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NOTES and Data — (For department use)
/K 3
Y7 �,
(Is oej
IV. IDENTIFICATION — To be completed by all applicants s _ +
Name Mailing address — Number, street, city, aril State "ZIP code tel. No
Owner or
Lessee
Builder's
2. � �. � _ License No. 7
Contractor 010 2-7
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 t is application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signat' eof applieant Add,�oss Application date
--/Ie Zi,a
C�
DO 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
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
PP 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
VII. VALIDATION
Building ` r FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 19".
Building Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
T I T L
CITY OF NORTHAMPTON
9+ ` MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) -741 / _ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT 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 D N w building Resid tial Nonresidential
2 Addition(If 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, 13) ❑
number of units— — — — --� 20 Industrial
4 E] Repair, replacement
3 _ teration (See 2 above) 14 ❑ Transient hotel, motel, ❑
21 Parking garage
or dormitory — Enter number
❑ 22 Service station, repair garage
5 Wrecking (1l multifamily residential, of units ------- — --� p g g
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport J 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) p fy . ❑ Y
17� Other — S eci / � 25 Public unlit
7 Foundation only 26 ❑ School, library, other educational
B. OWNS SHIP ❑�`�_71 /.�iy �a �� 27 ❑ Stores, mercantile
8 �rivate (individual, corporation, 6 28 ❑ Tanks, towers
nonprofit institution, etc.) 1t / /f 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,,,,,••,,,••,,•• ,w 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 Is y ZL
III. SELECTED CHARACTERISTICS OF BUIL ING — 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
❑ 40 ❑ Public or private company 48. Number of stories.............
30 Masonry (wall bearing)
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
r
d Total land area, s
34 ❑ Other — Specify 42 ❑ Public or private company 50. q' 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�l No 53. Number of bedrooms..............
38 ❑ Coal
39 [LI Other — Specify l� Will there be an elevators Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
Department of Building Inspections FIELD COPY
212 Main Street
Northampton,, Ma 01060 BUILDING D
PERMIT
17D • 50
i
DATE September S. 19 82 PERMIT NO. 437
APPLICANT Gary Hartwell ADDRESS -s+BY1 tilJflS ti$ [11tiie�i St_s L fi391�i 1
(N0.) (STREE ) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO AAM ti A'R ( ) STORY Sol ar lfARelB DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PR POSED USE)
ZONING
AT (LOCATION) 94 Straw Avm--- DISTRICT U R �
(N0.) (STREET)
i
rn BETWEEN AND
(CROSS STREET) (CROSS STREET)
aLOT
IL SUBDIVISION LOT BLOCK SIZE
(
Q' �I
U BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i
O I)))
m
p 1
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
0:
LL
REMARKS: t>NletAl# 3 pH1fNI a an xoof for domestic sol_At o wa -
AY
I
AREA OR PERMIT
VOLUME ESTIMATED COST . FEE 7{R 00 1
(CUBIC/SQUARE FEET)
OWNER Don Bouthelette
BUI DING
EP
ADDRESS 94 Straw Avenue$ Florence, Ma, 01060 BY �: