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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name p Mailing address — Number, stm/tt,,�c�ity, and State ZIP code T1el. No.
Owner or IAJ�T 19C P.0. J`9 Az,,d
J E /rQ /'�OrC£ VCE /Ylfl ()LC+[oC7 S'T`3/ry,'1
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.
Sig ature of applic t Address Application date
393 f,324E /W
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 Nmber B Permit or A Date
u Number B
Obtained Y pp roval Check Obtained 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
VII. VALIDATION
Building � FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued �I 19
��
Building Fire Grading
$ fr
Permit Fee ! Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
s OFFICE of the INSPECTOR of BUILDINGS
�t Page MAC Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete a// items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) /'� '✓!C.%G/C'b£ �p DISTRICT
LOCATION /}/(NO.) (S EETI / QJ
OF BETWEEN —.. l:H f/ �V •ST AND AA P ia uetx ey 'CCr
BUILDING (CROSS STREET) (CROSS STREET) �F
SUBDIVISION LOT BLOCK LOT 01! G�" Sq At
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
M
1 ❑ New building Residential Nonresidential
2 Addition(if residential, enter number 12X.One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 F__1 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --o. 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 �� Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 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)
6 Moving (relocation)
16 1:1 Carport 24 E] Office, bank, professional
❑ ^�
7 ❑ Foundation only 17Ij-41 Other — Specify UPC IC 25 ❑ Public utility
26 School, library, other educational
E r ,•
B. OWNERSHIP I.y/ W6AIS 1ZF_ a !C /'f 27 ❑ Stores, mercantile
8 Private (individual, corporation, /
28 ❑ Tanks, towers
nonprofit institution, etc.) L�r�G ')4'9,;A5 A-A.—r y, /fCH 29 L❑ 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,,,•,•••,,•,,,,, Up 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 IMPROVEMEN I$ S�GC1: Gr0
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for oil others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS s:
30 ❑ Masonry (wall bearing) 46'0 Public or private company
48. Number of stories................
Total square feet of floor are a, £C
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY - URO
34 ❑ Other — Specify 42)< Public or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35� Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
37 ❑ Electricity 44 ❑ Yes 45�' No L. RESIDENTIAL BUILDINGS ONLY
53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators
F
54. Number of ull..........
46 ❑ Yes 471 No bathrooms
s''"-�t"' Partial.......
" DEPT: OF BUILDING INSPECTIONS Z
s e BUILDING �°-
212 Main Street °a to,
Northampton, MA 01060 PERMIT
17A - 133 VALIDATION
DATE September 2, 19 86 PERMIT NO. 502
APPLICANT Kenneth J. Beach ADDRESS 37 ri ge Road Owner
(NO.) (STREET) (CONTR'S LICENSE)
Addition Deck NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
373 XXKXXXX Bridge Road ZONING r URA
OISTR
(NO.) 1STREETI
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 the addition of a deck 8' x 14' with strairs front & rear
AREA OR 112 sq. ft ESTIMATED COST $ 500.00 PERMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
BUIL
ADDRESS Same as Applicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pQP