05-015 Vill. ZONING PLAN EXAMINERS NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be Comp(eted by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
77
Owner or
Lessee
// �11 G Bui Ider's [.
2. ��f I, /L L17 [.�7/[A C7[f .,. �% (L License No.
Contractor 3 V1
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 applican_t1 Address Application date
D0 NO 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
Date Date
Permit or Approval Check Obta ned 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 3 J��
Building- Use Group
Permit issued 19��
Building Fire Groding
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
CITY OF NORTHAMPTON
MASSACHUSETTS
r
OFFICE of the INSPECTOR of BUILDINGS
Page J Plot A-S APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
/�L A I 4'E ZONING y�
I• AT (LOCATION) 7/7 �VL"1°e J� DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN /�t"- 71 16 AND 411L
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 m
M
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number 12 L!J One family 18 ❑ Amusement, recreational
of ncu, 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 l
l
t
h
i
Transent hotel, mote ,
❑ 21 I❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
P p art D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ Other — Specify 25 ❑ Public utility
// 26 ❑ School, library, other educational
B. OWNERSHIP X (rte 27 Stores, mercantile
B Private (individual, corporation, j 28 E] Tanks, towers
nonprofit institution, etc.) P9 ❑ Other — Spec
ify
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,,,,,,•,,,•,..,. S 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.......... rill
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.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /
48. Number of stories..........
30 Masonry (wall bearing) 40 Public or private company ...
31 LY J Wood frame 41 ❑ Private (septic tank, etc.) 49 Total square feet of floor area,
all floors, base o e t for /
32 ❑ Structural steel dimensions .. . .��.... 7 `
33 j Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...
34 ❑ Other — Specify 42 [V'Public or private company """"
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 LJ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
-/ __ L. RESIDENTIAL BUILDINGS ONLY
37 �'/ Electricity 44 ` Yes 45 !-VNo 3
—. 53. Number of bedrooms..............
38 ❑ Coal
/ •
39 I Other — Specify 11/L??f Will there be an elevotor? 54. N Full..........
46 C /
_ umber of
1 Yes 47 �No bathrooms
Partial.......
hereby certify that the,proposed work is authorized by the', owner{of'xecard' l
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNAfUREg Or 'AGENT - Y
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
O a'/
212 MAIN STREET STQEET DING INSPECTIONS B UAL DING Q
NONTHAMPTON9 MA. 01060 PERMIT
VALIDATION
5 - 15
DATE Jtnly 9, 19 80 PERMIT No. 355
APPLICANT Ron Hadley ADDRESS 3A Harl e,, r ton,
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO AAA3 Lion _(L_) STORY Sedronm -DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
77
AT (LOCATION) Grove Avenue DISTRICT
(NO.) (STREET)
a BETWEEN Front AND Dead End
n (CROSS STREET) (CROSS STREET)
a
LOT
0 SUBDIVISION LOT BLOCK SIZE
m
Addition
UOOX II@WIS TO BE 11 FT. WIDE BY 16 FT. LONG BY 'FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
f
° REMARKS; Addition of bedroom
l r FO V-&� VIC
AREA OR PERMIT
VOLUME 176 ESTIMATED COST $ 4,900 FEE $ 15 00
(CUBIC/SQUARE FEET)
OWNER Mi^ja°°l Ma-laff B U I ING PT.
ADDRESS BY
(Affidavit on reverse side of application to be completed by au agent of owner)