17C-242 (3) -M - -1
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
No
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants &-
1Name J ]Magi^ling address — Number, street, city, and State ZIP code' Tel. /No.
G•4 /A..� l/�/�//C� f f'1G
Owner or
Lessee
Builder's
L.
j,dG 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 appl'cant Address Application date
l'
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 Obta ned 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 /�-I v 0 Fire Grading
6
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Appr
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
B �
yy "` OFFICE of the INSPECTOR of BUILDINGS
Page j7L Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections!: 1, 11, 111, IV, and IX. �fC/► o
ZONING
I. AT (LOCATION) / 5-9 /7 NOP P Iq A S.F J�114 C �'i DISTRICT-
LOCATION �) <IN0.)/n�^, (STREET) GC /
OF BETWEEN n1�1zI N t' A PL_ _ AND
BUILDING (CROSS STREET) / (CROSS STREET)LOT
SUBDIVISION LOT l - BLOCK SIZE
H
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 X Addition(If residential, enter number 12 L❑ 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- - - - -->_C-� 20 ❑ Industrial
3 ❑ Alteration (.See 2 above) 14 Transient mote ,
❑ T it hotel, l 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 x'04�X56, 25�s�"� 23 ❑� Hospital, institutional
Part D, rel 13) 16 ❑ Carport P � �15 V d f 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) T
17❑ Other - Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (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,,,,,,,,•,•,,,,, I 000 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....................... JQe
b. Plumbing .......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT is I 5
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. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 ® Masonry (wall bearing) 40 Public or private company 48. Number of stories..............
LN
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32
Structurol steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 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?
L. RESIDENTIAL BUILDINGS ONLY
37 L- 1 Electricity 44 Yes 45 ❑� No 53. Number of bedrooms..............
38 ❑ Coal
39 Other - Specify Wi1I there be an e'levat r'�
Full..........
54. Number of
46 Yes 47 ❑ No bathrooms partial.,.....
,,Department of Building Inspections
212 Main Street BUILDING Z°
Northampton, Ma. 01060 PERMIT Qa
17C - !'42 /
VALIDATION
DATE April 5. 19 82 PERMIT NO. 113
APPLICANT $axaard R. T nElam ADDRESS 97_ No Maine Florence
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_�I STORY Wor ,��(� DWELLING UNITS 2
(TY F IM ROVEMENT) NO. (PROPOS D USE)
ZONING
AT (LOCATION) 95 97- DISTRICT 11RA
(NO.) (STREE )
BETWEEN AND
(CROSS STREET) (GROSS 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: Addition to GX4 Qtino Sarag8 190-8111 X 2Q'
AREA VOLUME 757 ESTIMATED COST $ I too FEEMIT $ lo_On
(CUBIC/SQUARE FEET)
OWNER Bgrnarrl r;aria LAFlam
BUILDIN /
y/yADDRESS 97 Na- Main Street FlorenCaI Ma- 01060 BY Idl
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSE SRS COPY
... .... ...3. ^.�.a ., .,
- ., ra _. t
w .. � .. �
;. L.
Efluard J. Tevitill
March "Cl,
Mr. Bernard Laflam
'�7 North Main Street
lJorence, Ha. 01060
beat hr. Laflamt
,L, has been noted by thi: office that there is an
addition to the rear of an existing auxiliary build-
ing, on your above listed property.
Our records indicate that a building permit was never
applied for, and consequently never issued. State
Building Code and City of Northampton Ordlinances, state
that any structure, an4 alteration and addition of same,,
requires a building permit.
Kindly check with this office immediatel�;- after receipt
of this correspondence.
Sincerely,
Eduard j. Te0'lill
ASSISTANT BUILDING INSPECTOR
EJT/lp