31D-142 BANK (21) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
REAR I
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 -4 \'umbrr, street, city, and State ZIP code Tel. No.
Owner or
76 UCG fo 0
Lessee
Builder's
2.
IICJ License No.
Contractor
p S�3oL
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 applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check obttatned 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 FOR DEPARTMENT USE ONLY
Permit number
Building_ Use Group
Permit issued LA4l0 I q 19 )
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
p r ed by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• .� MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
w T
Page — 3 Plot «L APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• ZONING ctls
AT (LOCATION) • DISTRICT—
LOCATION
STRCT—
LOCATION IN0.) (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
1 ❑ New building Residential Nonresidential
2 ❑ Addition(1/ residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --)o. 20❑� Industrial
3 � Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 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 bonk professional
6 ElMoving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 K—el 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
r processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, �7 a�/a " 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 f existing building is being change, enter proposed use.
in the above cost
a. Electrical..................... '��_� _� l
b. Plumbing ..................... m CZ-)
c. Heating, air conditioning.........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT rs 7 60-�
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) 40Public 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 42Public 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 1. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 C� Electricity 44$i Yes o 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — .Specify Will there be an elevotor'l Full..........
54. Number of
46 [—] Yes 47 Q No bathrooms Partial........
DEPT-Of, BWILDING INSPECTIONS BUILDING
212 Main Street $a
Northampton, MA 01060 PERMIT
31D - 142 VALIDATION
DATE June 19, 19 85 PERMIT NO. 338
APPLICANT D.A. Sullivan & Sons Inc. ADDRESS 375 N.7 Street
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO Alterations (_( STORY Bank DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 175 Main Street ZONING Cg
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS, permit for renovations to the first floor of existing bank and two (2)XIX rental
units
AREA OR
VOLUME ESTIMATED COST .$ 75,000.00 FEEMIT $ 300.00
(CUBIC/SQUARE FEET)
a
OWNER SIS Bank
ADDRESS
175 Main Street, Northampton
BYILDI
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