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SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
n L
ate°
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I:RU Sa AA 06,0T I WH ! mpr U��,�G� a(�Fl�►��
Owner
LesseeH �Y/y��� L�71�1r1�� rq,
Bui 2. License No.
Contractor
6 0
3. ,F_GFRt aluo� RD, NtL►�T([�V-(ETON �'1Pr, C710�
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.
Signs a of appli ant Address Application date
K 1AuNi1 NGT o 01050 a M 13
DO 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 D
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta t ed 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 /&2
Building
( _ /' Use Group
Permit issued 2°'K/ 19
Building J Fire Grading
Permit Fee $ `
Live Loading
Certificate of Occupancy $ Occupancy Lood
Ap vedy:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page l ; c- Plot 2U (0 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, I1, III, IV, and IX. 0
I•
ZONING
AT (LOCATION) �/'� .—� / �)` r IC fr L'i i✓ `it"C"�� DISTF C�
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 Residential Nonresidential
2 Addition(If residential, enter number
12 F 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
number of units— — — — -•)- 20 ❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4'tj4r,Rep,air, replacement reetjpv-+y-1py✓9 or dormitory — Enter number
5�❑ ``ddYY ! 22 ❑ Service station, repair garage
5 Wrecking (1l multi) zzly residential, of units -� P 9
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 214 Office, bank, professional
P _
6 ❑ Moving (relocation) /�
7 ❑ Foundation only 17�Other — Specify (Oi=JSt C2�9 L 2 ❑ Public utility
26�❑�y School, library, other educational
B. OWNERSHIP GV1711-E.S S24 t 27Stores, mercantile
8>�Privote (individual, corporation, 28�❑ Tanks, towers
nonprofit institution, etc.) �L-"�Q 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 y N
a. Electrical.....,...............
b. Plumbing .....................
14 LS N �.✓s- 4- tJl=h c e=7
c. Heating, air conditioning..........
d. Other (elevator, etc.)............. CJ�Fn ANC -'
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF WILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all other skip to V.
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 floor area,
all floors, based on exterior
32 nStructural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 or private 50. Total land area, sq. ft. ..........
company
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 a' 52. Outdoors........................
36 Oil ( ditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑� Other — Specify Will the be an elevator? Full.........
_ 54. Number of
46 Yes 47 No bathrooms
-- Partial......
Department of Building Inspections
212 twin �Mrdet BUILDING Z°
Northampton, Ma. 01060 P6p�l� $a �" 6 y- 0
Gii11��
17C - 206
VALIDATION
DATE March 2! 19 Al PERMIT NO. 117
APPLICANT Henry RsrinPr ADDRESS ineau
(NO.) (S BEET It ONT R'S LICENSE)
NUMBER OF 3
PERMIT TO vPE 0 IMPR EMENT) (-+) STORY DWELLING UNITS
(PROPOS D USE)
ZONING
AT (LOCATION) 6 5 67 Mai Rt- , Florence - DISTRICT r.-A
(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: Repair & rannvatn three PXiCting gpart-mentse no changes in general office space.
Remove three exterior porches, renovate front exterior, 1st. £1. : new lav,
fire separations, 2nd.f1. : cosmetic, two new exterior means of egress, smoke detectors
AREA OR ESTIMATED COST $ FEEMIT
VOLUME
(CUBIC/SQUARE FEET)
OWNER i1w�.�t r I zkC031rSe jH & R- BUILD
ADDRESS 7Q4 Cbesierf iel d U Ge h"1, Ireland St_ , W. BY /
Chesterfield
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY