17C-015 (2) ZONING •
DISTRICT
%——WM
FRONT YARD
SIDE YARD SIDE YARD
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.
Owner or S-
( V3.;�
Lessee
Bui Ider's
2. License No.
Contractor
3.
Architect or
Engineer SOLI=
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, ap licant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 b��
Bur(ding- `%/` 19 Use Group
Permit issued
Building Fire Grading
Permit Fee 4'
Live Loading
Certificate of Occupancy $ Occupancy Load
ved by:
Drain Tile
Plan Review Fee
TITLE
�o� o CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUI INGS
°t Page 0 Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to com�pjl�etteJ all items in sections: I, 11, III, IV, and IX. O
ZONING
AT (LOCATION) C ,J? � DIISTR Cl"
I• � T
LOCATION ("O•) (STREET)
OF T.
�{y�,��8' AND
BUILDING BETWEEN i� (COSS STREET) (CROSS STREET) '
f
LOT
SUBDIVISION LOT BLOCK SIZET{t''='dr. a� ?'
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 7
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
11XNew building Residential Nonresidential
2 [-_] Addition(If residential, enter number 12 One family 1B 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
3Alteration (.See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 L_J Wrecking (IJ multifamily residential, of units ——————— — -- 22 D 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) 25 n Public utility
17� Other — Specify _
7 Foundation only 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
�
C�� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ r
U 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 $ �UQ
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
48. Number of stories........
30 Masonry (wall bearing) 40 Public or private company ! s!
31 �/ Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area, y/-3 ^,
all floors, based on exterior !
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Specify 42 LV 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 LL Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 �_j Electricity 44 � Yes 45 No 53. Number of bedrooms..............
38 J Coal
39 �l Other — Spocily Will there be an elevators 54. Number of Full..........
--
46 [_, Yes 47 V1 No bathrooms
Partial.......
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
'L a -
k
}
i
I
t
DEPARTMENT OF Bummk mSF1t=i-o*s FIELD COPY
212 MAIN 'STREET BUILDING
ilWRn M"W9 MA. 01060
PERMIT
17C - 15
DATE November 3s_ 19 80 PERMIT NO. 656
APPLICANT Stephen F. O'Connor ADDRESS 57 Lake
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration ( 2 ) STORY R@sit eme DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
R ZONING
AT (LOCATION) S` Lake DISTRICT Un
(NO.) (STREET)
rn BETWEEN AND
(CROSS STREET) (CROSS STREET)
a
LOT
a. SUBDIVISION LOT BLOCK SIZE
m
p BUILDING IS TO BE 41-3" FT. WIDE BY 14-0� FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: residence.
AREA OR MIT
VOLUME ESTIMATED COST $— 9OW FEE $ xfi.
(CUBIC/SQUARE FEET) nn
1
OWNER Stephen F. O'Connor
ADDRESS 57 Lake Streets Northamntons_Ma. 01060 eu P