17C-079 (3) ZONING •
DISTRICT
r
FRONT USE
r
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REAR '
NOTES
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NOTES and Data — (For department use)
vi,5 CJ L T
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
k,7 5
Builder's
1.
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.
Signatur of appli nt Address CyCG C Application date
_ Jam/
D0 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
Permit or Approva I Check ObDtaair ed 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 $ ,� 1�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. O
`/q '�- ZONING
I• AT (LOCATION) �3 7 /x�� ` �S/�z-e� / DISTRICT
LOCATION ("O•) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
CA
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 Residen al Nonresidential
2 ❑ 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
t
l
t
t h
i
Transenoe , motel,❑ 21 ❑ Parking garage
4 L�Rrpair7replacement or dormitory — Enter number
5 ❑ Wrecking (it multifamily residential, of units ——————— — -i 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)
7 ❑ Foundation only 17 ❑ Other — Specify 25 �❑ Public utility
26 ❑ School, library, other educational
B. OWN E HIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 Private (individual, corporation,
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
a� 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.).............
11. TOTAL COST OF IMPROVEMENT $ Y
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 F 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. TYPE 00f WATER SUPPLY
34 �❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES /
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 L❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal r
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 L❑ Yes 47 No bathrooms
Partial.......
Department of Building Inspections
212 Main-Street BUILDING �°
Northampton, Ma. olobo PERMIT Qa %
J
17C 79 VALIDATION
DATE junp 1, 19 Al PERMIT NO. 755
APPLICANT Havpiork 1- Pnrsegi nve ADDRESS 37 Mi vh Florence.
(N0.) 'IA MEET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO TYPE STORY Porch DWELLING UNITS l
F IMP OVEM ) NO. (PROPOSED USE)
ZONING i1Rfi
AT (LOCATION) DISTRICT
(N0.) (S REET)
BETWEEN AND
(GROSS STREET) (CROSS STREET)
L07
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: Remove old porch & rebuild new porch with concrete foundation_ close in same
with insulated windows. Porch to be insulated and heated.
AREA OR $ 1200_00 FEE
1n-00
VOLUME ESTIMATED COST — Y
(CUBIC/SQUARE FEET)
OWNER Havelock 1 & Frances PLirgpgl AVe TT-f BUILD,Ikl 4DE
ADDRESS 37 High Street F1 orcnce,, Ma. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT (A INK - ASSESSORS COPY
Dep&rtmmt of Building lnspectiom
211'
i 1411 ,tree*t BUILDING �- f
a
NoTthmpt$49 Meg, 01060 PE tM IT 2° >' � `!
a
17C r 79 VALIDATION
DATE__ 1nok 1 19_qj PERMIT MO.
APPLICANT Havo jerk T A pfi"�ES$° `. 41 12 VII nT^,�5 ce
( 0.) (S EET) (CONTR'S LICENSE)
NUMBER OF`
PERMIT TO (�_) TO tY DWELLING U ITS
TYPE IMP VEMENT) NO. 7 (PROPOSED USE)
ZONING
AT (LOCATION) 37 DISTRICT
(NO.) "",, ($F REET),
k J,- g
BETWEEN AND
,.
(CROSS'B ET) (CROSS S'r EET)
a
qHIGHT SUBDIVISION �.OT.�_BLOCK E
BUILDING IS TO BE FT. WIDE BY FT. LONG B F . I AND S L CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BA EMENT WALLS OR FOUNDATION
(TYPE),
REMARKS: Remove old pQrCh & rebuilA newPo_rch with concratA foundAtiono clama in same
with insulated windows, ►rch to he insulated and heated.
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1.300_00 FEE $ ����
(CUBIC/SQUARE FEET)
OWNER HAvol nnk 1. S, Fr,at><con PikirAmalII ya TT'T f f
BUILD G DE
ADDRESS 17 H4gb CtrAot Florenclo Xj-,01. 060 BV �
WHITE FILE COPY GREEN - FIELD� COPY CANARY - APPLICANT NK ASSESSORS COPY