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FRONT
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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.
ti
&C
Owner Owner or
Lessee
Builder's
2.
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 o ,applicant Address Application date
0`'0 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 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
Building- , Use Group
Permit issued 19 t
Building ( /` Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
p v d by:
Drain Tile $
LeG�
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
A "� MASSACHUSETTS
�
r •
$ �` OFFICE of the INSPECTOR of BUIILDINGS
'"T a� ~ Page 17`9 Plot P t APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
i''� ZONING /
I• AT (LOCATION) "-� r � P,li-'�-+/t- r 11� DISTRIC�"�
LOCATION (NO.) (STREET) {{
OF BETWEEN �+� -5/FN 0- 7— AND a Tx,I'o 6/1200K
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 rn
M
1 �Addition ew building Residen ial Nonresidential
2 (I f 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— — — — —)r 20 ❑J Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If 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 ❑ Moving (relocation)
17�Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP Qt 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
'aa r processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement„fl„�t,tV( school, secondary school, college, parochial school, parking garage for,
deportment 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.).F5�g4G .... C,C,
11. TOTAL COST OF IMPROVEMENT is ' ISO
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❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories..............
31 Wood frame 41 6Privote (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 X 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 t. TYPE OF MECHANICAL
35 Gas ill there be central air 52. Outdoors........................
36 Oil con 'tioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 L❑ Ye 45 No 53. Number of bedrooms.............
38 ❑ Coal l
39 ❑ Other — .Specify Will there a an elevator? Full.../F
54. Number of
46 J Yes 47 No bathrooms partial.,.....
` DEPARTMENT OF UILDING INSPECTIONS
*212 MAIN STREET BUILDING oQ
ZD A /
NORTHAMPTON, MA. 01060 PERMIT
17B VALIDATION
DATE �LLiaLlit 117 19 Al PERMIT NO. 385
APPLICANT Stgot _n M.Volpe ADDRESS 379 ,Bridg(t
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_1�) STORY Tn-gyot d nnnl DWELLING UNITS 1 _
PRO E NT) NO. (PROP ED USE)
ZONING
AT (LOCATION) X79 Br4 d Rnad _— DIISTR CT URA
(NO.) (S BEET)
BETWEEN chestnut AND Meadow Brook Drivg
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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: 1710 'X '130 inArnund pnol
VOLUME ESTIMATED COST $ _3, PER $ 10_00
(CUBIC/SQUARE FEET)
OWNER d��$iV�tll X yplpil BUI ING
ADDRESS 379 Bridge B,(� ,--Northam„rttn I9 Ma_ (}' 060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY