24B-001 (12) Department oFA'i ,ding Insepctions
212 Main Street BUILDING o SJ '%
Northampton, Mass. 01060 PERMIT F` /L,-/
/� y `
24B - 1 • (1 p 04 VALIDATION
DATE June 29, 19 PERMIT NO. 272
APPLICANT Kim %escia ADDRESS 219 Elm Street 022464
IND.) (STREET) (CONTR•5 LICENSE(
PERMIT TO Addition (_) STORY DWELLL
One Family IING UNITS
ITTPE OF IMPROVEMENT) N0. (PROPOSED USE)
99 Barrett Street ZONING Ile
AT (LOCATION) DISTRICT L/w
ENO.) (STREET)
BETWEEN AND
(CROSS STREET) ICROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING 15 TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ITTPE)
REMARKS: permit to build an addition of a living roam
VAREA OR OLUME 168 sq. ft. ESTIMATED COST 4SD�•� grin- 16.00
(CUBIC/SQUARE FEET( $
OWNER Margaret Murray ‘j
ADDRESS 99 Barrett St. BYIL IN ���ddd/// J/
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
trZte•, CITY OF NORTHAMPTON
MASSACHUSETTS
C
;; ill ' OFFICE of the INSPECTOR of BUILDINGS
e�e
` ir Page P/ $ Plot of APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, II, 111, IV, and IX. o
AT (LOCATION)3 (. )<{! /7 C DISZ ON TRI tel/
LOCATION ENO.) 1STRtETi
OF BETWEEN jac SOW AND Ki l'L%
BUILDING (Cfl05S STREET) ICRoss STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
in
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D —d
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking” most recent use m
in
1 Li New building Residential� Nonresidential -I2 Addition(If residential, enten number 1ees(.1 I One family 18 Ti Amusement, recreational
of new housing units added i/any,
in Part D, 13) 13 I j Two or mote family — Enter 19 I I Church, other religious
3 [J Alteration (See 2 above) number of units-- 20 El Industrial
14 I Transient hotel, motel, 21 Li Parking garage
4I I Repair, replacement or dormitory — Enter numberi
5 ❑ Wrecking (i/multifamily residential, of units - y 22 fi Service station, repair garage
enter number of units in building in 15 Ti Garage 23 LL Hospital, institutional
Part D, 13)
16 L] Carport 24I i Office, bank, professional
6 Li Moving (relocation)
> Foundation only O I I other —Specify 25 ❑ Public utility
26 i I School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
B i Private (individual, corporation, 2B Li Tanks, towers
nonprofit institution, etc.) 29 I I Other — Specify
9 LI Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
10. Cost of improvement S
y processing
plan machine shop, laundry building at hospital, elementary
110 cho lsecondary school, college, parochial school, parking garage for
department store, tol office building, office building atindustrial plant.
To be installed but not included If use of existing building is being changed, enter proposed usell
in the above cost
a. Elect i of
b. Plumb' g
c. Heating, n conditioning
d. Other(elevator, etc )
II. TOTAL COST OF IMPROVEMENT $(1°C.°01/OI/
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Part d, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPEs� OF SEWAGE DISPOSAL J. DIMENSIONS
30 I_'Masonry (wall bee ing) 401`r l Publicprivate company4B. Number of stories
,
31TJ 1I Wood Game 41 Private tank, etc.) 49. Total square feetof floor (j1-e-it -f/
all floors, baseon exterior l6 O
32 Structural steel dimensions
33 L Reinforced concrete H. TYPE OF WATER SUPPLY
34 I Other — Cpeci/T 42 VI Public or private company so. Total land area, sq. o
431,(1. Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL S. Enclosed
351 Gas Will there be central air 52. Outdoors
3 Oil conditioning'
,—r�� \ L. RESIDENTIAL BUILDINGS ONLY
331`}1( Elecnlclry 44 nI Yes 45 g. No 53. Number of bedrooms
3B i Coal
39 1 Other— specify WI'I there be an elevator' { cull
54. Number of
46 Yes 7iNlil No bathrooms partial
IV. IDENTIFICATION — To be completed by all applicants
Name MailingliaddressesSt.
— ,Number, street. rip, and State ZIP code Tel. No.
-
1. I,arret t..
Owner or
Lessee n i f . JVV . �4. O1ObO
eune ,
No
KIM PSc ft a19 E. 11,t S1 iIdse . a?„? V651
Contractor 1j` N .
. O 10 6 0
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 appllo ion as ' orized agent and we agree to conform to all applicable laws of this jurisdiction.
Ti gnetur- oi aryr4� �/9'L4+n�IW�
Address ppli cation date
i "1 Y
4 /7 4W-(1, <a c2717-4(._ Sf' /. 0/040u )c f`l
L - 00 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
quire Fee _ Started y Approved
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 Obto ned 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 _
VII. VALIDATION
Building �Thm� FOR DEPARTMENT USE ONLY
Permit number ON
Building. �nrL''—,'• ^^A
Permit issued U ci 1991 use Group
Building //////// /
/""� a Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
)
Drain Tile
$ Ap by.
i
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN - For Applicant Use j'
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