24D-067 (4) ZONING •
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, anirl State ZIP code Tel. No.
1.
Owner or
Lessee
6 7 ! Builder's
2. eJe// �7L�/�/Z/j7G i(✓'V %T 7.�Q / /'��SJ License No. y
Controctor
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.
Signaturs f applicant Address Application date
r
;r
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number 8
Obtained y pp 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number 30 a
Bui Iding.
Q Use Group
Permit issued 19
Building Fire Gradin g
Permit Fee $ cx�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
t' P
ow
CITY OF NORTHAMPTON
�. MASSACHUSETTS
$ OFFICE of the INSPECTOR off-BUILDINGS
Page � � Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
I• AT (LOCATION) �%+-� I "! I .� DISTRICT.
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
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(IJ residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, number of units— — — — --0- 20 ❑ Industrial
3 ® Alteration (SSee e 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (I/multifamily residential,
of units ——————— — -� 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 24�❑ Office, bank, professional
6 ❑ Moving (relocation) 16 ❑ Carport r> `/�
17 F-1 Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only l 26 ❑ School, library, other educational
B. OWNERSHIP ? 7 27❑ Stores, mercantile
8 Private (individual, corporation, /� —4 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
`�%✓n 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..................... i
b. Plumbing .....................
s
c. Heating, air conditioning.........
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
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 of floor area,
all floors, based on exterior I t�
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 [7] Public or private company 50. Total land area, sq. ft. ...........
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 45I No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Speci/y \ )Ikjt. Will there be an elevator? I Full..........
� 54. Number of
46 ❑ Yes 47 ', No bathrooms Partial........ >I t
DEPT. OF BUILDING INSPECTIONS BUILDING oD
e e 212 Main Street o
Northampton, MA 01060 PERMIT
I CL
24D - 67 VALIDATION
DATE June 3, 19 85 PERMIT NO. 302
APPLICANT Paul Herrmann ADDRESS 217 Russell St. , Hadley 016641
(NO.) (STREET) (CONTR'S LICENSE)
Alteration NUMBER OF
PERMIT TO (-) STORY Close in Front Porch DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
32 Perkins ave. ZONING URB
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Porch is p
8 FT. WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit to close in existing front porch
ARA VOLUME ESTIMATED COST $ 4,600.00 FEE MIT $ 20.00
(CUBIC/SQUARE FEET)
OWNER Bill Douyard
32 Perkins Northampton BOIL T
ADDRESS Ave., p BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY P'iwi SIIP