23A-014 (5) DEPT. OF BUILDING INSPECTIONS°° BUILDING
'_ x Northampton,C/� MA 01060 PERMIT 212 Main Street 4
1 _73A - // g VALIDATION
DATE 3--..-7 7 19 /7��1 p1 PERMIT NO. p
APPLICANT 5F 3H D R R STnu €.A L. ADDRESS aa. Pfi- VN OWKeR
IRO.) (STREET) (COATS'S LICENSE)
NUMBPERMIT TO S€.W p OO L. I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT( MD. (PROPOSED USEI q
AT I LOCAT ION) / �- Pane D51TR Cq T & "
/J
(NO.) STREET) a
BETWEEN ` tR e_ AND (1J e G JT et,/ TCFi
CROSS STREET) (CROSS STREET?
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
1/J� n I /� (� ITYgI
REMARKS: ` emL T() IL] P/ ,nsrniI" Et /84x le
AREA OR 40 PERMIT J .
VOLUME ESTIMATED COST $ .5-(NO O FEE $
1 /SQUARE FEET) 9 ///��� 1
OWNER Se.T T/ 3HKZJRFl 3TO co-e A�. �;�Gh _ eiC /J ,
ADDRESS 0 P/FRW PFc Re-Kr 2 Nn S. aD ILD IN � '/Z_ // �/
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK -- ASSESSORS COPY IW{ I
IV. IDENTIFICATION — To be completed by all applicants
Nome Moiling address — .Number, street. , anti Statr ZIP code Tel, No.
o*net or :5.rr/sr..un/ 174/0F// 41 Ogle c7 F/OzepeE, Rn•
twee) ser-ca33
Lessee
icilde x
Contractor
License No.
].
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 jun sdi ctlon.
Signature of applicant Address Application dote
)AXe%tr/, V/747 . . _44 ,Peer ' ' enep_ 3/a4V 7
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dam Plans Dote Plans Notes
Quire Fee Started By Approved By
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DoPermit or Approval Check Obtained Number By Permit or Approve I Check Oita 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
VU. VALIDATION
Building /.a2 FOR DEPARTMENT USE ONLY
Permit number
Building
Permit issued ✓ C� f Use Group
19�
Building Fire Grading
Permit Fee $ /0.00 Live Loading
Certificate of Occupancy $ Occupancy Load
A pried by:
Drain Tile $
00
Plan Review Fee $
TITLE
,�+illtKv CITY OF NORTHAMPTON
Y MASSACHUSETTS
AA
t�;% ,; ra . OFFICE of the INSPECTOR of BUILDINGS
=. a... AJ
, �"'' Page duff Plot
T�e' � 8 /y
ZONING PERMITIFOR
AND
INSPECTOR BUILDING PERMIT
z
IMPORTANTff— Applicant to complete all items in sections: I, II, III, IV, and IX. O
AT (LOCATION) .2.a P.,P ZONING pry
DISTRICT �rkk\\ll
LOCATION o.) 'STREET) ``/
OF BETWEEN to-eSi'
t CN r'e( AND //✓4...
BUILDING (CROSS STREET' !CRDs STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
en
II. TYPE AND COST OF BUILDING — All applicants complete Parts A - D n
A. TYPE OF IMPROVEMENT 0. PROPOSED USE — For"Wrecking" most recent use In
IT,
—.I1 I I New building Residential Nonresidential
2 I I Addition(If residential, enter
number 12 H One family 18 I I Amusement, recreational
of new housing units added, if any. 13 Two or more family - Enter 19 Church, other
en Part 0, 13) Lreligious
3 Alteration (See 2 above) number of units-- — — 20 L 1 Industrial
_ 10 Li, Transient hotel,motel, 21 [ I Parking gat
4 L_f Repair, replacement or dormitory - Enter number garage
5I I Wrecking (If multifamily residential, of un''tr y 22 (—�I Service station, repair garage
enter number of units In buildinx in 151u L
Garage 23 ( Hospital, institutional
Part O, 13)
16 fl Carport 24 1 I Office, bank, professional •
6 EL Moving (relocation/
7 Foundation only 171 I Other — Specify 25[ ] Public utility
tree ��/1 261 I School, library, other educational
B. OWNER IP PCrr 27 1 I Stores, mercantile
B fA Private (individual, corporation, I ^�(���s 2B Tanks, towers
nonprofit institution, etc.) jc /� Pia a 29 Li Other — Specify
9 I I Public(Federal, State, or
local government)
C. COST (Omit cern 5) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plan machineshop, laundry building or hospital, elem O
10. Cost of improvement $ school, schoosry
college, parochial school, parking garage (or
deportment store, ental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed,enter proposed use.
in the above cost
a. Electrical
b. Plumbing
e. Heating, air conditioning
d. Other(elevator, etc )
.—
11. TOTAL COST OF IMPROVEMENT E .CaOC
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
301 I Masonry (wall bearing) 40 HPublic or pri a e company 4B. Number of stories
31 I I Wood frame 41 LI Private peptic tank, etc.) 49. Total square feet of floor area
all floors, based on exterior
32 I I Structural steel dimensions
331 1 Reinforced concrete H. TYPE OF WATER SUPPLY
34 I Other — Specify 42 r Public or private company 50 Total land oma, sq. ft
43 1H Private (well, cistern/ K. NUMBER OF OFFSTREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL St Enclosed
351 I Gas Will there be central air 52. Outdoors
36 Ti Oil conditioning''
L. RESIDENTIAL BUILDINGS ONLY
37 ^I Electricity 44 ,L Yes 45 _ No 53 Number of bedrooms
38 Li Coal
39 fl Other - Spur ti Will there be an elevator' S4. Numberof Full
46 f:_ I Yes 47 —I No bathrooms Partial
NOT ES and Data — (For deportment use)
1/4
rkro-C) /57 %J X 4f0 cJa4n,24 / a .
dle
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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