07-027 (6) DEPT.OF BUILDING INSPECTIONS ` BUILDING ... Ua
212 Main Street PERMITml
Northampton,Mass.01080 7- 7-7
Dial
',`''`'�I ]] �j VALIDATION
pn DATE / , 13 ...5"-it
19 ?I PERMIT NO 3S-•
APPLICANT C.O�•�•'VV�� + ` ADDRESS SS7e7724 ;keg
D.) ' (STREET)r ICONTR•S LICENSE)
�qy� y - NUMBER OF
PERMIT TO`/]•'/aOVOAMW II STORY DWELLING UNITS
(TYPE OF IMPROV NT) '-'jj_� � NO. (PROPOSED
//�1/0 (PROPOSED USEI +�
AT (LOCATION) STT "t+ . :+f••-, !l' ZONING L Z
DISTRICT
(No.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STNEETe
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
.9 ppp(((��J ��-��'��. ��+ (TYPE)
REMARKS: / &� Toter ad @t ✓'pp cµ $
VAREA OROLUME ESTIMATEDICOST $ ••P� I've d 'arm /Q t O 0
�//� )CUBIC/EOUARE a.FEET)
OWNER leend4S tQJ P��/14?t 1�III - //(n/,''
ADDRESS S'E9 �O BYIL(..!/M'HlV�N �Z � '
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
BUILDING 111 ''' ' v - al
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`1 PERMIT A
s v
44-7
VALIDATION ION
DATE ( 4314
APPLICANT ADDRESS
(No) '
fEM
UT [ PELRMiT(4Ni . �V }
ICONTAM LIEENSEI
I PERMIT TDI (0 1 TORY NUMDOF
WELLING UNITS
{, (TYPE or IMPROVEEEMMM EXT) (PROF088O no
AT{LOCATt011) TY TE q9 ALAMOS ZONING a DISTRICT '�44
IPOd 1 ARCM
1 8 BET'G'EEX - t AND _. �,.^ ...
k ' (CROSS STREAM '' (CROSS STARETI
* LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM III CONSTRUCT
'"R. S TO TYPE { USE GROUP • BASEMENT WALLS ON FOUNOATIQ14 jLA.
s I Jj����� ��r�. r con tTY !
)1 � MNSi teats—tat, / lvw.fv MI �(- WEIR TyNy
en
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•• ESTIMATED COBT $ See a ICId Wens$ J0400
tcUSR40UMMil
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_ Sit BUIL�rM6y WaEea� y t 3• I/ A 1.
^' TPhM.• @N/ BY IIFR[J'PF'M j/,�/`r '�^�
WNf E - FILE COPY . GREEN- - FIELO$COPY . CANARY • APPLICANT COPY * PINK -'ASSESSORS COPY
DEM. d�wuecnos.
=. ZISSMM
ISIS,.01000
APPLICATION FOR
7— -7 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I. II, III, IV, and IX. O
//� (12,-)
ZONING
AT (LOCATION) ' DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) ICRosS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF'BUILDING - All applicants complete Parts A - D
V.
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
-n
-i
I I New building Residential Nonresidential
2 L f Addition(If residential, eater number 12 One family 18 n Amusement, recreational
of nein housing units added, it any, 131 Two or more family - enter 19 Church, other religious
Part D, J3J ��
number of units- - - - y 20 Industrial
3 X9Alteration (See 2 above) ��
14 I I Transient hotel, motel, 21 I I Parking garage
1
4 Repair, replacement or dormitory - Enter number
5 ET Wrecking (1/mu/Li/amity residential, of units y 22 I I Service station, repair garage
enter number of units in building in 15 0 Garage 23 I I Hospital, institutional
Part 0, 13)
6 Moving (relocation) 15 L I Carport 241 I Office, bank, professional
7 I Foundation only 17 L I Other - Specify 25 Ej Public utility
�/J����� 251.i School, library, other educational
B. OWNERSHIP �"'"5_ "'yL''v'� 27 I I Stores, mercantile
B Private(individual, corporation, �i . ._.,i/r.r� 442..1- 28 I I Tanks, towers
nonprofit institution, etc.) 29 n Other - Specify
9 ❑ Public (Federal, State, or f3D-ai./
local government) _ �`
C. COST (Omit rents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
10. Cost of leAnta_ processing plant, machine shop, laundry building at hspil, elementary
improvement $ d��� school, secondary school, college, parochial school, parking garage
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 use.
in the abovecost
a. Electrical
b. Plumbing
c.Heating, air conditioning
d. Other(elevator, etc )
11. TOTAL COST OF IMPROVEMENT $ 1-e?-65-0
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Port if for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 1,,��.s )
30 ri Mas my (wall bearing) 40 L [ Public or private company
4e. Number of stories '�' V
31 X Wood frame 41 Private
(septitank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
331 I Reinforced concrete H. TYPE OF WATER SUPPLY
34 Li Other - Specify 42 ePublic or private company 50. Total land area, sq. ft
431 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
Si. Enclosed CS
/{'^
F. PRINCIPAL TYPE OF HEATING FUEL I. PE OF MECHANICAL `
351 I Gas Will re be central air 52. Outdoors
361 I Oil conditio '..i
L. RESIDENTIAL BUILDINGS ONLY
37 I Electricity 44 Li Yes 45 LII No 53. Number of bedrooms
381 I Coal
39 Ti Other - Specify Will the .e on elevator'
54. Number of Full
• S Yes 47 FE No bathrooms
Partal
NOTES and Data — (For department use) 0044#01
a 2 4 Misdansear.., AI
IV. IDENTIFICATION — To be completed by oil applicants
Name Mailing address c II -r, utrc a., and grates.. an.?Sane- ZIP code Tel. No.
Owner a, _.....:..: e 4H624..,„5 624..,„5 .�, 549 /Va . l—a..-a. s >Fd .
Lessee
a; g P? a jeers_ e'Hr. _
Contractor
3.
Architect a:
Engineer
I herebycertifythat the
proposed work is authorized by the owner of record and that I have been authorized by the owner to
make th” mcpllcation as his authorized agent and we agree to conform to all applicable lows of this jurisdiction.
Signor of, X1.9 .... Address ( Appliwtlon date
n (Ln R, fc.✓vAUA^v� 0�1-5-PE
)
DO NOT WRITE BELOW THIS LINE
V, PLAN REVIEW RECORD — For office use
P Ions Review Required Check Plan Review Dote Plans BDate Pions ByNotes
quire y Fee Started Approved
BUILDING
PLUMBING $ — _
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obttained Number By Permit or Approval Checote - Obi lined Number By
BOILER PLUMBING
._,.._
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD I
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
_.......... _ _ _ — .�
OIL BURNER WRECKING
OTHER OTHER — � — --
VII. VALIDATION
Building �yFOR DEPARTMENT USE ONLY
Permit number v/
Budding 41Use Groep
Permit issued 19ne
Building . Fire Grading
Permit Fee $ _ (0.0 L;ve Loading
Certificate of Occupancy $ Occuponcy Load
A edd byby:: /}
Drain Tile $ tz .
•
Plan Review Fee S B
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
ry
i ?
.fry 3 i J - 5
f j
i I
.. i I -
-
SOCA FORM AP - 669 CI909 OUILLUNG OFFICIALS B CODE ADMINISTRATORS INTERNATIONAL, IHC.