17C-211 (38) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
................... Applicant ........
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — i�:umber, street, city, anti State ZIP code Tel. No.
Owner or
Lessee
Builder's
L. .J• tit'L,r� .�,1�,;�, 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 Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate Permit or Approval Check ObDta ned Number By Permit or Approval Check Obttatned 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 19X`,/
Building Fire Grading
Permit Fee $_ � .�. /1� Live Loading
Certificate of Occupancy $ Occupancy Load
Ap o d by:
Drain Tile
Plan Review Fee
TITLE
o CITY OF NORTHAMPTON
MASSACHUSETTS
`4 OFFICE of the INSPECTOR of BUILDINGS
,VT
Page C- Plot X07, 9-16; ,
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
! } ,�y// ZONING
!X'
I• AT (LOCATION) t�j ik,'� 'r _ / .--ee =="L-'-{_..0 DISTRICT
LOCATION (NO.) `STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
CA
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 ❑❑ One family 18 ❑❑ Amusement, recreational
of neu) housing units added, if any,
in Part D, 13) 13 ❑ Two or more fomily — Enter 19 ❑ Church, other religious
number of units— — — — --> 20 ❑ Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel,
21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (II 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. 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
�7 processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,, ,.•••••.•... `f 1,L t.'(` 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 F$_17176 i
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 [5_<j Public or private company 48. 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 O 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? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 �`I No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 ] Yes 472�jNo bathrooms
Partial.......
,.�_,
.e „__.,_. w�.-- �,,, _... .,
��
i
DEPARTMEOT Of BOWITXG,UNIMMS BUILDING z°_
..y
iii 01060 PERMIT as '
1W •` s 210* 211s 212o A VALIDATION.
DATE Xggah 12! 19 Al _ PERMIT NO.
APPLICANT l ..�y $3311.41W 111 ADDRESS 80 , A IQeyrhlyl
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF-
PERMIT TOI►M' ( _) ;STORY Rgnti DWELLING UNITS
TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 11-5 n C dblimik DISTRICT
., (N0.) (*TREET)
BETWEEN « AND
(CROSS STREET) ' (CROSS STREET)
LOT
SUBDIVISION LOT. BLOCK T_SIZE
BUILDING IS TO BE FT. WIDE BY R—FT.�ANG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
'TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA',OR x PERMIT
VOLUME ESTIMATED COST'$ 41,00 FEE a $
(CUBIC/SQUARE FEET)
OWNER g1*Si!(k!l!/1 711,.., -
ADDRESS:_ 85 Win IltrOAa, I'Ig >Li,,
- 011"o
BYI
WH:I' E FILE COPY GREEN - FIELW COPY CANARY APPLICANT COPY • PINK ASSESSORS COPY
r
'I.
.z
�+ 112 MA NTTRE UILnxNG INSPECTIONS BUILDING o° ��3, pp 3 — /�-8l
NORTHAMPTOA, MA. 01060 PERMIT as "
17C - 209, 210, 211, 212, 294 VALIDATION
DATE Marrh 17- 19 Al PERMIT NO. 100
APPLICANT Ilion-ld A. Gul-14moa ADDRESS $2 - 84 NoFth St„ NO ton_
(NO.) (STREET) (CONTR'$ LICENSE)
NUMBER OF
PERMIT TO
Alteration ( 7_) STORY Rank DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) BS Main Flnrenr_e D STR CT GB
(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: A7 te+.11tLaas per plans an fl-le
VOLUME ESTIMATED COST $ 41,000 PEEMIT 123.00
(CUBIC/SQUARE FEET) P
OWNER Florence Sayings Rank
Bul
ADDRESS AS Main StrpPty Flnrpnee, Ma, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK � ASSESSORS COPY