06-031 (7) °,T'." DEPT. 4F BUILDING INSPECTIONS
BUILDING =° ` � .��
. N Northampton,MA 01060 PERMIT :"
6 31 YAUGATION
DATE July 26, 19 88 PERMIT NO. 477
APPLICANT Michael B Conant ADDRESS P.O. Box 361, Leeds Owner
bak 1•*O{tn ICONTIPs vccxtti
PERMIT TO Ahnvp Ground Pnnl 1_,1 STONY One Family DWELER
LLIINGOFUNITS
Ines Of IMPKOVEwfNt) NO. iROPO Eo wit)
AT I LOCAT ION1 61 IPOnArd St Harris ZONINGSTURA
01044 u9MEn
DISTRICT
IsrR Icr
BETWEEN AND
MRS STREET) 1CROSS STREET]
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING 15 TO 8E FT. WIDE BY FT. LONG BY FT. lit HEIGHT ANO SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR POUNDATION
lint)
REMARNs: permit f¢r the intallatinn of an ahnvp grnand pnnl 74' dtemetnr Frit (� I�
AREA ESTIMATED COST $ 3'200.00 1RMIT p 10.00
PLUMEE
4ClltiUlOYME fEEil T
OWNER Same as Applicant (// %� z
}
ADDRESS
Same as Applicant' s
BYILDI r/ �xI/.% L" El
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK AS ESSORS COPY .
.--- th CITY OF NORTHAMPTON
. MASSACHUSETTS
t41 ,:. ;•;12, OFFICE of th INSPECTOR of U LDINGS
_W:�:-.. gfj
... ZAB
�=�� Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. ����//�{/�� o
Al (LOCATION) / Lt0/yA2D S% L roc ZONING
V_k� I
LOCATION ENO.' ISTREErI
OF BETWEEN AND
BUILDING 1CROAS STREET, ICROSS .TREEn
LOT
SUBDIVISION LOT BLOCK SIZE
in
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -I
ns
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking' most recent use IT,
-1
-I
1 I I New building Residential Nonresidential
2 Li Addit nOf residential, en a nvnbe -
12 �j onti
e family 161 I Amusement, recreationalPartof r oun
a
ho Ging its added, if any,
n Part( lJ, (3)
n13 FT Two 0 ore family — Enter 19 [ Church, other religious
umber of units——— -y 20 ni Industrial
3 VT.-Alteration y Alteration (See 2 abuse)
14 Transient
hotel, motel, 21 ( , Parking garage
)
4 Repair, replacement or dormitory - Eter number
5 [ ] Wreckng (U multifanril vidential, of units — --W 22 l Service station, repair garage
entry number of units in building ,n I5 L I Garage 231 I Hospital, institutional
Part P. 13)
6 Moving (relocation) 16 [ 1 Carport 241 Office, bank, professional
7 Foundation only 171 Other - Specify 251 -I Public utility
26 7] School, library, other educational
B. OWNERSHIP 27 L . Stores, mercantile
6 L J Private (individual, corporation, 26 �J conks, Owers
nonprofit in n, etc.) 29 r i Other - Specify
9 fl 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
ID. Cost of improvement $ 02 00 school, secondary
ondary school, college, parochial school, parking garage for
departmentstare,
rental office building, office building atindustrial plant.
To be alled but not included If use of existing building is being changed, enter proposed use.
in the above cost lea/(
a. Electrical leo vi GZOVA✓l, Poo t-
b. Plumbing ' 7 / keoU..'/l
c. Heating, air conditioning
d. Other (elevator, etc )
11. TOTAL COST OF IMPROVEMENT $ 3 ;oo
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 V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 C Masonry (wall bearing) 40 [TiPublic or 48. Number of stories
t company
31 I� Wood frame 41 Private (septictank, etc.)
49Total square feet of Bflot area,
all floors, based on exterior
32 1 Structural steel dimensions
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 C Public or private company 50. Total land area, sq. ft
43 I—1, Private (well, astern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL L TYPE OF MECHANICAL Si. Enclosed
35 7. Gas Will there be central air 52. Outdoors
36 ' Oil conditioning'
_ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 . ] Yes 45 No
53. Number of bedrooms
30 Cool
39 Other 1, cuts ni i toe be oe el„atort
{ -.II
54 ii Jmbe, c.
46 i Yes 47 _I No bathrooms
Uncal
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, srrrrt, city, and State ZIP code Tel. No.
o,n,r or n9,o%,,FL B, /go Box 26/ L EE,o5
s O,b> > s 7
Le. reret AN/ O/053 oda/
Builder's
2. 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.
Signature of applicant Address Application dote
%X4.%ur.J .�—
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check PIan FReview DoteeStartiedns By DAote PloPlds
pprove By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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 1� 1 FOR DEPARTMENT USE ONLY
Permit number
Building Group
Permit issued 2" --t C}(n 19 sr?
BuildingFire Grading
Permit iJ `� T
Fee $ bo ve Loading
Certificate of Occupancy $ 0 cuponcy Lood
Approv q •(/��`//
Drain Tile $ //, t
Plan Review Fee $
ITLE
1Lon ?oNw
f ° 9
NOTES and Data — (For deportment 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
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