17A-062 (3) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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, city, and State ZIP code Tel. No.
. N Nal P-
O,,e, or
Lessee
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 of applicant Address Application dote
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 Date Number By Permit or Approval Check Date Number B
Obtained 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 JA I OTHER
VII. VALIDATION
Building � FOR DEPARTMENT USE ONLY
Permit number _ s
Building Use Group
Permit issued 19
Building rr�� Fire Grading
Permit Fee $ lC7
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by �"
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page — Plot— — APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
�•�( \�) ZONING
I• AT (LOCATION)
(� 1 R \ 1-/a DISTRICT
LOCATION (N0.) (STREEV
OF BETWEEN AND
BUILDING CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ 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
number of units— — — — •-� 20�❑ Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel,
21 C� 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 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24❑❑ Office, bank, professional
6❑ Moving (relocation)
17 ❑ Other — SpeciJy 25❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWN E HIP 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................ 2600. 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 00 1D
a. Electrical............... � t00 /
b. Plumbing ............... 0 -i' ��..�� �LI 1
c. Heating, air conditioning........
rr , � � �� r
ly
d. Other (elevator, etc.)............. 7�
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUI DING — 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..............
31 [Z�aood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior �.
32 ❑ Structural steel dimensions ..................... y�f
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 � blic or private company 50. Total land area, sq. ft. ,.........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 1
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 �s Will there be central air 52. Outdoors........................
conditioning?
36 Oil _� L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 '_�!:', rvo 53. Number of bedrooms..............
3B ❑ Coal
39 ❑ Other - Specify C Will there be an elevators Full..........
- 54. Number of
46 �❑ Yes 47 Zo bathrooms
Partial........
DePI,XT BUILDING INSPECTIONS BUILDING o°- On
212 Main Street
Northampton, MA 01060 PERMIT <a
17A - 62 VALIDATION
DATE September 17, 19 86 PERMIT NO. 543
APPLICANT Gary J Cadette ADDRESS 1 East Street n i e
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (_) STORY Kitchen Area/Existing_NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
43 Bridge Road DISTR C URB
T
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
ADDITION
XXXIXIX0XIy,IS TO BE 12 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: f or the a(ld i t i nn nntn Px i -,t i ng k itched area
AREA OR ESTIMATED COST $ 12, 100-00 FEE MIT 36-oo
VOLUME
IC BIC/SQUARE FEET)
OWNER Joe 21 Jan i amana BUILDING
ADDRESS 743 Rr' y„Ae Road - BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Olp