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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants - It _. .°
Name Mailing address — \'tnnber, street, city, and State ZIP code Tel. No.
Owner or
Lessee
l� Builder's
L. �G -{ 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
00 NOT WRITE BELO THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Pion 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 Obta ned 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 G�✓hi �T 19 A
Building / Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
T I T L
i
a� CITY OF NORTHAMPTON
'8 MASSACHUSETTS
. OFFICE of the INSPECTOR of BUILDINGS
'"t � Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT
LOCATION "°'' (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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
New building Re id ntial Nonresidential
2 Addition residential, enter number
❑ J 12 .One family 18 ❑ Amusement, recreational
of new bousing 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 L❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (it multifamily residential, of units ——————— — --30- 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 L;011 Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP / 27 ❑❑ Stores, mercantile
28 ❑ Tanks, towers
8 ❑ Private (individual, corporation, ,, t/ 29 Other — Specify
nonprofit institution, etc.) � •C�` ❑
9 ❑ Public (Federal, State, or � 1
local government) /`�"�`o_,! 1,' O
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.)............. q p
11. TOTAL COST OF IMPROVEMENT $ ?a v
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 E Masonry (wall bearing) 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. TT E OF WATER SUPPLY
34 ❑ Other — Specify 47y Public or private company 50. Total land area, sq. t. ...........
4Private (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
3 Electricity 44 [❑ Yes 45/ i No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 F� Yes 47 IV I No bathrooms
Partial......
Dew1ment of Building Inspections
212 Main Street BUILDING '_ _
M#. 01060 I1 0
Northampton, PERMIT
17B - 6
VALIDATION
DATE Hav 17 _19 A2 PERMIT NO. 196
APPLICANT nnnald F_ Onimette ADDRESS_. 149 Bridge St.
(N0.) (STREET) (CONTR'S LICENSE)
` NUMBER OF 1
PERMIT TO Now Bl(L. (—I—) STORY 2 car gY}�e (detached) DWELLING UNITS _
(TYPE OF IMVPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 470 Bridge Quad DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 74 FT. WIDE BY 74 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Construct. 2 car garage
AREA OR r6- $ --��wOD FEE 28.80
28.80
VOLUME 7 _ESTIMATED COST 2_S
(CUBIC/SQUAR�E FEET)
OWNER Arth�,+r na`[it1 BUIL ING E T.
ADDRESS ___ 470 Bridged.' North_pten, Mla. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT CO Y • PINK - ASSESSORS COPY