17D-033 VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
Builder's
2• License No.
Contractor
YnC,
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 opplicati n as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signatu a of ap licant Address Application date
00 NOT WRITE 0 E L 0 W THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Startled 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 Obta tnee d 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 � �, 6;2 19
Building Fire Grading
Permit Fee $ �` L%�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile ,,.!
e:
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT Applicant to completes all items in sections: 1, I1, 111, IV, and IX. C)
I•
ZONING
AT (LOCATION)/ a ��!'�1� C.�i.� `-
DISTRICT
LOCATION (N0.) (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
-•f
1 ❑ New building Re i ntial Nonresidential
2 ❑ Addition(If residential, enter number 12 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— — — — i 20 ❑ Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel,
4 Repair, replacement 21 C� Parking garage
p p or dormitory — tinter number
5 ❑ Wrecking (If multi family 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 ort 24❑ Office, bank, professional
6 ❑ Moving (relocation) ❑
17 ❑ Other - Spec,iJy 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,•,•••,,•..•.••, '5' 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 $
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
32 ❑ Structural 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 ❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 n Yes 47 -D No bathrooms
Partial......
a DEPT. OF BUILDING INSPECTIONS BUILDING O<
X1
2 Main Street o
Northampton, MA 01060 PERMIT
17D - 33 VALIDATION
DATE October 27, 19 86 PERMIT NO. 632
APPLICANT Karl Lawrence ADDRESS enon Ave.
(NO.) (STREET) (CONTR•S LICENSE)
Interior Renovations One Family wellin NUMBER OF
PERMIT TO (_) STORY Y 9 DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZING
AT (LOCATION)
26 Straw Ave. D°STR CT URB
(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: permit is to gut and restore interior of existing dwelling/add partitions and
window replacements. No change in dimensions of building
AREA OR $ 42,000.00 PEE � 168.00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET) Contingent
OWNER Applicant upon closing x14 = on �����
Bu1L All
ADDRESS this building permit BY 4;�.'f;zar
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