11C-034 (11) // �f -- -3
For ALL buildings within Fire District and for other buildings costing $10,000.00 or more, plans
and specifications must be submitted to the Inspector of Buildings for examination and approval.
If building is to be moved give details relative to proposed location as for a new build' g.
�t
Application for Permit to Build 3 ?
.7
Northampton, Mass., .......» 4. `/. .....zz19.»»!
To the Inspector of Buildings:-
The undersigned here X applies for a permit to build, move, alter, or repair, according to the
following specifications.
1. Owners name 4. . ..»4r �
' »... ... ........... ».L f,. »............. »........
IP-
..
2. Owner's address . ... .......
3. Architect's name ....., ::
4. Builder's name ..... ..............................................._......................................................................................
5. Builder's address ....,, c.r
..... ..... ..... .... ...............
t
6 Location of Building.
• Street No. ...... ....... .....
7. Is this a removal or new building........./._:4. :......
8. If removal, from where ............._................................................................... ... ................ »........
9. What is the purpose of building .......1 .. ............. C.� ........ .. �-
�...... .... -
10. Material of building -�/ -v
11. If a dwelling, for how many families ........................................._.....Number of rooms ...................................................
12. Is there to be a store in the building .......... .. ..................................».»....»......»..:.......»............................................
13. Size of building, No. of feet front ... .....;No. of feet deep /.�'� ; No. of stories ».. _....»..
14. Size of ell, No of feet front .........................; No of feet deep .. ; No. of feet high .... . .
15. Size of Lot ..��a... :...»..... ......... / ...z,. .....rFeet Wide ....f Feet Deep ..l»�r......:/
16. How near the-line of street .....741,12...:.. .................,...............».»....»........................................».........................»................................
17. How near the line adjoining lot. Right...... A ...................; Left �,r L»......................; Rear.....„��e...»..........
18. Nearest building is .. feet in a... ,Cl l :rZ/direction ......................................................
19. Material of the floor .....� ..»................................................................................................................
20. Size timber Is .A.i. .....; 2nd ....................... : 3rd ........................; 4th .............................; 5th ............................
21. No. o fee .......i�'.......................................... ; Distance on centers ...........1.6..............»..................................
22. Will the building be erected on solid or filled land ........... (Z...................
23. What is the material of foundation .....». .......»... »...................»....»........; Footing
24. Will the roof be flat or pitched ...... . .. .. .:...»....».....; Covering. ��.;.- ».
25. Heat; steam, hot water, furnace, stove ': ,. *`rte...........; Power oil burner ...... :.. � :'..........
26. Fireplace .....»..............:.... ....».... ............ .........; Insulation ..»��».......�, -���........ . .....:x�,���..............
27. How many sinks ... .; Toilets ...../..; Lavatories...L.; Bathtubs.....»..; Showers............: Settubs .........
28. City Service; Water....................... Sewer a Surface' . Sidewalk ....-..................
29. Is lot on accepted street ..............»................ »..... ....»...................»........................................................ .
30. Estimated cost (must be filled out) ,..:a,.:a.....zza4.L....::. ...............................................
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. Th s;;building will conform to the requirements of the law.
Signature of applicant ........... r `-s�
�..�. ....» .._. ...J/. �- ............ ...................
No...............`�:-)..»2-:........
REMARKS
.................................................»..................................»...........................................................................».......»....».........................»....».».............»..........»..............
............................................................».............»....».»................»....».............................»........................................»...................».......».......»...............................
............»...........».......................................».......».......».............»..........».......................................................................................................................................................
ZONING •TES
DISTRICT
I USE
FRONT - .
SIDE YARD SIDE - .
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name M a i l i n g address \'urO,cr, street, cite, '11/d Ctalc Z I P code Tel. No,.
Owner or LA,
Lessee
0
Q, s, 10(13
9
B i Ide,'s
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.
Sign urr of applic.ont Ad-dress Application date
to 77
Y�A,
0 0 N O T W R I T E B E L O W T H I S L I N E
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 $ I
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ae Date
Permit or Approval Check Obta D itned Number By Permit or Approval Check Obtained 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
Permit number 134 IR
Building
Permit issued 19
Building
Permit Fee $ la- 100
Certificate of Occupancy S
Appro—aal,by:
Drain Tile
4-1
Plan Review Fee
TTTLE
t# 3.Z3
(rxty of Nart4amptan
� � �Iass�c{Iusetfs
T t Office of the �Insptrtor of Auilbiugs
APPLICATION FOR
ZONING PERMIT AND
Page//_Cn Plot BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p
-7 ZONING
I• AT (LOCATION) ' DISTRIC
LOCATION IRO.) (STREET)
OF BETWEEN � �4f?_�C AND
BUILDING (CROSS 5 EET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
I
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
number of units- - - - --jo. 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 (1J 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. OWNERSHIP 27 Stores, mercantile I-
8 D< Private (individual, corporation, 28❑ Tanks, towers
nonprofit institution, etc.) 29 Other - Specify_'ff'4
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 $
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. D
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
F�
48. Number of stories.............. N
30 F] Masonry (wall bearing) 40 ❑ Public or private company •
�( 49. Total square feet of floor area,
31 I4 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior
32 ❑ Structural steel dimensions ..................... ",:71d r
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other - Specify 42 ® Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES --
.0
51. Enclosed ...................... r
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL O
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.............. J(F✓(-
38 ❑ Coal
•
39 ❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 47 rv� 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-applica#ioh as-"his
authorized agent.
SIGNATURE Or 'AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED .9Y TITLE
DATE 1g
DEPT. FILE COPY
ZD
CITY OF NORTHAMPTON BUILDING a
NORnW&TON, YA. 01060 PERMIT VALIDATION
DATE August, 'I 197_ PERMIT NO. 323
APPLICANT Cra.i Z ID Ashton ADDRESS Soil hamnton0 Ma..
(NO.) (STRE� (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Blininsafi - AAAi .ien (i) STORY ~+ �►Ag® _DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSErF SE)
ZONING
AT (LOCATION) 24 Haa*UnviIIa Rtari DISTRICT HE
(NO.) T (STREET)
a BETWEEN Rai-n&nhe AND �I7l renCA Rosa]
10 (CROSS STREET) (CROSS STREET)
T
LOT
0. SUBDIVISION LOT BLOCK SIZE
m
a
u BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
� (TYPE)
B:
° REMARKS: Addition to liquor store for sto'r'age rn,x=,gas
AREA OR VOLUME ESTIMATED COST $ 985-00 FEEMIT $
(CUBIC/SQUARE FEET)
4
OWNER D,nalA M Ashton B U I L
ADDRESS y"^ M9, Rte.-�1 LBQds - BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)