17A-210 (6) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR .D
NOTES
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For deportment use)
20 c
7
S. `c/,`h c/vc.►t
IV, IDENTIFICATION — To be completed by all applicants
� 16 L
Name Mailing address — `'umber, street, city, and State / ZiP code Tel. NZA.-
Owner or v 4
Lessee
/�j� o Builder's
L. '2 w -,e 9 L K !� G-�,,,.,,,�-,� �,. ,G„��✓ 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 y� Application date
LVZ S,P-- 7
eY 10Y4 0/041,19
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date 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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number3
Building . r � 19�� Use Group 41—Permit issued d`
Building Fire Grading
Permit Fee $ Z �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TLE i
CITY OF NORTHAMPTON
MASSACHUSETTS
e 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: I, 11, 111, IV, and IX. O
ING I• AT (LOCATION) /// ,� ✓ / P/� /G -�-e-.P �! SAS DIOSTR CT
_X
LOCATION sTR T)
OF BETWEEN AND
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
m
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- - - - --> 20 Industrial
3, Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑J Repair, replacement or dormitory - Enter number
❑ 22 ❑ Service station, repair garage
5 Wrecking (1J multifamily residential, of units ------- - --� P g g
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 ❑ Foundation only 17❑ Other - SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 E] 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
vc) processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 0 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 L�
o. Electrical...................... O
t
b. Plumbing ..................... a/ BP•
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
c•O
11. TOTAL COST OF IMPROVEMENT 11 Q 15A D --
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
30❑ Masonry (wall bearing) 40 [Public or private company 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. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑3 f"ublic or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
conditioning?
36 ri.�'Oil L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 [.? No
❑ y ❑ +✓ 53. Number of bedrooms..............
38 ❑ Coal
39 Other - Specify Will there be an elevator? Full.......... /
54. Number of
46 [-1 Yes 47 ❑ No bathrooms
Partial.......
_. ,,.,.._,._ �.,�.e.,�._. ,,...�, A .._..,� _..., �. _,..._._ s.,
�r
r
DEPARUM OF Bt3ILDING INSPECTION!
212 HAXN s BUILDING oq
TRAMMV, O Q m fi('`'
I IL
PERMIT
i7A 210 �
VALIDATION.
DATE S 'biemb r 16, 19 81 PERMIT NO. 537
APPLICANT W11`lf`1.. L ;I ADDRESS 215 N®. )!E(�blc
_ ."., (NO.) ( TREET) (CONTR'S LICENSE)
PERfiA1T To ALI an (�) ''STORY=,����YblZi�lll,! DWELLING UNITS 1
(TYpE`OF IMPROVEMENT) NO. 14 1 . (PROPOSED USE)
AT (LOCATION) " i` DISTRICT URB No.
(NO.) (STREET)
BETWEEN AND
(CR pE T) + (CROSS STREET)
LOT
SUBDIVISION M ". LOT BLOCK SIZE
t
BUILDING IS TO BE T.a W �LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
e
TO TYPE USE GROUP, BASEMENT WALLS OR FOUNDATION
{:. (TYPE)
REMARKS:
toilet area# misc. eosme is alter
AREA OR
VOLUME ESTIMATED COST $ 9v PERMIT .$
(CUBIC/SQUARE FEET)
OWNER v
ADDRESS BYI IN PT,
KIZ
WHITE - FILE COPY GREEN - FIELD' COPY CANARY ^ APPLICANT C Y�P'INK ASSESSORS COPY
meow
DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING Z
NORTHAMPTON, MA. 01060 a
PERMIT
17A - 210 V VALIDATION
DATE September 16, 19_$1 _ PERMIT NO. 537
APPLICANT William P_ Hurley ADDRESS 116 No, Maple
(N0.) (Maple (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al teratinn ( 2 1 STORY Al teratipns DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 116 No. Maple - Florence DISTRICT URB
(NO.) (STREET)
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; 12@,=lara Pxi eting windnw with 1 argpr nne. lower rei g. change entrance and
toilet area, misc. cosmetic alterations
AREA OR
VOLUME ESTIMATED COST $gyp_ FEE MIT 00
(CUBIC/SQUARE FEET)
i `
OWNER William—=•Hurley BUI DIN PT.
ADDRESS 146 o. Napk$ St. , Flovence, ma, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT CVSZY JPrNK - ASSESSORS COPY