secondary school, college, parochial school, parking garage for.
10. Cost of improvement,,,,,,,,,,,,,,,,
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 ..................... A
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 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 D Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 E] Gas Will there be central air 52. Outdoors........................
36 D Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 F Electricity 44 Yes 45 �! No
---- 53. Number of bedrooms..............
38 Coal
39 n Other - Specify Will there be an elevotor'l Full..........
54. Number of
46 � Yes 47 ID No bathrooms
Partial.......
DEPT. OF BIJLDING INSPECTIONS D
z-
212 Main Street BUILDIN 0a
Northampton, MA 01060 PERMIT
25C - 260 VALIDATION
DATE Jim,- 2, 1 PER IT N0. 315 APPLICANT Britt Construction ADDRESS j rmory Stree"� rile
(NO.1 (STREET) (CONTR•S LICENSE)
PERMIT TO Demolition (_) STORY Storage Building R OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URB
AT (LOCATION) Bridge St./Bridge Street Cemetary DIISTR CT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 20 FT. WIDE BY 40 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS; permit for the demolition of a storage building for the Bridge Street Cemetary
AREA VOLUME 000 so. ft. ESTIMATED COST .$ 3,900•00 FEEMIT $ _O
(CUBIC/SQUARE FEET)
OWNER City of Northamp ton
��,v-> .� "
ADDRESS BPW Locust St. . Northampton BYILDII PT
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p0-1p