23A-070 (24) • 'DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING =
NORTHAMPTON, MA. 01060 PERMIT
23A - 71 - 70
VA LID AT ION
DATE NOVemher 16_ IS_191 PERMIT NO. 642
APPLICANT Rir)I A Kal lyAg,Ft ADDRESS_Th M Millin P O Anx 616, K N-H_
Ixo.l'r l PlCON ITS ICENSEI
--
PERMIT TOFnnnAnH On Tmif III STOPV mPdirnl Facility
NUMBER OF
DWELLING UNITS _
ITv pF P OY ELTE HTI 0. IP40P u5E1
AT (LOCATION) 70 Main Flnrenna zoxlNc fA
(No.) ISTNFETI als rp lcT
BETWEEN ANO
(CROSS STREET) I-.SA S
LOT
SUBDIVISION LOT BLOCK S12E
BUILDING IS TO BE FT. WIDE BY FT. LONG BT FT. IN NEIGNT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
C VPS)
REMARKSi F Lat!R pE-4 f Only . Pp" IEFT.telylD� x ISnE
AREA OR SDSDDO
p. PERMIT $ 200 Or)VOLUME ESTIMATED COST y FEE p
(CUBIC/SQUARE FEET)
OWNER VB11Py Health Plan, Inc_
ADDRESS P 0 Anx 227, Amllarct, Ma_ 01060 eva
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
'�� ILD
trspsmonp BUILDING =
i i 212*HAM
HoarxAHrrom, w. �Dtc4 //�6 $/
PERMIT23A 7,1 fO
FE
_ VALIDATION
DATE KaxlsL!} 16, 198_ PERMIT NO. 662
APPLICANT tf@h, A L !!1111_ A&,* ADDRESS ;pT Naomi 1110A A A 1wx 626,
L Ixad (sinE� Icox*�ilcfnail
PERMIT TO Aa.�aflrw n fmA! (.LI TONY YOA ALe2'``- NUMBER OF
(iYP[ i IMPROV[ ENT 0. I�R�[O Uafl •"'a'i DWELLING UNIT$
ZNNG
AT (LOCATION) DIOSITRICT
(XO.1 1 TREES. ,
BETWEEN AND
(CROSS STREET? (CROSS STREEII
LOT
SUBDIVISION ] LOT—BLOCK SIZE
4
BUILDING 13 TO BE FT. WIDE BY FT I . IN MEIGNT AND SNAIL CONFORM M CONSTRUCTION
TO TYPE USE GROUP J BASEMENT WALLS OR FOUNWTIO
r (TYPO
E REMARKS: B
1 4 wo
p ,
VOLUME ESTIMAT COST
$ FERE p 211Aa
( ICOOIC/SQUARE FEET)
W
OWNER Vallate HeallS Aly. Iie.€
ADDRESS � aa
tx 227,!T&! 2Pa. 01860 BYI
P'.. WHITE - FILE COPY GREEN - FIELDJCOPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY
t,
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of �t�hep INSPECTOR of BUILDINGS
Page— Plot 71 - 70 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
� C _. EIETI
I. AT (LOCATION) 7 � ONINc
LOCATION Ino.1 (ST REEI
OF BETWEEN ANO
BUILDING ¢Hass sTAL_n ICnass 5TREET)
LOT
SOBOIV IS ION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parrs A — D
R.
A. TYPE OF IMPROVEMENT D. PROPOSED USE — Far"W.etktog'r maef recmf .se ^f
m
I ❑ New bwldlng Reside ml No sidenrial ~
2 Addinan(Jr rexideeria[, en mnber 12 One I—ly 18 ❑ Amusem.m, rcveor�onoI
a/ n ba sfrze rndc a.4led�iJ an_v,
13 Two 0 more thirdly — fLete> 19 ❑ CFureb, other rc49ious
number o/ r.rails - -Ow20 Industrial
3 Ahermion (See 2 .bouel 14Tmrxiem hotel, m rel,
pourT p rw,,t dormoty — En eT b4 ❑ Re a Ioc ❑ a 21 F-1 Porkln9 9oro9e
r
5 ❑ Wmckin9 (I{m¢(ei/a 1 resiIdr,aL a/ra.nils — y 22 [—I❑ Hpiron
Service st ion, repair 9oro9e
.rrbe a/.vrer rn b.i[¢(reg it 13 .E Gage 23m
l, serunonof
Part D, 13)T 16 ❑ Carport 24 ❑ Office, bort, professlonol
Moving (relacarl onl
1] ❑ Other — �Oeci/v 2E:] on
Public lay
7 ❑ Fourdallor Orly 266 L j school, library, Omer eduteNonel
B. OWNERSHIP 27 �_ Stores, mercaorle
8 Pdvo e Il odmidual^ orcoronon,
28 ❑ Tanks, rowers
tav off i utln , e .) 29 _ Orber — SAed/y_
9 ❑ Publlt(Federal, 51a1e, or
Intel government)
C. COST (()mit I'd'1) Nonresidential — Oeseribe in derail proposed ase of b✓i Id,n9s, e.g., food
pm x ng plan , s
acbin shop, laundry mory
ballding or hospital, elee t
IO. Coat of improvement............. sthool3 secondary school, college, porocbiol xch,d, parking garage for
depot ml oRlce buildirg, office ballding a irdu eI plant.
To be i.�m[I ed bra rzol included If use of nxlefing budding le being changed,enter proposed use
:.tba .bnue core 1 _
a. Elecrricol.......................
b. Plumblrg ......................
c. Heanrg, ai, tnrainnrir9.........
d. Other (elevator, arc.)............. \
11. TOTAL COST OF IMPROVEMENT $ CCI V Q
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 ( II b 'o ing) 40 Public o e co Number of stun es..............
or pnv f company
31 ❑ Wood fr w 41 PrNa1e (septic fork, etc.) 49. Total xq.are leaf of floor area,
32 ❑ $rmcr�iCett. h dimeln:'or
onsbesed o r
33 ❑ Raid d !/ye/ql ems_ H. TYPE OF WATER SUPPLY
34 ❑' Othe. 3 h 42 [K Pabbt or p, R1. company 50. Tinel load area, xq. h. ...........
437 Private (well tiam,rl K. NUMBER OF OFF-STREET
- PARKING SPACES /
s1. Erd...d .._..___..._.._..
F. PRINCIPAL TYPEE OF HEATING FUEL I. TYPE OX
35 �_ Gas ( (� throSL Outdoors..L BUI......... NL_ RESIDENTIAL BUILDINGS ONLY
3J Fle r y 44 ❑ 53. Number al bedrooms_.38 ❑ Coal
I card
391 Oram — SpeoJvWill r,eFull..SC. Number of� I bamronma
chiral.
IV. IDENTIFICATION — To be completed by oil applicants
,I Name Mal ling add,—, .. srreeL and Rom ZIP code Tel No.
ars
G.vee, a, n . e Gicc:o
_ „e. A� INC . iti. s ��. _C�O oto t bIS1
aERT K� � 9e ;eaa. - x
—
3 �S�4 eul — _ 6 S
h , a — �d3"�
Eaa rce, I_C', �e ,11SV`o't E1 �E1 6
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.
Siynatu,e of p�l-mam Address APplc
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plan Review Dare Plans Oore Planz
P lanz Review Required Check Fee _ Sra ned By A,,—ed By Notes
BUILDING $ _
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obmfired Number By Permit or Approval Check ObDatoed Namber By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER _
ELECTRICAL SIGN OR 61LL BOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
II. VALIDATION
Building / FOR DEPARTMENT USE ONLY
Permit number
Building. use G.aap
Permit is sued �.(..f 12—. 19i
Building
Five Grading
Permit Fee $ L.ve Loading
Certificate of Occupancy $ oerupaac Laad
A r ved by: 7
Drain Tile $ `
Plan Review Fee $
TITLE
NOTES and Dara — (For deportment use)
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