32A-138 (27) __ _ 1. DEPT. FILE COPY
DEPARTMENT OF INSPECTIONS as
212 ,s STREET BUILDING
NORTHAMPTON. HA. 01060 PERMIT v LID ATIDx
32A - 138 Code #79
DATE January ` 19 NO PERMIT NO. t,D
APPLICANT Ralph Parda ADDRESS A7 Pernen At•ee; Sitome
No.) {STREET) mourn CONTR'9 LICENSE)
NUMBER OF
PERMIT TO Al Peraft tut 1_I STORY 11t.x 4l'then DWELLING UNITS ,___,_
(TYPE Or IMPROVEMENTV (PROPOSED ISE!
ST
AT (LOCATION) 23 Hatn DIRG
OM.) (STREET( DIBTRICT CQ
o BETWEEN AND —
(CNOSS ST BEET) (CROSS ETREETI
LOT
e SUBDIVISION LOT BLOCK SIZE
O BUILDING is TO BE .—FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
•
O
t TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
>: IrYPEI
B
O
K REMARKS: NSW Berri tin in kitchw ar-a in hawser - alt-r the kitchen oa lett fleet
AREA
UMRE ESTIMATED COST $ I I I FEEMIT
$ ?' 00
tcvelyEDUARE
OWNER Joshua The_ ep8.r tiraippA -4 / " —
BUIL,- 4,..,
ADDRESS 23 main ctrpat, Yarthntona Ya BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent. -
SIGNATURE OF AGENT -
ADDRESS _ ._. . _ ..(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19_.
ti
4
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 010603a A— /3S, PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. /� J� O
ChtAT (LOCATION) —'eV ZONING DISTP Cl" v
LOCATION INo.) (STREET,
OF BETWEEN AND
BUILDING (CROSS STREET) ICROes STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use ro
In
-I
I I I New building Residential Nonresidential
2 Li Addition(If residential, enter number 12 I I One family IS ❑ Amusement, recreational
of new housing units added if any, 13 Two or more family - Enter 19 n Church, other religious
innPart 0. s31 �
umber of units– – – – -i L I 20 Industrial
3 X Alteration (See 2 above) 191 I Transient hotel, motel,
4 I Repair, replacement or dormitory — Enter number
21 Li Parking garage
5 I I Wrecking (If multifamily residential, of units — y 22 1 F Service station, repair garage
enter number o/ units in building in 15 I I Garage 23 F 1 Hospital, institutional
Part D. 13)
6 Moving (relocation)
16 I Carport 24 I Office, bank, proles Si onal
7 Foundation only
17 I I Other —Specify 25 I Public utility
26 fi School, library, other educational
B. OWNERSHIP 27 X Stores, mercantile
B kf Private (individual, corporation, 26 Fl Tanks, towers
nonprofit institution, etc.) 29 I 1 Other — Specify
9 F I 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
tary
10. Cost of improvement $ .200 0 school, secondary school, college, parochial school, parking garage for
v department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed i.e.
in the above cost
a. Electrical
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc )
11. TOTAL COST OF IMPROVEMENT $ 7000 —
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port .1, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ealstea
30 X1 Masonry(wall bearing) 40 X Public or private48. Number of stories
g company 49. Total squarefeet of floor area,
31 Wood frame 41 Private (septic tank, etc.) , b
32 I Structural steel all flbased on exterior
dimensions
33❑ Reinforced concrete H. TYPE� OF WATER SUPPLY
34 HOther — Specify 42 LSI Public or private company 50. Total land area, sq. ft
43 1-7 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SL Enelas.d
35 I Gas Will there be central air 52. Outdoors
3611 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY _
371 I Electricity 441 Yea 451 No 53. Number of bedrooms
38I 1 Coal
39 I I Other — Specify Will there be an elevator' {
Full
54. Number of
46 E Yes 47 F No bathrooms �—
Partial
NOTES and Data/�j- (For departmentnuse)
' Ite.{4r �1 s-t7. ('beet.+ ter„
ats62.1-1,,,atsG JP-et-teat) eeed 14-r1-9 leteesir
IV. IDENTIFICATION - To be completed by all applicants
NameMoiling address — Number. street, ., and Stare ZIP code Tel. No.
33�Ka w ...-Jac-�
owner or
L
contrU4rr etj g 7 r� -�,,�Q„ LI 7 f'. creBuilder's
m °.
actor
•
3.
Architect ar
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 iurlsdlanon.
Signatyap 1 _ Address Application date
,, CI /- J' g0
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plane Review Required Check P Ian Review Date Plans By Date Plans Notes
Fee StartedApproved By
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
e
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
SIGN OR
FURNACE ELECTRICAL II
STREET GRADES RD - - -
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number r�
Building V use Group
Permit issued Lz+/ 9 19
Building
Fire Grading
Permit Fee $ /". 0 Live Loading
Certificate of Occupancy ^S Occupancy Load
A ed by:
Drain Tile $ IUB n.-31g .
Plan Review Fee $
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 APES? - 569 C1909 EYILOI x6 OFFICIALS a CODE ADMINISTRATORS INTERNACIONAL. INC.