17C-107 (13) VIII. ZONING PLAN EXAMINERS NOTES
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
NOTES
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, city, and .State- ZIP code Tel. No.
1.
Owner or
Lessee
License
2. G cCY,- M1�'' �+ �! V 1 S r No. Sd 7�9U�
Contractor
Go 9Y�9
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.
$igna a of applicant Address Application date
C. T= 5-r ?/ / ?/r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date umber B
Obtained y pp Number Y
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
Building. Use Group
Permit issued 12 ZA'Z g 19 0 7
Building 7 Fire Grading
/
Permit Fee $ L 40 `d(:�)
Live Loading
Certificate of Occupancy $ Occupancy Load
A ove by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of B1111DINGS
lG
Page Plot
t APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. tram/ 0
�— ZONING
LI
I• AT (LOCATION) 5>) 41 ,61+ DISTRICT
LOCATION (NO.) +� (STREET) 4 J� A �p
C ` AND y 1 �I 1
OF BETWEEN
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
to
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(It residential, enter number 12 F12 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 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 F-1 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) 25❑ Public utility
17❑ Other — SpeciJy
7 ❑ Foundation only 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................ o l7 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.)............ q
11. TOTAL COST OF IMPROVEMENT E ,�C�C
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
48. Number of stories...............
30 L]Masonry (wall bearing) 40 ❑ Public or private company
❑ Private (septic tic tank, etc.) 49. Total square feet of floor area,
31 41 Wood frame p all floors, based on exterior /'�
32 Structural steel dimensions ..................... C
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
42 Public or private company 50. Total land area, sq. ft. ...........
34 ❑ Other — SpeciJy ❑ p
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 F7 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 C� Electricity 44 ❑ Yes 45 r7 No 53. Number of bedrooms..............
38 Coal
39 n Other — SpeciJy Will there be an elevator? 54. Number of Full..........
—
46 P. Yes 47 ❑ No bathrooms Partial........
Department of Building hispections
212 Main Street
Northampton, Mass. 01060 BUILDING ;9
17C 107 PERMIT 10c"
VALIDATION
DATE September 19„9 84 PERMIT NO. 430
APPLICANT Bob Reckman ADDRESS 36 FTili f Ot - 008489
(NO.) (STREET) (CONTR'S LICENSE)
UMBER OF
PERMIT TO Alteration (`) STORY Existing One Family DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
81 High Sure DIISTR CT URB
(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 a dormer 6' x 6' over Existing bath
AREA OR VOLUME 36 SCl• ft. ESTIMATED COST $ 2,000.00 FEEMIT . 10.00
(CUBIC/SQUARE FEET)
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OWNER Paul Weinburg_ BUIL G 7
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ADDRESS 81 High Street BY
WHITE - FILE COPY . GREEN - FIELD COPY . CANARY - APPLICANT COPY PINK - 4ESSORS COPY