08-12 4
.ti
DEPT. OF BUILDING INSPECTIONS BUILDING zo
, �'� Northampton,Street
tr 01080 PERMIT <` 6t°00
-� 8- /2 1//Y/,®_ (},� VALIDATION
�3' ) DATE �C . • - 19 Q. ._, f MIT Ai �_�„„ter.
ate
APPLICANT Z•/•lw^�! ADDRESS '-�Y'/-Z.•.•� UT (Jj ( cOST.5 L
////�� f�? e,i� /y�,�^ 1X4.5 (! Eii) (C/OMiY3 OCE NS 1
PERMIT TO LGLN/�L.�+-E-NE'1+ I p 1 STORY Et/124901 DWENUMLLINGUNITS [
(TYPE 0 IYYMPIOYEMEItT1 �'/♦,� _� �J((��/��jf IMOPPSBO DAM
AT (LOCATION) (�Ea� "IL /4^ 4'A ^ 6 0 ZONING
�
tMDJ (fJ-j(SE�[il'
BETWEEN ANO
(Anon TRUTI IC0.0A StaEEn)
LOT
SUBDIVISION LOT BLOCK. SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY WT. IN HEIGHT ANO SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
^ (,,/y, �.^( !!��,,EE e �- I TYPt)
REMARKS: � _ Y ✓' � `/ . p �p // � $. //� IOC/
VOLUME t ESTIMATEDaaCOST $ /(J 6 N./ ^ PEEWIT .P ""O' ”"(.I
ICY C/SO r ET)
OWNER /Y � F/ /
+l
✓$ . _ a / or ,/
ADDRESS I� BYBull1
WHITE - FILE COPY P GREE - FIELO COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
,40.1----Th.--":44), CITY OF NORTHAMPTON e ,a
trir
MASSACHUSETTS
(.c4.,°a,C' oa OF$ICE�of the INSPECTOR of BUILDINGS
r. Page 8 Plot t Z- APPLICATION F(
INSPECTOR ZONING PERMIT A
BUILDING PERMI
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX.
AT (LOCATION) rf 34 N. th5 57. DIISTRICT" j
LOCATION IN°.1 1:TREE^
OF BETWEEN AND
BUILDING CROSS STREET( (CROSS slREEt1
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 I I New building Residential Nonresidential
2n1 Additionft( residential, enter number 12® One family IB I I Amusement, recreational
in housing
units added, i/ any,
Part D 13)
13 n Two or more family — Enter 19 Li Church, other religious
number of units— — — — —w 20 Industrial
3 ❑ Alteration (See 2 above) ❑
14 I Transient hotel, motel,
41 I Repair, replacement or dormitory — Enter number
21 `� Parking B^reg•
5 �❑ Wrecking her of multifamily residential,in Ir, of units —y
22 LI Service station, repair garage
enter number of units in building :n 15 Rigil Garage 231 Hospital, institutional
Part D, 13)
6 Moving (relocation) 161 Carport 24 Ionia., bank. professional
7 Foundation only n u Other — Specify 25 Public utility
26 n School, library, other educational
B. OWNERSHIP 27 Li Stores, mercantile
8 Ig Private (individual, corporation, 2)3 ' Tanks, towers
nonprofit in tution, etc.) 29 1 I Other - Specify
9 Li Public (Federal, 5tata'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
10. Cost of improvement 1 20,ace. school, secondary school, college, parochial school, parking garage for
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 above cost
a. Electrical /000 ---
b. Plumb' g --
e.Heating, air conditioning ..-----.
d. Other (.levator, etc ) T—._
11. TOTAL COST OF IMPROVEMENT 1 .21)00 a
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L;
for wrecking, complete only Part.1, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
4830 I Masonry (wall bearing) 40 I Public or private company Numbar of araries
31 R( Wood home 41 I 1 Private (septic tank, etc.) 49. Total square feet of floor area,
32 Structural steel all floors, based on exterior
dimensions 16,411
33 I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I Other — Specify 42 I Public or pH vote company 50. Total land area, sq. ft.
6311 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 [ I Gas Will there be central air 52. Outdoors
36 n', Oil conditioning'
n L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 7 Yes 45 TFT No 53. Number of bedrooms
38 LI Coal
39 Other— Sin-city Will there be an elevotor" {.°rota Full
54. Number of
46 L Yes 47 I-1 No bathrooms
Partial
r
V. IDENTIFICATION - To be completed by all applicants
g1 Name Mailing address - Number, street, rut. and Starr ZIP code Tel No.
M
. ., or Avsk•tu C.-roc-yeti 836 N. Kr-1 St. . — ciao 599'2"9
elm Ye«ks.rL p ow f {N a-.d.
•E. ' wks -Rex ( qve 7 Me ina t License No. 30-7.8([i
e Mass. oust
entracte. OA'0'+7
,chit c or .!).Q.—v�Q
nginer
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 assshis authorized agent and we agree to conform to all applicable laws of this jurisdiction.
ignam of applicant / ' / Address n°x fog Application date
\U
.. • e S. v,/}/J/+//S 77 /Y]oATaq.-._-,k4-..>.0,se( 3- /9.-r.5"
00 NOT WRITE BELOW THIS LINE
'. PLAN REVIEW RECORD - For office use
RPlans Review Required Check PIon Feeview D StarPted z By DApe oprPveds By Notes
a
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
II. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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
II. VALIDATION
Permit /32- FOR DEPARTMENT USE ONLY
Permit number /� L
Building i,./.y' _ n p�� use Group
Permit issued �LC�`• ['�— �� 19 r9Ct
Building CO. ire Grading
Permit Fee $ S OG� Li.e Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ - y /�(`J/'�`;d-'s"`"`A'
Plan Review Fee $ �`
TITLE
NOTES and Data — (For deportment use)
Vt—. r6 0 C,
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
X. SITE OR PLOT PLAN - For Applicont Use
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