17C-088 (6) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
e&a•a € ay 1"+
ji-
§ s, .y t ��IT 4--4o-. t ,d 4 '€;.� .'{.s�3 i a a d,a''r
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s i ��'s.r
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Z_'"T.`T"�
. e v a r i
s
$ J 6
C } $ $ 5
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tell.. No.
Owner or C��' —G✓l/ �O l�7
Lessee / p
0.J Bui Ider'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.
Signs re of ant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAA 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
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check Obta t 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 _ L. 19
Building / Fire Grading
Permit Fee $ C,
Live Loading
Certificate of Occupancy $ Occupancy L d
Ap ed by:
Drain Tile
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
CITY OF NORTHAMPTON /� _ D'�/'
OFFICE OF THE INSPECTOR OF BUILDINGS O
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
I• AT (LOCATION) �v'S� [-�Q� c�jry � DISTRICT�{Q
Z
LOCATION NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
H. 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 Residential 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
3 Alteration (See 2 above) number of units— — — — -+- 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — —3a 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
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
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 $ OOd
III. SELECTED CHARACTERISTICS OF BU LDING — 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) 4015411`ublic or private company 48. Number of stories................
31 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. TY P OF WATER SUPPLY
34 F7 Other — Specify 4 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 I. TYPE OF MECHANICAL 51. Enclosed .......................
35F-1 Gas Will the be central air 52. Outdoors.......................
36Oi1 conditioni g?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms........
38 ❑ Coal
39❑ Other — Specify Will the be an a tor? 54. Number of Full..........
46 Yes 47 ❑ No bathrooms
Partial.......
I hereby certify that the proposed work is authorized by the owner` �of -record
-
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT �' • '
ADDRESS ;
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS D°
212 MAIN STREET BUILDING a a
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
17C - 88
DATE Jules 1� 19 80 PERMIT NO. 344
APPLICANT SArA J_ ffl @Qn ADDRESS 1n6 Chpqtinut -
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO . Al ttarAtinnn STORY Rpa [len(`P DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 106 ChAbatimllt DISTRICT URB
(NO.) (STREET)
a BETWEEN AND
1p (CROSS STREET) (CROSS STREET)
a
LOT
e SUBDIVISION LOT BLOCK SIZE
m
O
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
OL REMARKS: TAke out one wall betwean living room and hall, install skylight in 2nd
floor bedroom replace sills.
�dltt.
AREA OR PERMIT
VOLUME ESTIMATED COST $ 79000 FEE $.10 n-.—n--
(CUBIC/SQUARE FEET)
1
OWNER Sara 1,-Emerson Donald Y Bell B
ADDRESS 106 Chestnut Street Florencet MA. B
(Affidavit on reverse side of application to be completed by authorized agen of owner)