39A-76 (12) t DEPT, QF BUILDING INSPECTIONS BUILDING ;a cit..... a)
''= Northampton,Math
Street1060 PERMIT r
39A - XXX 76 VALIDATION
Lexington Ave. 035
1} DATE Oct. 28, 1495
88 PE�1IT NO. 696
APPLICANT Chris Dawson ADDRESS l`l b42
IRO.) ITREETI ICGNTR'* LICENIEI
PERMIT TO Alterations ( I STORY Commercial NUMBER OF
DWELLING LINITS
(TYPE or IMPROVEMENT) NO. (PROPOSED Asti
AT (LOCATION) 492 Pleasant Street/Northampton Sl# UKX Grooming Center &=tax BB
(RD.) I ITREETI Breeders Choice
BETWEEN AND
(coon ITREETI (cross ITRSETI
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
permit for interior alterations to existing space to create a dog grooming and pet store
REMARKS: $ (i
VOLUME ESTIMATED COST 10,000.00 *6EMIT s 40.00
(CVY<,lauuE PEW /� GG�� ��p�
OWNER Fd nPvaronrPC //g I&fi
ADDRESS F4 Ryan Road, Flnrenra evlj
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I ,Rp
agXL:0 CITY OF NORTHAMPTON
(.13,,4
h1ASSACHUSETTS
ill OFFICE of the INSPECTOR of BUILDINGS
Page r )(fl Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT - Applicant to coFm�plete all items in sections: I, I1, III, IV, and IX. o
T )Loculi ONl OSTRIcy
LOCATION A rn4.1 ISTREETI 4 '
OF BETWEEN - w� ` _ AND 1 N
BUILDING .CROSS 5TREE.1 (CROSS sTpEETI
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING - All applicants complete Ports A — D
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T^
Ill
1 HI New building Residential Nonresidential -I
21 I Addition/1f T sldential, enternumber 1211 One family 18 C' Amusement recreational
of - housing ands added, i/ any,n 13 ❑ TwoorEl family - f1ne r 19 Church, other religio
3 rmD r non ( e< above) number of tinier- - - -i 20 r 1 Industrial s
� 14 I Transient hotel, motel. 21 1 Parking garage
4 1 Repair, replacement dormitory /otter number
5 ❑ Wrecking (11 milltd roily resede6tial. '/ -- --)- 22 ' Service station, renew garage
enter tinnber of ranits in hnildiVR in 15 _ Garage 23 ' Hospital, insnbnonar
Part D, Iii 24 Office, bank, professional
16 I Carpon
6 _ Moving (relocation) -
1- 1 Foundation only 1] L Othe' - S➢erJy 25 l Public utility
726 :,/School, library, other educational
B. OWNERSHIP .__ 27 y. emres. mercantile
811 Private lindladud, corporation, 201 • Tanks, towers
rofit sura ion, etc.) 29 : Other - 1penfS— —
_ _
9 I Public l Federal State, or I
local governmenQ I
_ _ I
C. COST (Oma cents) Nonresidential - Describe in detaii proposed use of buildings, e.g., food
processing plan machine shop,plaundry building at hospital, elementary
10. Cast of improvement s I DI cholsecondaryschool, college, parochial school parking garage
deportmentrental once buildg, office building a industrial plant. •
To be ailed hutnot included If use ns store, uding is being changed, enterproposed use,
a,e Installed
cost C
a Electrical -, Cava l-44AJC PGT yvv -
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, et ) � (�,
1L TOTAL COST OF IMPROVEMENT E Ali vp7p
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E — L;
for wrecking, complete only Part J, far all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
3c Masonry (wall bearing) , co ✓Pabhc or p ate co-nisa Qe. Number al srar.es
31 i_- Wood frame 41 Private (septic Ian. etc 49- square feet or floor area.
-. s, based on exterior
32 it Structural steel _- _ d�imensmns
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 I Other - Goo-if 42 Publico are con.oa f 50. -o•ol land a m, so, ft l
43 _ Private (web. astern K. NUMBER OF OFF•STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL enclosed
35 a?Gas Will there be centro' au 52. Outdoors 15
36 Oil conditioning' ----
__ L. RESIDENTIAL BUILDINGS ONLY
37 • Electricity 44 & Yes 45 No I Number of bedrooms
38 _ Cool
39 r 1 Other - Sp<n/p x,II the•e be a.. eievolar'
54. Number of or•io
46 r - ri1 Yes 47 _ �/o bathrooms
IV. IDENTIFICATION — To be completed by all applicants
Nome Mai ling address - Number, s rrr , city, arid State ZIP code Tel. No.
eta oeva A)tS 'Y' R-V ab . t4'-troti1 otoroo584 -
Lessee' 1€ t 7
efritAS amzso,.J LK L.es-tit-)(ditv AVE. A `rDN L cense'No. o-3i42
Contractor �� — Z �!-
Architect or 51 F121 L%) i/(-l3 (J61fi tAvn.iP Ib/-) c'r , 01021 52 "1
Engineer ?oPTN- E.'7h`�rt PTo3� t '3a
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 lows of this jurisdiction.
Signature of applicant Address Application ate
—Ayvtc (O ZigY,�/
lam' DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check y Plan Review Date Plans BDate Plans By Notes
Fee Started Approved
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
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building (pn ) FOR DEPARTMENT USE ONLY
Permit number
Building e--�7 use Group
Permit issued C CJ - ax 19 s� IS
Building C Fire Grading
Permit Fee $ RJ �7) Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ 1 ^I _—
Plan Review Fee $
TITLE
NOTES and Data — (For deportment use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIOE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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