06-053 1 DEPARTMENT 'OF BUILDING INSPECTIO IS
213�MAINI REPT L E
NWIAMPT `, DA, a0K, BUILDING �{ ;/
1 PERMIT
6 53
VALIDATION
( DATE ball 17_, 19�.Al PERMIT NO. ZIT
APPLICANT X,rry F. Mnh*n ADDRESS 1t30 Unydacville UA- I-.A.
(Na.I (STREET) (CONIIt's LICENSE)
PERMIT TO AAA{h nn (�_) STORY CIGNUMBER OF
! r yy�� arU* DWELLING UNITS j
(TYPE OP IMPROVEMENT/ I�RGYOS$gId PS
AT tLOCATlONI 414 Na rdenvtlL. Riled DISTRICT
a0./ (STREET/ 'P
BETWEEN AND
(CROSS STREET) (CROSS RNEsn
•
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE PK FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
tTYPEF
REMARKS: CaGEREK ". 10 1' 1% ter. v Porch
AREA ORE. PERMIT $
VOLUME t{(� _ESTIMATED COST $ CQ0.00 ORMMIT
141 1y
(CUSIC/SIVE FEET)
.
OWNER Retry P MPBhn
BY II.DI 1
(//,,.',.'A
ADDRESS 439 NAyAwnvi iiP Rd i_ .nd� Na_ ByYYY�YY }a,p I 't— .G,
VNiTE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
DLPARTNENT OF BUILDING INSPEC7IOUS
ZMAIN NREET 1,..) '
NORTHAMPTON • DlOfiO BUILDING 1 p.o0 7/174/i
OK
6 - 53 PERMIT
VALIDATION
/
E DATE i Suit 17 1S R1 PERMIT NO. 717
APPLICANT Yly,y F Mnwhsn ADDRESS 479 Raydanvtlta Ret Twwdq
(MOO ISTREETI ICOsTR'S :ACENEEI
PERMIT TO Aldi NM (r1 ` '�y-Q [�E HUMBER OF
(TYPE OFIMFNOYEMENTI NO.
STORY �El PROPOSED USE) DWELLING UNITS l
AT ILOCATIONI 419 danvl1 a R ZONING
0,0.) i TAEETI I Owppd DISTRICTRacT CR
BETWEEN (CROSS STREET) {xD ¢noes :Moen)
I LOT
SUBDIVISION COT ` BLOCK SIZE
A -.
BUILDING IS TO BE FT. WIDE OY FT. LONG Ell FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE IISE GROUP "'BASEMENT WALLS OR FOUNDATION
{TYPE)
REMARKS: (10MICEI0.1 10 Y 1% jnrMp pay& / Apy'Z///
VOLUME Tj� 1 ESTIMATED COST $ SBQi {tQ K£MIT $ LQ•D
(SUEicist a nom W
•
OWNER KPT}y l M:Mhw'a (N ~~
ADDRESS 499 NiydwnviIla ad.. 7.rWdI� Mao ar LDIx .J.R \){ '-,c;� .)
WHITE - FILE COPY • GREEN - FIELD COPY a CANARY - APPLICANT COPY • PINK - ASSESSORS: COPY
_.. _ _.
n---a) 0 CITY OF NORTHAMPTON
e Ci , i< MASSACHUSETTShe INSPECTOR of BUILDINGS
w cmc
'J —�° OFFICE of t
121B-11:
*.mi
Page Plot 4,-5 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. o
oNINe
AT !LOCATION) /i - /-C :: osTamr
LOCATION 'Na'
OF BETWEEN AN0
BUILDING Iceoss sTBEETI moss s FELrI
LOT
SU DIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D -I
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking' most recent use rn
In
I I 1 New building Residential Nonresidential -I
XAddition(Ifresrdential, enternumber 12jirOnefamily 161 I Amusement, recreational
of in Part au n ir131 r addad. if any, 13l I Two e family - Enter 19 ❑ Church, other religious
3 Alteration (See 2 abo.re) numbs of units-- -- y 20 EI Industrial
141 1 Transient
41 1 Repair, replacement or dormitory hotel, morel manlier21 r� Parking garage
mit22 ' Service station, repair garage
5 enter
Wrecking ofUM iV iy . ourdinrt Ga Garage --�_
numb VI uaits in building 272 15 �� 23 nHospital, institutional
Part D, 13)
16[iCarport24�i Office, bank, professional
6 El Moving (relocation)
I Other -Specify. 25[H Public utility
J I I Foundation only / / 26 1_1 School, library, other educational
B. OWNERSHIP 27I 1 Stores, mercantile
0 1 i Private (individual, corporation, 28 I 1 Tanks, towers
nonprofitinstitution, etc.) IP ' 15 29 Ifl Other - Specify
9 I I Public (Federal, State, or
local government)
C. COST (Onat cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machineshop, laundry building at hospital, elementary
Cost of improvement $ 6)O ) school, secondary school, college, parochial school, parking garagfor
department store, rental office building, office building at industrial plant.t.
To be installed but not included If use of existing building is being changed, enter proposed
use.
in the above cost
a. Electrical
b. Plumb g
c. Heating, air conditioning
d. Other(elevator, etc)
II. TOTAL COST OF IMPROVEMENT b(p 00 3)-
11i.
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. 'T�Y�J.PE
EE$E OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) Publicc 46. Number of stories _
or private company
49. Tera) feet of floor a
31 Wood frame Private (septic tank, etc.) sauna re
32 Structural steel all eloins, based on ertenor
dimens,ana/rpj.�!./ 1 -d
33Reinforced concrete H. Ty PE OF WATER SUPPLY
341 1 I Other - specpy 42IJ. Public ar private company 50. Total land area, sq. ft
43 _ . Private(..ell, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35L-' Gas Will there be central air 52. Outdoors
36 on conditioning) L. RESIDENTIAL BUILDINGS ONLY
3 i Electricity 44 n Yes 4 No 53. Number of bedrooms
38 1 1 Coal
39 i 1 Other- Steeify Will there be an elevator' Pull
54. Number of
46 ,r H Yes 47 No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants a _e
Nome Moiling address eue,hrr street. ettN, mrd crate ZI P.code TeL No.
,. K v y e: I.AESHA.3 'in 1layalenviX-e. /4d. it sr. pima eis4-3 fF1a05/
owe, or
Lessee
Budde
2. n V License No.
Contractor ,, J (m ,
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 asks authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signa , of applicant.,/: Address Application date
..A Leaf, / �cc,��� 71/27A/J DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Feevmw D Startedm By Dte Ap an
lvedz Notes By Ns
a __
BUILDING $ _ _
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or A pproval Check Obta Date
Number By
BOILER _--- PLUMBING
CURB OR SIDEWALK CUT _--M ROOFING I
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 C33 7
Per it is (� n p, Use Group
Builds issued \/I/,(iY/CJ, /7 19p
Building y�yye/ Fire Grodng
Permit Fee $ ! ` U'G�
Live Loading
Certificate of Occupancy $ /
Occupancy Load
Ap , by: I
Drain Tile $
�, /..e-
Plan �
Review Fee $
TITLE
NOTES and Data — (For deportment use)
7 » �L
,Y
_----------- 3/
1 - 7"�
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT C-474.
USE / ' 'K
i _ -
FRONT YARD /.f
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP - 669 C1069 BUILDING OFFICIALS A CODE ADMINISTEATORS INTERNAATIONAL, INS'
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