17D-064 (14) _= - 1 1 0
ZONING •
DISTRICT
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SIDE • 1 SME 1
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, anri S,!.-,c ZIP code Tel.*4o.
Owner or
Lessee
Builder's
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.
Sign re of applicant Address Application date
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
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number 13y 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
II. VALIDATION
Building u FOR DEPARTMENT USE ONLY
Permit number / is
Bul lding- Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ p�
Live Loading
Certificate of Occupancy $ Occupanc Load
Ap ove by:
Drain Tile $
Plan Review Fee $
TITLE
�Q CITY OF NORTHAMPTON
9" "� MASSACHUSETTS
� e
�' OFFICE of the INSPECTOR of BUILDINGS
'"`
1 � Page 17D Plot C APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, III, IV, and IX. // O
I •AT (LOCATION) r""'�x� DIOSTR CT^_',fB
LOCATION (NO.) (STREET) r
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
1 New building Residential 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— — — — 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It 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)
7 Foundation only
17❑ Other — Specify 25 ❑ Public utility
❑
A o/ 26 ❑ School, library, other educational
B. OWNERSHIP J 7 ? 0 27 ❑ Stores, mercantile
8 � Private (individual, corporation,
4 28 ❑ Tanks, towers
nonprofit institution, etc.) ,03774a 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•,••,,•••••,,,,• 9 +`i 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.)............. qq
11. TOTAL COST OF IMPROVEMENT $ nLkU
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 x/`�
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... �1!
35 ❑ Gas Will there be central air 52. Outdoors........................
36 E] Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electric' 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — .Specify Will there be an elevator's Full..........
54. Number of
46 C, Yes 47 ❑ No bathrooms Partial........
Department of Building Inspections
212 Main►,*Street - " BlJlt_DING Z
Northampton, Ma. 01060 Oa ,
PERMIT
17D - 64
VALIDATION
DATE September 17, 19$2 PERMIT NO. 454
APPLICANT Tean A—P_adpei[ ADDRESS 1,4 Garfield�-Floxea_e
(N0.) (STREET! (CONTR'S LICENSE)
NUMBER OF 1
- PERMIT TO New structure (_I_) STORY detache OSED DWELLING UNITS -
(TYPE OF IMPROVEMENT) N0. PR SE)
ZONING
Ga r T 11R3
AT (LOCATION) 14 field DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: rnnstrttCt tvn-car detached garage
AREA OR
VOLUME 576 ESTIMATED COST $ rc�::n nn FEEMIT $ 28.50
(CUBIC/SQUARE FEET)
OWNER jean A- Pad Ck - a T.
ADDRESS 1/F rarfipld Street Florence, Ms. 01060 BY IL
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - A ESSORS COPY