31D-148 (43) DEPT. FILE COPY
DEPT. OF BUILDING INSPECTIONS Zo
212 MAIN STREETBUILDING <B.
NORTHAMPTON, MA. 01060 34B-281 PERMIT
- VALIDATION
DATE Janu@= 34-19 7 PERMIT NO. 2
APPLICANT J_ Rntiriglingg ADDRESS
(NO.) % }
ET) toy' (CONTR'S LICENSE)
PERMIT TO Alter Store (_) STORY NUMBER
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSOF
E USE)
AT (LOCATION) - ZONINGDISTRICT
(N0.) (STREET)
a BETWEEN Main AND
a (CROSS STREET) - (CROSS STREET)
SUBDIVISION IS I ON LOT
m LOT BLOCK SIZE
a
U
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASE AENT WALLS OR FOUNDATION
F
� (TYPE)
O
L REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1 .nnn FEE $ jn_nn
(CUBIC/SQUARE FEET)
OWNER Central Chambers Realty
ADDRESS - N'ton,
P
(Affidavit on reverse side of application to I
a completed by authorized gnt of owner)
hereby certify that the proposed work is aufihZ-ri d by the owner of, record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE CT AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 .
ej
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p
ZONING
AT (LOCATION) DISTRICTQ:13
LOCATION �/(NO.) (STREET)
OF BETWEEN /��FI�" AND
BUILDING (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK LOT
SIZE
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 12One family
of w housing units added, if any,21 ❑ y 18 Amusement, recreational
n Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
3 Alteration (See 2 above) number of units- - - - __)� 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory Enter number
5 ❑ Wrecking (If 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 F-] Moving (relocation)
7 F-] Foundation only
17 ❑ Other - Specify 25 ❑ Public utility
261, library, other educational
B. OWNERSHIP 27 f�j�S/tores, 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,,,,,,,,,,,,,,,, /00c) rte,. 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 exisrin .building is being changed, enter proposed use.
in the above cost 1 a /
a. Electrical..................... / / e IJ 47�'Z" �xi e)
b. Plumbing .....................
c. Hearing, 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,k Public or private company 48. Number of stories................
31 Wood frame 49. Total square feet of floor area,
❑ 41 ❑ Private (septic tank, etc.) all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYRE,OF WATER SUPPLY
34 ❑ Other — Specify 42 LXPu6lic 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 F-] Electricity 44❑ Yes 45 ❑] No
38 ❑ Coal 53. Number of bedrooms..............
39 ❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46❑ Yes 47❑ No bathrooms
Partial.......
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.
1. 1
Owner
Lessee
2. Q LBui Ider's �j y
/� ST' �� ~� 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.
Signet f applica Address Application date
-_
DO 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
Fee Startedy Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval I Check Date Number B
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 FOR DEPARTMENT USE ONLY
Permit number
Building
Permit issued 4 A Use Group
Building Fire Grading
Permit Fee $_T(" f (' Live Loading
Certificate of Occupancy $ Occupancy Load
$ Ap ed by:
Drain Tile
Plan Review Fee $
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.