32A-138 (28) e/^7P ' Of / G%�'T'b/t+i,,,/ r-o BUILDING(� fr
z. DEPT. FILE COPY
1 b—TH �'l (7�t�ti MAW j7i`a BUILDI G in
e1 ,r, 4 ` '(33 n 1�JLPEe�IM{�I�jT - VALIDATION
`6 DATE /Vlal-4-0
f • `q� tat,_ PERMIT O. 2�
APPLICANT SClORESS Ia<� �1CQy.
(XOd 19TREETI ICOXTWS LICENSE)
PERMIT TO STORY DWELLiINRG UNITS
(TYPE Of
j��O}fIMPROVEMEMT) �MO. (PROPOSED USE) -
AT I LOCATION) G�` _ i . ZONING
DISTRi
Ix0.1 IST ETI DISTRICT
BETWEEN AND-.
(CROSS STREET) {CROSS STREET!
O LOT
e SUODIV{SION LOT BLOCK SIZE
V BUILDING IS TO BE—...., FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
0
O
Z TO TYPE USE GROUP ....BASEMENT WALLS OR FOUNDATION Met)
0
W REMARKS: K/%�+A. l.,e^'^--'�T/"'a'i-
VOLUME_. ESTIMATED COST W FEEMIT 10€001 VB(� IC/SQOARE FEET) $
OWNER y�PR'�'_ .� y [ !1y (/�/�/',^'�/
AODRESStrAlt4NL -41-9- 84?'f I�E'=CSC�-�'12VT
(Affidavit on reverse side of application to be completed by authorized agent of owner)
.-t
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 hpplication .as his
authorized agent. `
SIGNATURE Or AGENT
ADDRESS
(NUMBER) (STREET) .(CITY)
APPROVED BY TITLE
DATE 19 .
City of / ieirri410.-OM FIELD COPY
Nenft +-Mp'[Ot, ,&9as BUILDING
30 A - j38-
rPERMIT
I ES` l9 PERMIMIT/jV O.
297
APPLICA 1 / OURESSSY'� i.e .6. I
A (STREET) ICONTEM IEENSEI
/, 4 NUMBER OF j
PERMIT TO ./� ` (o l STORY DWELLING UNITS ....
(TYPE F IMPROVEMENT) (PROPOSED USE)
` G ^ �,{�/j^j� ZONING
AT(LOCATION) /^T" .... DISTRICT
IxO.I .9Y ESTI
a BETWEEN _ ` AND
(CROSS Sr-[Eij (CROSS STREET)
OF
LOT
m
SUBDIVISION BLOCK SIZE
nto i
BVOILTCING t5 TO BE USE GROUP EMENT WALLS OR FQUNDATIIONF.IGNT ANO SHALL CONFORM IN GON9TBVCT ION ).
0YPE
2
3 t"
REMARKS: _.
—. ..
1
AREA OR 0 ,.1�T/u �� PERMIT $ /00044
VOLUME ESTIMATED COST FEE I
URIC/SQUARE FEET)
491 I
OWNER ��. +
ADORES ...-..... " I
INSPECTION RECORD
GATE NOTE PROGRESS - CRITIC 35 M5 AND REMARKS iNSP ELTOP
a"cm.t CITY OF NORTHAMPTON
A ' • MASSACHUSETTS
-..'c '5.,
°:-�J�•�- r(� OFFICE of the INSPECTOR of BUILDINGS
c�ry> Page 3 _ A Plot /38 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. �� o
AT (LOCATION(
as !'O/4/N r uoRYA/4 Al ToN- , ZDIS
ONIPCTeV
LOCATION 'NO.i (STREET:
OF BETWEEN AND
BUILDING (CROSS STREET( (CROSS STREET.
LOT
SUBDIVISION 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"weeding" most recent use m
In
ti
1 I I New building Residential Nonresidential
2 1 Addition(!(residential, enter
number 12 fl One family 18 T7 Amusement, recreational
of n housing dmfs added, if any,
In Pmt D. 13) 13 r Two o, more family - Entry 19 n Church, other religious
3". Alteration (See 2 (rewire)
number of units- - --- 20 Industrial
14 n Transient hotel, el, 21 fl Parking garage
4 Repair, replacement or dorm ory - Enter number
5 I Wrecking (11 mallifardla r 'den al, of units -X- 22 [1 Service station, repair garage
m
enter,u. ber of units in building in Is I I Garage 23I 1 Hospital, institutional
Part n, II)
6 n_ Moving (relocation) ,,�I 161 I Carport 241- I Office, bank, professional
7 f Foundation only 17Other - Specify 25H Public utility
261�I School, library, other educational
B. OWNERSHIP 27'Pt stores, mercantile
6 Li Privatea
(individual, orpor is 28 L� Tanks, rowers
nonprofit institution, etc.) 29 pi Other - Specify
9 Li Public (Federal State, or
local government)
C. COST (Omit Cent AS Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing ssingplan machine shop, laundry building at hospital, elementary
10. Cost of improvement $ $21 S CY0 chool, secondary school, college, parochial school, parking garage for
departmentrental office building, office building atindustrial plant.
7 o he stalled but not included II use of existing building is being changed, enter proposed use.
in. theElectrical abovealcost
a. Elumbi cal 4 / /A
b. Plumbing •l" a'-�^^(/(�/�'s�C�
c, Heating, air conditioning
d. Other(elevator t ) q _- - - - -
11. TOTAL COST OF IMPROVEMENT $ 97821C
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 n
30 g Masonry (wall bearing) 40 X Public or private c 48. Number of st i /�v�S.
31 i Wood home 41 Private (septictank, etc.) l floors,
49. Total square tee of flo N
32 fl Structural steel dl dim ensionsbomd on exterior
33I Reinforced concrete H. TYPE OF WATER SUPPLY
34 [-i Other - Specify 42 K Public or private company _
50. Total land area sq. ft.
C.:7
43 , Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL sl. Enclosed
35 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
38 r. Coal
39 7 Ot4er- Specify_ Will there be an elevator" { Full
_ 54. Number of
46 L 1 Yes 47 I No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants ,
Name /Mailing address Number, cfreer, , and Curie ZIP code TeL Nod
I. TO SULA Ic C n'5 A^" ..
Owner or
Lessee
1 YJ.o_ o6A-A{TJ/Li"L. j / CArt.'_ £9 Builder's
V License No,
Contractor
3.
Architect or
Engineer
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 jurisdiction.
Signature of applicant Address Application dote
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans ByDote Plans ByNotes
quire Fee StartedApproved
BUILDING � �■ _.._
PLUMBING I-, —_
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DaPermit or Approval Check Obtained Number By Permit or Approval Check Obte ained 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
Building39'7 FOR DEPARTMENT USE ONLY
Permit number
Building. use Group
Permit issued (((/// it. 19
Building Fire Grading
Permit Fee $ (0 V,
Live Loading
Certificate of Occupancy $ (�J-Qf) � ///�Occupancy Load
Ap ved by: �/�>VRW'- 2s,
Drain Tile S _
Plan Review Fee $
TITLE
NOT ES and Data - !For department use)
.lisp ;i ' .�
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD
SIDE YARD
REAR YARD
NOTES
SIaX. SITE OR PLOT PLAN - For Applicant Use a; �,ap �p6_
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