12C-052 (4) ZONING •
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 a '
Name) Mailing address — ''umber, street, City, anti State [Z)IP code Tel. No.
0 /J OfzAm Owner or TT
Lessee
Builder's >���7
2. License No.
Contractor
3.
Architect or
Engineer
1 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
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By 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 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
Bui Iding. Use Group
Permit issued _ P 19�+
Building
Fire Grading
qq��
Permit Fee $ J`8,010 Live Loading
Certificate of Occupancy $ Occupancy Load
r ved by:
Drain Tile $
Plan Review Fee $
TITLE
o CITY OF NORTHAMPTON
MASSACHUSETTS
r •
� e
OFFICE of the INSPECTOR of BUILDINGS
Page l PlotZ APPLI CATI ON FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 1 j� O
A ZONING t� )c/..1�
AT (LOCATION) V DISTRIC J
LOCATION IN 0.) (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 X 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 l
l
h
Transient hotel, mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
-i 22 ❑ Service station, repair garage
5 Wrecking (l/multifamily residential, o units P 9 9
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 L❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ Other — Specify 25 ❑ Public utility
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,,,,,,,,,,,,,,,,
000 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 I$ Q U®
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 /V.
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, eT�
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F—] Other — Specify 42 Public or private company 50. Total land area, sq. ft. ..........
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 t e be central air 52. Outdoors........................
36� 9
Oil conditionin
L. RESIDENTIAL BUILDINGS ONLY n
37 C Electricity 44 [--] Yes 45 E , No 53. Number of bedrooms..............
38 ❑ Coal f
39 ❑ Other — Specify Will ther, e an elevator? Full...!.....
54. Number of
4E Yes 47 ❑ No bathrooms
Partial......
Department of Building Inspections BUILDING
ZD
212 Main Street
o a �
Northampton, Ma. 01060 PERMIT Qa
12C - 52 VALIDATION
DATE April 270_ 19 R2 PERMIT NO. 149 -
APPLICANT ADDRESS 70 C1 oVe-rdale cn7 l ,
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (-,Jjf) STORY U tcb} fl�ditioil DWELLING UNITS Z
TYPE PROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 2Q 8 - DISTRICT 11RA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Addition
XXIMMIS TO BE ����FT. WIDE BY 15� '-Q FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: AAAj t4cy to axi sting kitchen -
AREA OR FEEMIT 28-00
VOLUME 206 ESTIMATED COST $ 7 ,000 W
(CUBIC/SQUARE FEET) ^
OWNER Wesley Rauch. Jr BUILD /
ADDRESS 20 Cloverdale St.- Northamoton, Ma 01060 BY _ -a
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - A COPY
� �
D V�
V
Departmeiit of u°..« Inspections BUILDING
212 M- ain, Stxeet O<°
t rth t*n, Nia. 01000 r EI`MIT , as
12C 52 VALIDATION
DATE gYi l 7! 19 A7 _ 'PERMIT NO. 149
APPLICANT ur,a I ey--u Ijcby �Y* ADDRESS
�.. (NO. . STREET) (CONTh'S LICENSE)
NUMBER OF
PERMIT TO ALA OTORY '2 tn°hfn !Md S�rat� DWELLING UNITS �
TYPE P OV EME NT).. NO. (PROPOSED USE
ZONING TIRA
AT (LOCATION) DISTRICT
('j7REET).
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
.I)6di Ition
)(o4WJX4(IS TO BE Zit*• 4 FT. WIDE BY��*��-Q� FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
PERMIT .�p
VOLUME 206 ESTIMATED COST $ 2 010no FEE ��.no
(CUBIC/SQUARE FEET)
OWNER Wesley Rauch. Jr. UILD �
B »,
ADDRESS' V X S.. M� 1_{��J0 BY
WHITE —FILE COPY • GREEN - FIELD COPY CANARY - A PLICANT COPY PINK - ASS'1"ORS COPY