17C-088 (5) CITES
DISTRICT
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.
Owner or
Lessee
Builder's
2. `lu ' ��> G /_� 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 Applico i ote
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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaired Number By Permit or Approval Check Obttat ed 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 $ ° y
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ ����i`"'"''� � l�"�'y�-ii.J�"�►
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Plot o t 9
Page 17d_ APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION)
�/• .i . 4- DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN `�f f 11 AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
rn
1 ❑ New building Reside tial Nonresidential
2 ❑ Addition(If residential, enter number 12 [7One 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 unit Transient hotel, — — — --> 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 l, motel,
❑ 21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 multifamily residential, of units ——————— — -- 22 Service station, repair garage
enter number of units in building in 15 E] Garage 23 L Hospital, institutional
Part D, 13)
16 Carport 24 I _� Office, bank, professional
6 ❑ Moving (relocation)
17 Other — Specify 25 Public utility
7 ❑ Foundation only
26 School, library, other educational
B. OWNS SHIP 27 L] Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (�n it j� Nonresidential — Describe in detail proposed use of buildings, e.g., food
(//� processing plant, machine shop, laundry building at hospital, elementary
' school, secondary school, college, parochial school, parking garage for,
10. Cost of improvement,,,,,,,,,,,,,,,,
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....................... AL1/0
b. Plumbing .................... "� ❑ _
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$
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 r'
/
30 ❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories................
31 Q 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 OF WATER SUPPLY
34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land ores, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 �IyoiI conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricit 44 Yes 45 r
❑� y l_ J _�No 53. Number of bedrooms.............. _
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
N bathrooms
46 1 Yes 4 7 ��- o Partial........
i DEPT;-OF BUILDING INSPECTIONS BUILDING ZO � 7 D
! 212 Main Street 04 r
Northampton, MA 01060 PERMIT
17C — 88 VALIDATION
DATE June 10, 19_2Z PERMIT NO. 261
APPLICANT G-14- 11b38:tt c ADDRESS
(N0.) EE ) (CON ! 11 ENSE)
PERMIT TO Repair/Replacement (,) STORY Bathroom DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
106 Chestnut Street, Florence ZONING URB
AT (LOCATION) DISTRICT
(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: permit for the repair/replacement of existing bathroom on the first floor
AREA
VOLUME ESTIMATED COST $ __ 6,600•00 FEE MIT 24.00
ICUSIC/SQUARE FEET)
OWNER Arthur & Barbara Abrahamson
ADDRESS
106 Chestnut Street Florence BYILDI 4-.4 M4/1�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSE SORS COPY pINT P