+ Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants 49
Name Mailing address — Number, street, city, ar'i State ZIP code Tel. No.
Owner or
Lessee
Builder's S3 "
L. License No. u
Contractor n,
3. F
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 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 is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check Obtai ed Number By Permit or Approval Check Date 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 4"
Bui[ding• Use Group
Permit issued 192!
Building /Z \ Fire Grading
Permit Fee $ / . O \
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ed by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• �'.� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
T Page_ Z7C Plot 17 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O
Y ZONING U�J
I• AT (LOCATION) yA►1/� DISTRICT_°Y/
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK _SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
m
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number
12� One family 18 E] Amusement, recreational
of new housing units added, if any, 13 Two or more family
in Part D, ]3) — Enter 19❑ Church, other religious
number of units— — — — -�
3,�Alteration (See 2 above) 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑� Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If 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. OWNERSHIP 27 ❑ Stores, mercantile
28 C7 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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,••••••,••,•,,, s 3eeej 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 $30d0^
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 n
30❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories............... 4
31 FV Wood frame 41 n 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 OF 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas 11 there be central air 52. Outdoors........................
36 Oil con 'tioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be elevator? Full..........
54. Number of
46 ❑ es 47 ❑ No bathrooms
Partial......
Department of Building Inspections BUILDING
2
ZC
12 Mair trmt oa / �
Northampton, Ma. 01060 PERMIT fa
r 1' R 1 a
17C - 96
VALIDATION
DATE Nevemher 29. 19 $2 PERMIT NO. 666
APPLICANT Rohert 11� 1n i tma" ADDRESS_ �� _�rbactnut
(NO.I (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO A,�,f'p1"at�^*� (Z_) STORY DWELLING UNITS 1 -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE
ZONING
AT (LOCATION) 1Lcf1 —twit DISTRICT 1Ti2-A--
(NO.) (STREET)
BETWEEN AND
(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: Tnktal l 4 panel and ar ¢VCtpm nn roof ---
AREA OR PERMIT
VOLUME ESTIMATED COST $ !1!1!1 FEE $ 12. _
(CUBIC/SQUARE FEET)
OWNER Robert D Whitman BUILD[
ADDRESS 140 Chestnut Street. Northamn one Ma_ 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY