17A-282 (5) ZONING •
DISTRICT
SIDE YARD SIDE YARD
IX. SITE OR PLOT
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NOTES and Data — (For deportment use)
r
66.6 )
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee �l�>
Builder's
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 Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained 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
Building �� Use Group
Permit issued o�•o 19
Bui Iding .�_/`../ Fire Grading
$
Permit Fee 1/` Y�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: ,
Drain Tile $ f�O
Plan Review Fee $
TITLE
- I. CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,u r
Page i Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (NO.) 61(ST REET)
OF BETWEEN AND
(CROSS STREET)
BUILDING (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(1/ 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 F-] Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel, 21 C� Parkin
4 Re air, replacement g garage
p p or dormitory — Enter number rr ll
5 ❑ Wrecking (11 multifamily residential, of units ——————— — -i 22 a 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)
17 Other — Specify 25 Public utility
7 Foundation only
26 School, library, other educational
B. OWNERSHIP 270 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••••,.•.....,... SAI 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 $
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................ t
31 Wood frame 41 El 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 F—] Public or private company 50. Total land ores, 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 Electricity 44 [—] Yes 45 �71 No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevators Full..........
— 54. Number of
46 P Yes 47 ID No bathrooms
Partial.......
f DEPT. OF)S131LDtNG INSPECTIONS BUILDING �O 212 Main Street 0<
Northampton, MA 01060 PERMIT
17A - 282 VALIDATION
DATE December 23, (g 86 PERMIT NO. 742
APPLICANT William Gruber ADDRESS 137 Parsons St. , Easthampton 008133
INO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration (^) STORY Basement Area DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) {{
ZONING
AT (LOCATION) 191 Bridge Road DISTRICT VRB
(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: this permi goes along with permit #529 for tingle family dwP11in4. This permit is
to finish off basement into living space
AREA OR VOLUME 3�6 S(1_ ft._ ESTIMATED COST $ .. 00-00 FEEMIT $660-00
(CUBIC/SQUARE FEET)
OWNER Same as Appl i rant
ADDRESS Same AS A661 hint. BYILDI
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pOVP