11C-026 (4) ZONING
DISTRICT
IX. SITE OR � r
•
PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
A14
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number trect, city, ami State ZIP code Tel. No.
Owner or
Lessee t /
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 thAowner make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Applic
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rovaI Check Date Number B Permit or Approval Check Date Number B
pp Obtained y pp Obtained 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
Bui Idin
g• Use Group
Permit issued r ;�1 % . �� 19 x'd,
/
Building Fire Grading
Permit Fee $ / ��� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITL
CITY OF NORTHAMPTON
10 MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot _ APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING
I• AT (LOCATION) i DIISTR CTd
LOCATION (NO.) (STREET)
OF BETWEEN 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 Im
M
1 ❑ New building Re idential Nonresidential
2�Addition(If residential, enter number 1 One family 18 ❑I Amusement, recreational
T 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 ❑ Wrecking (1f multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 L❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 L❑ Stores, mercantile
Private (individual, corporation, 28 ❑ Tanks, towers
"ACC 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 00j I
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..................... A9 Z
b. Plumbing ..................... !� L (// X `J
c. Heating, air conditioning.......
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT Is
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 l
,.
30❑ Masonry (wall bearing) 40Xublic or private company 48. Number of stories... ...:
I Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
(32�`'-' all floors, based on exterior
❑ Structural steel dimensions
.....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 �❑ Other — Specify 42K Public or private company
50. Total land area, sq. ft. ...........
43 Ll Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 N]_ 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 elevators Full..........
54. Number of
46 C1j Yes 4711 I No bathrooms partial........
_. _.. _..,.. . .. ..._ . _�._,.�.__�__,_._._ _,,._... ._ .��_. .�..... _......_.M �.�.,..� _�. .,.._.�_. ,.
� ._
Dep,WVtoent + f Building Inspections
BUILDING 1 .
North t of w Ma. 0:106R, x f IL
PERMIT a
VALIDATION
DATE $�pt"bsx 14 _19 82 PERMIT NO. 449
APPLICANT Cy' � rM..�. i.'tG� ADDRESS 4 StOtlet Street
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ( ) 'STORY sr- ns4L'(�Il DWELLING UNITS "-
(TYPE 0 M OVEMENT) NO. (PROPOSED USE) -
ZONING
AT (LOCATION) __PI} fly Tmada DISTRICT
(NO.) (4TREET)-
BETWEEN (CROSS STREET) AND (CROSS STREET)
u. 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 s BASEMENT WALLS OR FOUNDATION
k (TYPE)
REMARKS: sex*= patch 10' $
(y1a^�E^`rf7
AREA ESTIMATED COST $ EEEMIT
VOLUME E 30'Uo
E..
(CUBIC/SQUARE FEET) +
Staulty Y, 14ie tk4
OWNER BUILDIN DE
ADDRESS 4 Stavell Stre t, Leodst, ITa. BY
WHITE - FILE COPY GREEN FIELD?COPY ■' CANARY - APPLICANT`COPY PINK - ASSESSORS COPY'
n
Department,of Building Inspections
ZO
212 Main ` ,reet BUILDING D_
Northamp n, Ma. 01060 PERMIT" 7a I0 GG
11C-26 VALIDATION
DATE September 14P 19 R7 PERMIT NO. 449
APPLICANT �Ctnn�1 fav F.�l,ientka ADDRESS 4 S nwel Street _
'T�' (NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (� ) STORY SPTAPIIQ=(`}1 DWELLING UNITS 1
(TYPE OF IMP REMENT) NO. (PROPOSED SE)
ZONING URA
AT (LOCATION) 4 St^neTPl l� Leedc 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: New acreein porcb 101 x 161
AREA OR $_ PERMIT 10_00
VOLUME ESTIMATED COST 10000
VOLUME FEET)
Stanley F. Mientka _
OWNER BUILDIN DEP
ADDRESS 4 Stowell Street, Leeds, Ma. 01053 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY