12C-066 (4) ZONING •
DISTRICT
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NOTES and Data — (For Jepumnon/ use)
6 Ile
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP'code let- Nc
5-6 t f-
Owner or }
� / -- p
Lessee V-Ck C C i f7 V 0 r '1 I a!,p �1. n�
Bui Ider's
2. �,�,� Vt License No.
Contractor
��,l�irw Frv�eaS
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.
applicant Address Application date
00 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 $
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 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- G' Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
A ov by: {
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
r r
b OFFICE of the INSPECTOR of BUILDINGS
Page Plot Lp APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
t`+ ZONING
• AT (LOCATION) — r� I / 4 r c,�/d IS/ DISTRICT z6aA
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 Im
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 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 (I/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 L] Moving (relocation) p
17�Other - Specify 41 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP T,!4�y,�o�-« 27 ❑ Stores, mercantile
8 C Private (individual, corporation, � f 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 6, I,`)UQJ
III. SELECTED CHARACTERISTICS OF WILDING — 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 F-1 Masonry (wall bearing) 40 ❑ Public or private company
48. Number of stories................
31 VWood 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 �FNublic 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 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
_ L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 [jo�No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevators Full..........
54. Number of
46 ❑ Yes 47 LIA"No bathrooms Partial.......
DEPARTMENT OF BUT1,DING TNSPECTIONS
21Z. � r BUILDINGk
PERMIT a .
12C ` 66 VALIDATION
4
DATE November 26 1981 PERMIT NO. 612
APPLICANT pAtil 11'trjkr.4rft ADDRESS 2_i RArtk
(NO.) (STREET) (CONTR'S LICENSE)
to O ;STORY NUMBER OF
- PERMIT TO ��� hY �idtr'1ttJ12�! DWELLING UNITS 1
"TYPE IMPROVEYANT) N0. (PROPOSED USE).
AT (LOCATION) 21 ZONING DISTRICT DISTRICT
(N0.) I TREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
c
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
4
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Addl*4 an o gatith mfdo of �haumm a $al*r, fis="- I 200 X A* AtXft to
,11
AREA OR PERMIT
VOLUME ESTIMATED COST $ finno FEE $ 2/A an
(CUBIC/SQUARE FEET).
OWNER 1{tttit$ I�i
ADDRESS 49 Hamld StX>-- NIl`ti; Itans Na+ 01060 B T 1411 4
WHITE - FILE COPY .',GREEN - FIELV COPY CANARY - APPLICANT COPY PINK ^ ASSESSORS COPY
f
' k
'tMENT OF BUILDING INSPECTIONS
IN STREET BUILDING O° �
NOR1'hr�iPTON, MA. 01060 pc��Al� �`a
12C - 66 IC- oaf,
VALIDATION
DATE November 2. ._(s 81 PERMIT NO. 612
APPLICANT Path Rtrarrn ADDRESS 21 Harnl d
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Add Ztinn (-U) STORY gnlar furnaCP NUMBER OF
UNITS 1 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 21 Harold DINING URA
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIDE
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: Addi Linn nn cnttth eidP of hnt1CP - solar firmace 2(?t X Al Stitt"i-tlrP
AREA VOLUME ESTIMATED COST 60nO FEEMIT $ 24-00
(CUBIC/SQUARE FEET) 'P A
OWNER Pattt Strar_cn
ADDRESS _ 21 f4arp],�StXP?t- Northam ton, Ma- Qln6Q—
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY