17C-089 (4) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, rity, and .State ZIP code Tel. No.
P - T� ST, p/lip '
Owner or `
Lessee LO _MC - /12Y-o
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 oppl' ant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plops 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 Obttaitred Number By Permit or Approval Check a
Obttf 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
II. VALIDATION
Building �� / FOR DEPARTMENT USE ONLY
Permit number J
Building. Use Group
Permit issued 19
Building ��� ���� Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
�-�� ITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of .the INSPECTOR of BUILDINGS
Page Plot - APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all 'items in sections: 1, 11, 111, IV, and IX. O
ZONING
• AT (LOCATION) /• CW E !/V I _T �/ r D STR CT�w
LOCATION �(NO.) (STREET) /)
OF BETWEEN !7l(.y/'7 J 7. AND 3A C7n�� R019A+n
BUILDING (CROSS STREET) -T� (CROSS STREET)
LOT fESUBDIVISION LOT BLOCK SIZE �1[�./�[_
s
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(/J residential, enter number 12 X One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13F_1 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — 20 ❑ Industrial
3 Alteration (See 2 above) l
l
t
h
i
ransent hotel, mote , 21 Parking garage
❑ ❑
4 Repair, replacement 14 Tor dormitory — Enter number
5 X Wrecking (tl multifamily residential, of units ——————— — --0. 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 — SpeciJy 25 E] 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,,,,,,,,,,,,,,,, OD,460 processing
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 1$
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................ ONE
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. TYPE OF WATER SUPPLY
ft
s
Total land area, q. . ...........
34 ❑ Other — SpeciJy 42 ❑ Public or private company 50. �IICL
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
�� 54. Number of
L_J
46 ❑ Yes 47 No bathrooms Partial........
Department of Building Inspections
212 Main Street
Northampton, Mass. .MQ.69 BUILDING
Ia
PERMIT <
17C - 89
VALIDATION
�L DATE August 9 19 84 PERMIT NO. 351
APPLICANT_ Challenger J. Whitman ADORES estnuttreet
(NO.) (STREET) (CONTR•S LICENSE)
PERMIT TO
Demolition North Side of Porch NUMBER OF
(_) STORY DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 112 Chestnut Street ZONING CT B
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT
LOT BLOCK SIZE
Porch
)OGUM IS TO BE 9 FT. WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the removal of the north side of existing porch. Addition is to be put
up at a later date. Addition will require a separate building permit.
AREA OR 180 sq. .
ft ESTIMATED COST $ 100 PERMIT.00 FEE $ 10.00
VOLUME E
(CUBIC/SQUARE FEET)
OWNER Challenger J. Whitman
ADDRESS 112 Chestnut reet, Florence, Mss. OtO60 BUILDIN
BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK ASSESSOR— OPY