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V111. ZONING PLAN EXAMINERS NOTES
DISTRICT f�
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
t TZ' W /V/ Qy �17� jJL �1 1-4ij 61060 o2/
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 of applicant Address Application date
s
r t ZZ2
00 NOT WRITE BELOW THle LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 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
Building Use Group
Permit issued ' �— `? 19
Building Fire Grading
Permit Fee .$ Live Loading
Certificate of Occupancy Occupancy Load
Appr by: j
Drain Tile
Plan Review Fee
TITLE
NOTES and Data — (For department use)
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CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 _ --�� PLAN EXAMINATION AND
' BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. � O
ZONING
AT (LOCATION)
Y.'SJ _ DISTRICT
LOCATION IN 0.) (STREET)g
OF BETWEEN 6`l A-6- I 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
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2 Addition(1 residential, enter number
f 12 F-] One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Past 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,
4 epair, replacement ❑ or dormitory - Enter number
b 21 ❑ Parking garage
er
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 - Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8Private (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................ $ 5"5 Q 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..................... '160,>-o
b. Plumbing ..................... 0-D O cr-0
c. Heating, air conditioning......... r OL
d. Other(elevator, etc.)............ G
11. TOTAL COST OF IMPROVEMENT 1$
Ill. 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 u Private (septic tank, etc.) 49. Total square feet floor area,
all floors, based on exterior
32❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
11,7r
34 ❑ Other - Specify 42 Public or private company
50. Total land area, sq. ft. ...........
43 Private(wall, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
s'
35 F-1 Gas Will there be central air ' 52. Outdoors........................
36 Z Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 441- ' 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will the be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
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hereby certify that the proposed work is authorized by the owner of record
and 1 have been authorized by the owner to make this application as his.
authorized agent.
SIGNATURE OF AGENT
ADDRESS - f
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 1g
I- DEPT. FILE COPY
Zo
DEPARTMENT OF BUILDING INSPECTIONS BUDDING 2 a
212 MAIN STREET
PERMIT
NORTHAMPTON, MA. 01060 VALIDATION
32A — 59 275
DATE June 15, ,9� PERMIT NO.
APPLICANT Frank. Netto ADDRESS 68 Union St.
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Renovate a artment 2 STORY Residences NUMBER of
P � ) DWELLING.UNITS 2
(TYPE OF IMPROVEMENT) NO. - (PROPOSED USE)
//OO ZONING
66
AT (LOCATION) _ _ _ Union DISTRICT URC
(NO.) (STREET)
a BETWEEN Market AND Parsons
a (CROSS STREET) (CROSS STREET)
IL LOT
m SUBDIVISION LOT BLOCK SIZE
a
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I
0: (TYPE)
0 REMARKS: RPnoyate two apartments per application
AREA OR • O ^
PERMIT
(CUBIC/SQUARE FEET)
VOLUME ESTIMATED COST $ 4800.00 FEE 15.00
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D
OWNER _ Prank Nettn BUI N T. , 7egW
ADDRESS Fife Tin;nr gtrent e N I t)n_ By
(Affidavit on reverse side of application to be completed by authorized agent of owner)