38B-095 (6) DEPT. OF BUILDING INSPECTIONS BUILDINGo° "o, 6(:)
! 212 Main Street fa
Northampton, MA 01060 PERMIT
38B - 95 7 VALIDATION
DATE May 27, 19 86 ��RMIT No. 269
James Locke ADDRESS Crescent
APPLICANT (NO.) (STREET) (CONTR'S LICENSE)
Repair/Replacement (_) STORY Garage/Barnl�NUMBER of
PERMIT TO DWELLING UNITS
(TYPE Of IMPROVEMENT) NO. (PROPOSED USE)
ZONING URB
AT (LOCATION) 20-22 Munroe Street DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
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
(TYPE)
permit for re air work most1v cosmetic and replace two (2) interior
REMARKS:
1800 S ft. 5,000.00 PERMIT $ 20.00
AREA OR Q• ESTIMATED COST
VOLUME (CUBIC/SQUARE FEET
)
OWNER Leo Wenstein BU
ILD
ADDRESS 22 Munroe Street, Northampton
4�2A'lad
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - SESSORS COPY PINT -P
.,`_� .� t
. _. L
CITY OF NORTHAMPTON
�. MASSACHUSETTS
r
OFFICE of th INSPECTOR of BUILDINGS
wt Page Plots APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING �,0�
I• AT (LOCATION) �//• 'G.(/7f/ DISTRIC f�. r'�ZJ
LOCATION /02A (9-0.) (STREET)
OF BETWEEN�f/7 ► AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(if residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number of unit - - - - -� 20❑ Industrial
3 ❑ Alteration (See 2 above) s
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 []H-Repoir, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other - SpeciJy 25 E] Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWN 27❑ Stores, mercantile
8 SHIP Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 ❑ Public (Federal, State, or ej►7 A�♦ /
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•,,,,,,,,•••••,• 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 f�g��J� Q
a. Electrical..................... W*rg4e, i mpf 1z,U �ct1 TCi/
b. Plumbing ..................... ?_ m-j-G aIle—
c-. Heating, air conditioning.........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Ll-
for
;for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories..............
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior —
32 ❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TY E OF WATER SUPPLY
34 ❑ Other - Specify 42 F-1Publicor private company 50. Total land area, sq. ft. ...........
430 (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 2
F. PRINCIPAL TYPE OF HEATING FUEL I. TY E OF MECHANICAL
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 ❑ Coal
39 ❑ Other - Specify V'-v Will there be an elevators Full..........
54. Number of
46 n Yes 47 VNo bathrooms
Partial........
IV. IDENTIFICATION — To be completed by all applicants
Name MMaiiJl/iAng' address — Number, street, city, and Stag ZIP code Tel. No.
,Owner or
Lessee
iBvi�ders
License N
o.2 &-O
' H11 W.,
Contractor
3. J
Architect or
Engineer
1 hereby certi 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 laws of this jurisdiction.
Signu a of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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
VII. VALIDATION
Building �� FOR DEPARTMENT USE ONLY
Permit number
Bui Iding Use Group
Permit issued 19
Bui Iding �` Fire Grading
Permit Fee $ / `' O� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by
Drain Tile $ � l
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
ZONING NOTES
FRONTDISTRICT
USE
SIDE YARD SIDE YARD
REAR YARD
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