31C-007 (9) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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, street, city, and State ZIP code Tel. No.
1. a
Owner or
?
Lessee
r
Builder's
J e N 0.
^�� f Rie a s
2. L ten
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 is authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signot e f appticatrt Address Application date
° DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans
9 Fee Started By Approved By (Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Approval Check Date Date
Permit or A
PP Obtained Number By Permit or Approval Check Obtained 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 �o
Building Use Gro p
Permit issued lq
Building Fire Grading
Permit Fee $
Live Loading
I
Certificate of Occupancy $ Occuponlcy Load
Approved by:
Drain Tile $ �---
Plan Review Fee $ a
T E
CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, III, IV, and IX.
ZONING
I• AT (LOCATION) cX r. DISTRIC
LOCATION (NO.) TREET)
F1S�t V �Q� 1 AND —
OF BETWEEN (CROSS STREET)
BUILDING CROSS TREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -a
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 E] New building Residential Nonresidential
2[—] Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religious
in Part D, 13)
number of units— — — — --i 20� � Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
21 � 1 Porking garage
4 Repair, replacement or dormitory — Enter number
of units ------- — —� 22 �.,._� Service station, repair garage
5 Wrecking (If multifamily residential,
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport 24 j Office, bank, professional
6 Movin g (relocation)relocation J
17 Other — S'peciJy 25 Public utility
7 Foundation only 26 E] School, library, other educational
B. OWNERSHIP 27 L_1 Stores, mercantile
28 �_� Tanks, towers
8 54 Private (individual, corporation,
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,
IF 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./,/p—//,/ �t�,,t
in the above cost ' fJ a � / "L' K/'�'�"U,'
a. Electrical....................... dl/'�l/ 6Ct
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 _, rz,0
48. Number of stories............... v
30 Masonry (wall bearing) 40 []1-Public or private company
41 El Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame all floors, based on exterior
32 Structural steel dimensions ..................... B `�
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 Other — Specify 42 N Public or private company
43 F, 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........................
conditioning?
36 [71 Oil L. RESIDENTIAL BUILDINGS ONLY
37 L� Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 C� Coal
39 �� Other — Specify Will there be an elevatory Full......
54. Number of
46 Yes 47 No bathrooms
Partial.......
City of Northampton REQUIRED INSPECTIONS
9 1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3. Complete Building
No. 736 Office of the Building Inspector
Date 10-11-89 19
BUI DING P RMI
THIS MAY CERTIFY THAT JLH Design and Restoration Insp. on Site — Foundations
has permission to renovate attic space Insp. of Plumbing — Rough
situated on 28 Ward Ave. Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON T PREMISES
Certificate of Occupancy AV�46�
Building Inspector
PBIN P