17C-165 (7) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR 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
Name Mailing address – Number, street, city, and State ZIP code Tel. No.
Ay 01
O/OGD
Owner or 4 ! J —'Ib"w 'e *-441
Lessee
n� 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 applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans B Date Plans
Fee Started Y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained Y pp Nb
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 i
Building
Permit issued �� 19 Use Group
Building - Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
4'
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
3 OFFICE of the INSPECTOR of BUILDINGS
t page ❑ - Plot % rC7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. C)
J'� C
ZONING l
I• AT (LOCATION) 522 Olt � T DISTRIC
LOCATION
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Past D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — —> 20 ❑ Industrial
3 (See 2 above) 14 Transient hotel, motel, F�
❑ 21 L Parking garage
4 epir, replacement or dormitory — Enter number
5 cking (If multifamily residential,
of units ——————— — --� 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❑ Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 dPrivate (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 0 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.....................
r
b. Plumbing ..................... / F n
c. Heating, air conditioning........ as� T'
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
48. Number of stories...............
30❑ Masonry (wall bearing) 40 Public or private company
tank, etc.)tic Private (se 49. Total square feet of floor area,
31 Wood frame 41 ❑ p all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
42 Public or private company 50. Total land area, sq. ft. ..........
34 ❑ Other — Speci/y p
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 ! No 53. Number of bedrooms.............
38 ❑ Coal J
39 ❑ Other — Specify Will there be an elevators 54. Number of Full..!.......
—
46 ❑ Yes 47 [�/No bathrooms
Partial.......
y DEPT. OF BUILDING INSPECTIONS
BUILDING z°-a.+ 212 Main Street O< ' ���"
Northampton, MA 01060 PERMIT
17C - 165 VALIDATION
DATE May 16 88 P MIT NO. 316
APPLICANT Charles X Asher ADDRESS "lg1 reet orence owner
(NO.) (STREET) (CONTR'S LICENSE)
Repair (_) STORY Two family UMBER OF 2
PERMIT TO Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING mB
AT (LOCATION) 50 k 99 High Straaf U
DISTRICT RE
(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 replace existing porch X 39' rear of existing dwelling)
3,� /vL�- v C�
AREA OR FE MIT s 10600
E
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Charles AsUer (�GIJ BO
ADDRESS 50 High Street BYlL
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY ^ APPLICANT COPY • PINK ASSESSORS COPY PINTItP