17C-154 (14) ZONING •
DISTRICT
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NOTES and Data — (For department use)
L _
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, arm State ZIP code Tel. No.
' �S7 s iR���
O io3
Owner or s
5�3b-3�T'7
Lessee
6S, -4zz�Cq
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
ma k this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Si natur of applicant Address Applicati date
s&
lt�j "
gtr-
00 NOT WRITE BELOW THIS L I N Id
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check D°Y° Number By Permit or Approval Check Date Number 8
Obtained 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
Bui Iding.
Permit issued S 19 Use Group
Building Fire Grading
Permit Fee $ !d'd y
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap v by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
$ Page Z7C Plot APPLICATION FOR
r
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete aa// items in sections: 1, 11, 111, IV, and IX. 0
ZONING
• AT (LOCATION) �� "
"'r ' ^- & L/T D STR C1//�'
LOCATION (NO.) (STREET)
tom+
OF BETWEEN °— H EST N VT_ AND (t Ro STREET)
BUILDING (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
IL TYPE AND COST OF BUILDING — A11 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(►/ 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 n 19 ❑ Church, other religious
.L
number of units— — — — i 20 E] 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)
16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17 F-1 Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 E] School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 [K 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,,,,,•.......... �d[90, 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 ..................... can CX)
c. Heating, air conditioning.........
d. Other(elevator, etc.)............. /
11. TOTAL COST OF IMPROVEMENT Is 3m G:C/
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 48• Number of stories................
31 Wood 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 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? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45� No 53. Number of bedrooms..............
38 Coal
39 ❑ Other — Specify Will there be an elevator? Full...)-....
— 54. Number of
46 ❑ Yes 47>0 N o bathrooms
— Partial.......
a DEPT. OF BUILDING INSPECTIONS BUILDING z° /0' ��
! 212 Main Street o<
Northampton, MA 01060 PERMIT
17C - 154 VALIDATION
DATE June 6, )g 85 PERMIT NO. 308
APPLICANT David Holmes ADDRESS
(N0.) (STREET) (CONTR'3 LICENSE)
PERMIT TO
Alterations Two Family Dwelling NUMBER UNITS
(_) STORY
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URB
AT (LOCATION)
88 High Street DIISTR CT
(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: perm it for a second means of egress for second floor and remove interior wall
non baring, renovate existing bath
12300.00 PERMIT $ 10.00
AREA OR VOLUME ESTIMATED COST FEE
(CUBIC/SOUARE FEET)
Jane H. Nevin
OWNER e , SS• BUILD ree , B t e t/j
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pINT P