17C-151 (6) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Na Mailing a dress — \'um6Er, s re et, city, and State ZIP code Tel. No.
Owner or
i
Lessee
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
make this application as his authorized agent and we agree to conform to all applicable laws of th�s juris iction.
Sig t r6 of app 'cant Address pplication date
DO NOT WRITE BELOW THIS LINE f
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By
Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Dote
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 number
Building Use Group
Permit issued �`(�� .I �� � 19 _
Building
Fire Grading
Permit Fee $ v �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ c
TITLE
CITY OF NORTHAMPTON
g. .� MASSACHUSETTS
e
OFFICE of the INSPECTOR of BUILDINGS
Page Plot �`� � APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
of
ZONING
1• AT (LOCATION) ` r DISTRICTO r,-.6
LOCATION N ') REETr
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
11. 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, 13 l f I Two or more family — Enter 19 Church, other religious
in Part D, 13) number of units—
3 Alteration (See 2 abo e) 20� Industrial
( 14 Transient hotel, motel, 21 C� Parking garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (11 multi/amtly residential, of units ------- — --tt 22 L] 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 27 Stores, mercantile
8 Private (individual, corporation, 28❑ Tonks, 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,,,,,,,,•,,,,,,, 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 F� Masonry(wall bearing) 40 Public or private company 46. 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 ores, 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 C1 Electricity 44 ❑ es Y 45 ^�! No
--: 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an elevators um Full..........
I , 54. Number of
46 [_� Yes 47 I No bathrooms
Partial.......
DERT..OF-BUILDING INSPECTIONS BUILDING Z° 4
212 Main Street Oa f
Northam pton, MA 01060 PERMIT
17C - 151 VALIDATION
DATE 1 P MIT 312
APPLICANT Thomas Boyle, Jr. ADDRESS bamo�ond T�. , ��iesterT 4U0979
(NO.) (STREET) (CONTR'S LICENSE)OF
PERMIT TO Repair/Replacemen(t ) STORY Two Family DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URB
AT (LOCATION) 102 High St. 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: permit to repair existing porch
AREA OR 6960..00 PERMIT 24..00
VOLUME ESTIMATED COST $ �
(CUBIC/SO DARE FEET)
OWNER Lois Delisle BUIL09NG DEPT.
ADDRESS 102 Hiah St By
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK ASSESSORS COPY Powp