15B-012 (19) Department of Building Inspections BUILDING =
212 Main $trwt 0
Northampton, Ma, 01060 PERMIT <"
15B - 12 VALIDATION
Y
DATE JDily 1/1, 19 A? PERMIT NO. ,SDA
APPLICANT C} 71
a� wn Frnllsln• AODREESBOO.+CnT�{no�E cEx
Ixo.1 is Tp Cil Ic p xi R's _1CENSE)
NUMBER OF
PERMIT TO n
(TYPE 11 ti, FM[xTl IZI STORY na p PAmU a VI d. 4101 4{n0 pWEL LING UN
ZONING 11RA
AT (LOCATIOXI DISTRICT
I x0.1 WT
BETWEEN AND
(CROSS STREET) 1LR055 z
LOT
SUBDIVISION LOT�_BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN XEIGNT AND SXALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
- ITn EI
REMARKS! vjlDIFFEIII naNpl{ { n._of onr F +ly �jre11.{�g
P
AREA OR ERMIT QQ��
VOLUME ESTIMATED COSTFEE pKnn -_��
IL YBI[/9pVARE F6Ei1
OWNER S r,,lh{nnrIN nnlMnn T_ Su1{nnk{ BOIL
ADDRESS On �i g Ct Wct, NnTFhaTt=nt Na ninfio By
WHITE - FILE COPY A GREEN - FIELD COPY A CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
CITY OF NORTHAMPTON
e eg MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
i
Page_. �St� plot /2 .._ APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant no complete all items in sections: t, It, fit, IV, and IX. o
1. tr RtX rznaRl 7St .S t� L ST -... zovac x �/
LOCATION 1N0 ' lertry'i
OF wa-rwep« Ono
BUILDING Ixmpe, sIIIITI ,rrza,e
aVBaIYIaION� Lal'�B�aCK X51 ZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -+
P0
A. TYPE OF IMPROVEMENT IT PROPOSED USE - For"It-clone" moa re mi use m
m
1 Na,, bui)ding Res'��Ji����depntial Nanresidemial -1
R?rusi
2( Addoir denria, evrar mm�ber 12 i ona family 16 Amu - nal
n/rzr a h.u,ins r h, odi i/ nor,
zamenq .veuo
in Parr D, 1)) 13 Tw o e far,ly _ Erin, 19 �� CFm<h, ochre re li g'.aux
u,nl,er o/ -- - - _ y
3 ABerorim (Sae 2 mhova} snit,v 2O n indaztriai
14 -� Trantiem hotel, mole 1, 21 parking garage
4 Re pair, reit..enc or dnrm ilory _ E111- anther
F�-�' rz
�+`�± In,- iii-b I/ rind,itsiId,rad'ro.1'
in Go e,. ... y_ 22 0 S-punt, ho,n. .nrI 9aro4e
rR
P—I „r,ma e,o/ ,.e,er.e;,, &a rr ding ;a 15 [...Icaraq, 23 ❑ Hon pi ml, mnara+lana
arc p, 13)
5 0 Mmrtnq (-r.I ocaeron} 16❑ Corpmr 24 F I OI(ior,bank, present)anal
7 [' I1 F,alydmian oply l,7❑ Ocher _ Sped/Y 25 Public nihty
ner- 26 ❑ School, library, och .6-1In al
B. OWNERSHIP rL� � 270 5+a1ae, reercoer, t,
B Pri.ote (indbidual, corpormion, nn /nJ � yy// ��12B Tanmwen
alit imti tvttoa,ate.} f.LtL+s1M _Ir�4n',,; 7 29 Oks,On—
9 Public (Fade ra 1, State, or
government)
6. 60ST local (Omrr"o"I Nchinco deralat - patellae i,,detaii oroposad ata of buiid;pgn, e.9- food
/ 0 proton si ng plour, machine shop, -,midry building el hospital,eunri...0 tory
10. Gast of improeemen),,.. ,,,_,_,,,, echool, recon dory school, ca liege, parochial eahool, p or nn garage lfa
If ueetmeet store, mn+at ig it bis do ha,ged,office b,.iid:ng m d die.ria: otaar,
inbe ain't, 1 bra nor lrzdaded If use o(eeis ti ng but ld)ng in being changed,d, ewer proposed us
i
a ram above cast °'
m bi itaf......................
b. Plumbing ......................
c, Heating. air conditioning..........
A.Ofhm off eyataq a to.)---- ......
11. TOTAL COST OF IMPROVEMENT
$ L'
...
IIL SELECTED CMARACTERISTlCS OF 8UlLDING For new buildings and addirvans, complete Parts E — L;
(or wrecking, Complete only Part J, for all others skip to V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL A. DIMENSIONS
30 Minority (wall bead.,) 40 E' J Public or pdame company 46. "umbar o1 enol—...
31 Wood bome 41 Cf Pd rete(septic tank, etc.) 49. Total stunt,loot of floor area,
SI,uc+ural areal
32 111 floor.. bored an srorior
0 ....... dimeneione .....................
33 Reinforced e000ete H. TYPE OF WATER SUPPLY
IY Privoxe company 50. Tarim land area, ria. ft ...,..
a L. ah« — stria m,§lla or
43 F-1Private (well, —i—) N. NUMBER OF OFF STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0t' Encioaed ......._..............
35 Gas Will there be canvas ale 52. Outdaorn........................
36 � � 011 'arid)mini ng
--
37 Ele ca:c:ry Yes 5 .� No L. RESIDENTIAL BUILDINGS ONLY
—. 53.
3e Coat lJ
l
39( .J Orhar - SP,ri/y Willrber. an ale. n Full..._.....
pl, Yez A7 I>J No borhrpomr
Fm fah
IV. IDENTIFICATION — To be completed by all applicants
Name ma's ing address — %-,br,, s c, —1 Stair ZIP code al. No
1. Pf It
,7
L<eee. M9I Y Gol-6w �1 9G
L✓' L rN Sir) Bwla<,•s
L- No.
Canrroao "^
a. W
A.cMrecr o
Engin er
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 AppP ars date
7/ly/�a
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review DarainPlans Date Plans
Plans Review Required Check Fee Sned By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Do a ObtaObtained Number By Permit or Approval Chec ObDa toed 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
Building FOR DEPARTMENT 115E ONLY
Permit number i�ogC
Building. ,G tJse croup
Permit issued 7 19 gZ
Baild ing Fire Got,Permit Fee d V
Llae Loading
Cerci Picaie of Occupancy $ Orcuponcy Load
ed by:
Drain Tile $
Plan Review Fee $
TITLE
NOTES and Dara — (For department ase)
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