23A-015 (7) DEPT. FILE COPY
f'oF4Gacuowws BUILDING fa
212 Main Siam* PERMIT
Northammpton.Mass,owe 23A - 15 VALIDATION
DATE MVginnt 3n, to 78 PERMIT NO. 426
APPLICANT MATO F{t2Geral rt ADDRESS 344 Bridge Rd.. Flo.
(NO.)Mi (STREET) (CONTR'S LICENSEI
NUMPERMIT TO g .Shnn Mirage ( t STORY Storage Shop DWELLINGG
�StfflUNITS
{ TYPE-b, I MPROOE ERT! NO. (PROPOSED URE!
Z
ING
AT (LOCATION) iU ANTIC DISTRICT( TIM(XO.) (STREET(
a BETWEEN Meadow ANDS., Pine .......
o 4<ROR3 STREET) (CROSS EMREET)o .
u LOT
SUBDtVISION LOT BLOCK SIZE
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL. CONFORM IN CONSTRUCTION
e
O
2 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
a (MEI
t
o
R REMARKS: Stnragm Rhnr (3ar ge
AREA OH @ PERMIT zI
VOLUME yp/�•'(�'/�' ESTIMATED COST $ 2Ct 4t_R FEE p moo-
?LT/SQUARE
ICVSIC/SQUARE FCET)
OWNER Ha-mild P Fit2Gereld � �/
ADDRESS 3* Brides Rd, Ftnrannel MA. ....1"�' '. . .Nf/'
(Affidavit on reverse side of application to be completed by authorized agent of owner)
• '! i'! re1 •.�.tf C
_. - . . _ .. .- I..hereby certify that the proposed work is authorized by the owAet of 7hcord
and I hove been authorized by the owner to'make this age1fetigrt;rRs-.It4:
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
. . . APPROVED BY TITLE
DATE 19_.
-
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
I#34 — /S^ BUILDING PERMIT
IMPORTANT — Applicant to complete all Items in sections: I, II, Ill, IV, and IX. / o
Al (LOCATION` L9 PR rST 2ONIR 4>0l3
013TRI
LOCATION f�I FA D6
rsrnen'r ,%//� hi
OF BETWEEN M C AI�IW ..ANC I i 11 � _.
BUILDING (CROSS ninnET, (cpons STnEET)
SUBDIVISION eaT X0I ' 3a rC270 r-
au6aN .. LOT �ecx s¢E
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D
V.
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wreektng' most recent use m
m
1 El New building Residential Nonresidential
21 1 Ad ne oa or residentiotenter number 12 i 1 bee family 161rei Amusemenx, recreational
innew housing 1Yna vn is added. It any. 13 Two or more family - Enter 191 I Church, other religious
Parr D. 13) I Y
number of utiles--- - -le 201 I Industrial
3 I I Alteration (See 2 above) 141 I Transient hotel, motel, 21 I I Parking garage
4 ZRepair, replacement or dormitory - Enter number
51 I Wrecking RI multifamiy r sidenna1, cif unity y 221 Servce Service4ahon, ftPob garage
enter number of units in building in is I j Garage 231 j Hospital, institutional
Pan Otum13/ i�
6 Moving (re bcationl 16 C Carport 24 1 I Office, bank, professional
T Foundation only 17 I-1 Other _ Specify 251 1 Pubrie utility
P 26 I—� School, library, other educational
B. OWNERSHIP 1 T + : a r' 29 1 Stores, mercantile
6 IVI Private{individual, corporation, /'(� p y:�/ r 2H Tanks, tauten
nonprofit institution,etc.) (_Q F'l14{lf)P 291 _1 Other - Specify
9 1 I Public (Federal, State, or
local government)
C.COST _ (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.9.,food
_ processing plant, machine shop, laundry building of hospital,elemenbry
10. Cost of improvement g / 600.- school, secondary school, college, parochial school, parking garage for
To be installed bpi not included If use of exartment isting building tal building,r edice building at industrial. plant.
g g is being changed, enter proposed use.
in the above cost ��^^ -rte (��^{ SHOP COYJ f5/
a. Electrical 3i6te. '- l i OYA6c - Sf OP CORCr46E.
b. Plumbing 566,�+�'—
•
c.Heating, air conditioning 470(,!'—
d. Other(elevator, etc.) ss�� O
11. TOTAL COST OF IMPROVEMENT S2 i 00
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E - L;
for wrecking, complete only Port J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 4
30 I'I Masonry(wait bearing) 40 I Public or private company 46 Number of stories �, L
31 [ Waod frame 41 V�Private bepne tants, etc.) 49. Total square feet of floor area,
all based on exterior3 12 //11 4/ _
32 I Structural steel dimensions
s
33 Li Reinforced concrete H. TYPE OF WATER SUPPLY
341 1 Other - Specify 42(1 Public or private company 50. Total land area, sq.it I !'660
431 I Private(well, cistern) K. NUMBER OF OFF-STREET 1 df
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 I I Gas Will there be centre] air 52. Outdooes Z2,..."'F4-0i1conditioning? a L. RESIDENTIAL BUILDINGS ONLY
37 I I Electricity 441 I Yes 46 [-Pilo 53. Number of bedrooms
36 II Coal `-'"
39 Cl Other .. Specify will there be an elevator? Full
54. Number of
46 Ci Y es 47[r4o bashroame
Partial
NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To he completed by all applicants
Name Mailing address — Number, Street, city, and Sum ZIP code Tel. No.
1'
Ower or
HADOLn h -26Ei?BLD 344 13)2106F06F PD riol22cncE Pa far' S- 0/66o 5d`Y-333C
Lessee
E\Bove Lm ldBule ne N
p. No.
Contractor
3.
Architect or NONE
Engin er
I hereby certify that the proposed work is authorized by the owner of record and that I hove been authorized by the owner to
make this application-as his authorized agent and we agree to conform to all applicable laws of this Iuri sdi ction.
Signature of applicant Address Application date
J // 00 OT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Dote Plans Notes
qu' a Fee Started By Approved By
BUILDING
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Da
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 ��� FOR DEPARTMENT USE ONLY
Permit number
Buildingpppppp 1
Use Group
Permit issued �' 7—� 197/ 0
Building /7,..01) F.re Grading
Permit Fee $ L C Live Loading
Certificate of Occupancy $ Occupancy Load
ed by:
Drain Tile $ �A /l
Plan Review Fee S t�
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 APED? — 669 C1969 BUILDING OPPIC'Ats Be CODE ADMINISTRATORS INTERNATIONAL� INC