17A-196 (11) ZONING •
DISTRICT
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FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1. d ,�C_2 i rZ /YD r 5-/ l�,vtr PL �� 5% FL
Owner Or
Lessee C,�12 of 1 t
y Bui Ider'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.
Signature of op t Address Application date
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans B Notes
Fee Started Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained y Pp Obtained 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 number FG
Building Use Group
Permit issued _ B11 19
Building /� Fire Grading
Permit Fee $ to,00
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ 10
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of th INSPECTOR of A DINGS
t
Page Plot — APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) /t- t DISTRICT
LOCATION (No.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
—f
1 E New building Residential Nonresidential
2X Addition Of 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 n Church, other religious
number of units- - - - ---)- 20 Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage
4-L71 Repair, replacement or dormitory - Enter number
5�❑` Wrecking (1l multifamily residential, of units ------- - -- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 24 L� Office, bank, professional
16 Carport
6 Moving (relocation)
17 Other - Specify 25 ❑ Public utility
7 Foundation only 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
J AA processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,••••••••...... / G��� school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
T'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.......................
a r �
b. Plumbing ..................... r.
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.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 E Public or private company 48. Number of stories...........
31 Wood frame 41 E-1 Private (septic tank, etc.) 49• Total square feet of floor area, der ^
all floors, based on exterior
32 Structural steel dimensions LJ
33 Reinforced concrete H. TYPE OF WATER SUPPLY
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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 ] Yes 45 No 53. Number of bedrooms..............
38 Coal
39 n Other - Specify Will there be an elevators Full..........
- 54. Number of
46 Yes 47 '-1 No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS 11 L�
� ! BUILDING z°
L 212 Main Street 0
Northampton, MA 01060 PERMIT as
17A - 196
o VALIDATION
DATE December 29, 19 87 PERMIT NO. 852
APPLICANT Pahl Fi c7Pr ADDRESS 47 Pomeroy Ln. , So. Amherst 031598
(NQ.) (STREET) (CONTR'S LICENSEI
NUMBER OF
PERMIT TO 1.._) STORY 01, F�mi 1 v DWELLING UNITS
ItYPE OF MPROYEMENT) N0. (PROPOSED US[
AT (LOCATION) 151 Nnrth Maple St. , Flo_ oSTRICT XNTRX 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
4YYPE) hham�,..�,
REMARKS: i i -.ban area
AREA OR 1 ,00.00 PERMIT
VOLUME ESTIMATED COST . FEE
(1:UBIC SQUARE FEET}
OWNER Alan & Carol Bertrand ��p� f
ADDRESS 151 St. , Florence 13YILDt_W
""ITF - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY PINK