17A-091 (3) ZONING •
FRONT DISTRICT
SIDE YARD SIDE .D
REAR YARD
IX. SITE OR PLOT
---------------------- Applicant ........
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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
1.
Name Mailing address — Number, strcet, city, and State ZIP code Tel. No.
Owner or , � vl L.-. �/" C/!�t! 2f— ��Q260 .J,y y.'0'��
Lessee
Builder's
2. '✓U CT S/y tt!' d/{� License No. 5 Ytio'lrfD
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 date
r
� t
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number l�7
Building- Use Group ZZ Permit issued 19
Building Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
App by:
Drain Tile $
Plan Review Fee
TITLE
�' CITY OF NORTHAMPTON
9` '� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
'"' Page / 7 A Pl
ot ot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
/n� ZONING
I• AT (LOCATION) �0 U—' -A�c� 1�i�f? d?/ DISTRICT
LOCATION [� (NO.) (STREET) ,, ®L`
OF IC7 r /��F� R AND Ly �, 4 /tr
BETWEEN
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 ❑ New building Residen Nonresidential
2 ❑ Addition(/f residential, enter number 12 One family 18 ❑ Amusement, recreational
of "Cu, 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 (If multifamily residential, of units ——————— — --f 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 E] Foundation only 17❑ Other — Specify 25 ❑ 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,,,,,•,•,•,,,,,• 113-1711.1 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 is +0�
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 y
30❑ Ma my (wall bearing) 40 F-1 P is or private company 48. Number of stories..............
31 ood 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. TY7palic WATER SUPPLY
34 ❑ Other — .Specify 42 or private company 50. Total land area, sq. fT. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIP YPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .....................
35 Gas Will there be central air 52. Outdoors........................
conditioning?
36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 F] Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 ] Yes 47 o bathrooms
Partial........
" ALA r.
CIL
r,
Departme t of Building In pectiors B.111LDING Z4
21 Main Street $a
; rtk4— i*n, a. 0106 PERMIT Q
A.lx VALIDATION
DATE ARril 23s 79 81. PERMIT NO. 171
w
APPLICANT niggins Wt'Yd ti ADDRESS 91 Mail tnut � � Fla-
(NO.) (STp EET) (CONTR'S LICENSE)
NUMBER OF
PERM)T TO Addition ( ) TORY ki to hm DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING Y�RA
AT (LOCATION) DISTRICT
(NO.) ( TREET)
C1".SAF
BETWEEN
(CROSS STREET) 7 (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY_ _FT. LONG B FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP �B r1EMENT.WALLS OR FOUNDATION
(TYPE)
y
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE $ �
(CUBIC/SQUARE FEET)
4
OWNER Ilay CAt Irp BUILDING D . t
ADDRESS 2 randy R Er4�9 1�t HF , AY [ 01 � BYr�" .+�""
WHITE - FILE COPY GREEN - FIELD'COPY CANARY - APPLICANT COPY RINK ASSESSORS COPY
a
Department of Building Inspections BUILDING ZO
212 Main Street z' W Me
Northampton, Ma. 01060 PERMIT a
17A'�- 91
VALIDATION
DATE Agril 23, 19 81 PERMIT NO. 177
APPLICANT. Diggins & WOrden ADDRESS 91 Most nnt St� F1_n-
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Addi ti nn ( ) STORY ki trhan DWELLING UNITS L
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING TTT2A
AT (LOCATION) 20 Grandvi ec� DISTRICT
(NO.) (STREET)
BETWEEN A i dve Rnad AND Carol rt
(C SS STREET) (GROSS 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)
i
REMARKS: i
AREA OR
PERMIT
ESTIMATED COST $ 1.5001 FEE $ 10 00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Roy Con a E
BUILDING DF �/��
,,I�h��� r
ADDRESS 20 Crand .- nrenre A BY c
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY