17C-146 (11) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
AT `-,
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
Builder's
L. 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 plicatio asl is a rized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application to
, I D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Date Plans By Notes
9 Fee Started Approved
BUILDING $
PLUMBING $ ±
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Approval Check Date Number Approval Check Date
Permit or A umer
PP B Obtained y Permit or A PP Number By
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
Building Use Group
Permit issued —19 (Z;1�
Building Fire Grading
Permit Fee $ Live Loading
Occupancy Load
Certificate of Occupancy $
Appro by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• •� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
�t Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
-- f�� D ZONING CT
I• AT (LOCATION)
LOCATION (NO.) (STREET) t ii
OF BETWEEN i 1 T f 1�. \ AND { { ❑.,(__... ..
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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
i �ew building Residential Nonresidential
2 ❑� Addition(!f residential, enter number ❑
T 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
3
number of units— —- - -� 20 F—] Industrial
❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
4 ❑ Repair, replacement 21 �❑ Parking garage
or dormitory — Enter number
5 ❑ Wrecking (if multifamily residential, units ——————— — -.� 22 ❑ Service station, repair garage
Poi enter number of units in building in 15 23 ❑ Hospital, institutional
Past D, ]3)
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 Foundation only
17 ❑ Other — Specify 25 ❑ Public utility
❑
26 ❑ School, library, other educational
B. OWNERSHIP 27❑] Stores, mercantile
8�Privote (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,,,,,,,,,,,,,,,, lam' 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 I$ ,%[ ,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 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 — Specijy 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?
37 ❑ Electricity L. RESIDENTIAL BUILDINGS ONLY
_44 �� Yes 45 L No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator?
Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial......
ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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.
Owner or
P_ G fl vet
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 licatio as s utho ized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature f op licant Address Application ate
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y lans B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
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 19
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
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
AT (LOCATION) 2� Kcw!e� �� ZONING
DISTRICT
LOCATION (NO.) (STREETI r+
OF BETWEEN ■<<I��IJ _ AND "-`)
BUILDING (CROSS ST ET)� (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
IL 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, erzler number 12 � One family 18 E] 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 n Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 n Parking garage
4 IIE Repair, replacement or dormitory — Enter number
22
5 u Wrecking (if multifamily residential, of units ——————— — -- Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 E Carport 24 Office, bank, professional
6 Moving (relocation)
17 D Other — Specify 25 Public utility
7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 _Erivote (individual, corporation, 28 n 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,,,,,,,,,,,,,,,, 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 1$
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 1
30 ❑ Masonry (wall bearing) 40 P. �qy[,vote company 48. Number of stories..............
31 Wood frame 41 Pri e! Ljtic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 []"Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATE SUPPLY
34 Other — Specify 42 n Pub 0mpany 50. Total land area, sq. Ft. ..........
43 Prival s ern) 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........................
conditioning?36 � Oil � � con L. RESIDENTIAL BUILDINGS ONLY
37 E] Electricity 44 Yes ` '^� ! No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevotor'l Full..........
_ 54. Number of
46 [—] Yes 47 IJ No bathrooms
Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING °
! 212 Main Stl'bet I I IL
Northampton, MA 01060 PERMIT
17C - 146 VALIDATION
May 12, 87 279XXX
DATE 19 PERMIT NO.
APPLICANT Cary Clark ADDRESS 25NX KPVPS StrPPt. Owner
(NO.) (STR ET) (CONTR•S LICENSE)
NUMBER OF
PERMIT TO New Bui ldi n� (_) STORY nPtAChPCI �irlrAnP DWELLING UNITS
(TYPE OF IM►ROVEMENT) NO. (PROPOSED USE
C ZONING IIRR
AT (LOCATION) 25 Keyes Street DISTRICT
(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 SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1 Q n nn FEE n�-
(CUB' /SQUARE FEET)
OWNER lamp aC Appl icapt B Gt �
ADDRESS Same as Appl i rant I s BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK ASSESSORS COPY plNfi P
MENEEMEMMMMMOW