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Dc rtment of Building Inspections BUILDING
.21 Main Street oa rd, �/� 0� � ��
Northampton, Ma. 01060 PERMIT d
38-79 VALIDATION
DATE MArch i24, 18 82 PERMIT NO, 99
APPLICANT_ Mstrl on Mareb ADDRESS 4R rl�Elel
(NO.) (STREET (CONTR'S LICENSE)
-- PERMIT TO NUMBER OF 1
Alte�c$tiOn (_Z) STORY DiBellin� DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED�E)
AT (LOCATION) _ 48Sf1y�p�1�— ZONIN CT-- TBA-._
(NO.) (S REET T)
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; NPw adds innal windnwc. cosmetic work in attic Arpg■ Nn r structural
changes.
AREA OR
VOLUME ESTIMATED COST $__ 000- FEEMIT[ 1
(CUBIC/SQUARE FEET) � � 1nn
OWNER Chart PR March
ADDRESS 4LA C:ha»P]—,�ytreet Northampton, 01060 BUBy
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY
s, . .� _ ..,> � _
.. _,
;r,
'"..-,.
c�
CITY OF NORTHAMPTON
MASSACHUSETTS
� e
OFFICE of the INSPECTOR of BUILDINGS
' Page—.38 " Plot 79 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
AT (LOCATION) 4 DISTRIL
LOCATION (NO.) OF (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION _ LOT BLOCK SIZE
Vr
IL 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 ❑J New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of neu) housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of urlits— — — — --� 20 ❑� Industrial
3 Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 L❑ Parking garage
4 Repair, replacement or dormitory Enter number
5 FI Wrecking (If multifamily residential, of units ——————— — i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part U, ]3)
16 ❑ Carport 24 E] Office, bank, professional
6 L Moving (relocation)
17 ❑ Other — Specify 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,,,,,,,,,,,,,,,, Qac — 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 $11600 .
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Ll-
for
;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 n 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL.
35 Gas 11 there be central air 52. Outdoors.......................
36 OiI con 'oning?
— L. RESIDENTIAL BUILDINGS ONLY
37 ( Electricity 44 ❑ Ye 45 ' No 53. Number of bedrooms.............
38 Coal
39 Other — Specify Will th e an elev !�
Fu
54. Number of 0
4 Yes 47 I�� No bathrooms
Partial........
r
IV. IDENTIFICATION — To be completed by all applicants
Name p Mailing address — Number, street, city, and State ZIP code T I�2r
Owner or
Lessee
Builder's
2. License No.
Contractor
3.
Architect or
Engineer
1 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 uired Check Plan Review Date Plans By Date Plans By Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or A rova I Check Obtained Date Number B
pp Obtained y pp 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
Bui(ding. AA Use Group
Permit issued 192-2, _
Building Fire Grading
Permit Fee ��'Ay
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ved by: •
Drain Tile $
Plan Review Fee $
TITLE
NOTES and Data — (For deportment use)
Qlei
ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
X. SITE OR PLOT
o.....a.�.......o • Applicant .............
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