17C-189 YIII. ZONING -PLAN EXAMINERS NOTES
FRONT DISTRICT
USE
t
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State 4,P code Tel.�i o.
Owner i r
Owner or � �' C � C'jo /v
Lessee S pro v�
t' 414,
Builder's
License N
o.2• 4
Contractor
1�U r T A 44 4 oil/
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
r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
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 19��
Building Fire Grading
Permit Fee $ �f� /,/� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
Ir
LE
�,e� o CITY OF NORTHAMPTON
Q+ °r$ , MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
"r a� Page ,7 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
ZING
AT (LOCATION)
/ /Y /�C/— zNL�� `(� D10STR CTd,pSa
LOCATION �NNOJ / (STREET) 7 / f
OF BETWEEN t 1 '�Q,/ i AND��/ /DlY
BUILDING ('CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 Reside al Nonresidential
2 ❑� Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
z Part U, ]3) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — 20 L❑ Industrial
3 Alteration (See 2 above)
14 ❑� Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (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 — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWN 27 �❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 L❑ 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,,,,,,,,,,,,,,,, 0 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 $ Ada
III. SELECTED CHARACTERISTICS OF B ILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. POR❑hPALrTYPE IOForFR)AME G. 440YPE PubSEoAG'EaDISoPOSaAY J. DIMENSIONS
48. Number of stories................
31 L 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. TYPWATER SUPPLY
34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 30
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 j Electricity 44 ' Yes 45 No 53. Number of bedrooms..............
38 L Coal
39 ❑ Other — Spcci/y Will there be an elevators Full..........
_ 54. Number of
46 Yes 47 No bathrooms
Partial......
DEPARTMENT OF BUILDING INSPECTIONS
212, MAIN STREET BUILDING o'� Pd. $10.00 3-23-81
NORTHAMPTON, MA. 01060 PERMIT a s
9
17C • 18 VALIDATION
�a
7 DATE March 23, 19 81, PERMIT NO. 177
APPLICANT Gary �'Q=dOg ADDRESS Ql rhaetr„t Street
T • (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (�_) STORY K;trl�cn DWELLING UNITS
YPE 0 MPROVEMENT) NO. (PROPOSED USE)
ZONING fTR R
AT (LOCATION) 19 W41 flar Al aCe 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 SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: TnrinaA nnrrh to make ki tchanlarger remmodel, Ui_trhpn
AREA OR VOLUME ESTIMATED COST $ 20 SOO FEE MIT 10.00
(CUBIC/SQUARE FEET)
OWNER R f chard Simmnnc
BUILD) G
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT C PINK - ASSESSORS COPY