32C-224 (45)NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name
Mailing address — Number, street, city, and State
ZIP code
Tel. No.
Owner or
Lessee
Date Plans
Approved
B y
Notes
BUILDING
ELECTRICAL
$
FURNACE
2.
GRADING
USE OF PUBLIC AREAS
Builder's
License No.
PLUMBING
Contractor
$
3.
Architect or
Engineer
MECHANICAL
$
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 laws of this jurisdiction.
Signature of applicant /
Address
Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required
Check
Plan Review
Fee
Date Plans
Started
By
Date Plans
Approved
B y
Notes
BUILDING
ELECTRICAL
$
FURNACE
STREET GRADES
GRADING
USE OF PUBLIC AREAS
OIL BURNER
PLUMBING
OTHER
$
MECHANICAL
$
ELECTRICAL
$
OTHER
$
VI. ADDITIONAL PERMITS
REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval
Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained y
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
Permit number
Building
Permit issued 192re
Building
Permit Fee $•��e Cio _
Certificate of Occupancy $
Drain Tile $
Plan Review Fee $
by:
FOR DEPARTMENT USE ONLY
Use Group
Fire Grading
Live Loading
Occupancy Load
TITLE
INSPECTOR
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of AUILDINGS
Page i�cPlot —
APPLICATION FOR
ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT— Applicant to complete all items in sections: I, 11, 111, IV, and IX.
I•NING
LOCATION
f y r? _,
AT (LOCATION) ,l Ir 1? l
I
— DISTRICT
(N6.) T(STREET)
f
OF
BUILDING
BETWEEN AND
(CROSS STREET)
�
b. t e ✓�o r�` +�,.e
(C OSS STREET)
SUBDIVISION LOT
LOT
BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT
D. PROPOSED USE – For "Wrecking" most recent use
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)
3 ❑ Alteration (See 2 above)
4 Repair, replacement
5 ❑ Wrecking (If multifamily residential,
enter number of units in building in
13 ❑ Two or more family — Enter
number of units— — — — --)�
14 Transient hotel, motel,
or dormitory — Enter number
of units — — — — — — — — i
15 ❑ Garage
19 ❑ Church, other religious
20 Industrial
21 Parking garage
22 Service station, repair garage
23 Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation)
7 ❑ Foundation only
16 ❑ Carport
17 ❑ Other – Specify
24 ❑Office, bank, professional
25 ❑ Public utility
26 ❑School, library, other educational
27 ❑ Stores, mercantile
28 ❑ Tanks, towers
29 ❑ Other – Specify
B. OWNERSHIP
8 ❑ Private (individual, corporation,
nonprofit institution, etc.)
9 ❑ Public (Federal, State, or
local government)
C. COST
(Omit cents)
Nonresidential – Describe
in detail proposed use of buildings, e.g., food
10. Cost of improvement, • , • • • , , , ..... , .
To be installed but not included
processing plant, machine shop, laundry building at hospital, elementary
school, secondary school, college, parochial school, parking garage for.
department store, rental office building, office building at industrial plant.
If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical .....................
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.) .............
$ LO Uv
11. TOTAL COST OF IMPROVEMENT
111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Ll-
;for
forwrecking, 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)
31 ❑ Wood frame
32 ❑ Structural steel
40 ❑ Public or private company
41 ❑ Private (septic tank, etc.)
48. Number of stories ..............
49. Total square feet of floor area,
all floors, based on exterior
dimensions .....................
r a
—'
H. TYPE OF WATER SUPPLY
42 ❑ Public or private company
33 ❑ Reinforced concrete
34 ❑ Other — Specify
50. Total land area, sq. ft. ..........
K.
NUMBER OF OFF-STREET
43 ❑ Private (well, cistern)
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL
I. TYPE OF MECHANICAL
35 ❑ Gas
Will there be central air
52. Outdoors ........................
36 ❑ Oil
37 C1 Electricity
conditioning?
44 ❑ Yes 45 ' No
L.
RESIDENTIAL BUILDINGS ONLY
53. Number of bedrooms ..............
38 ❑ Coal
39 ❑ Other — SpeciJy
—
Will there be an elevator?
Full ..........
54. Number of
46 [-1 Yes 47 ❑ No
bathrooms
Partial........
DEPT:,OF BUILDING INSPECTIONS BUILDING Z° C;O . 7�
! 212 Main Street 0
Northampton, MA 01060 PERMIT
VALIDATION
32C - 224
DATE September 2, )g 86 PERMIT NO, 506
APPLICANT Charlie Wang ADDRESS 79 Rear Hawley Street Owner
(NO.) (STREET) (CONTR•S LICENSE)
NUMBER OF
PERMIT TO i
Repa. t/Reptarem .rA—) STORY Cleaners/mercantile DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 79 Rear Hawley Street DINING URC
D ISTR ICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION
BUILDING IS TO BE
TO TYPE
LOT
LOT BLOCK SIZE
FT. WIDE BY FT. LONG BY
USE GROUP
FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit is for the repair of storage rooms and alternative cloths and garments for
existing cleaners
AREA OR VOLUME
ESTIMATED COST $ 5.600.00 FEEMIT 20.00
(CUBIC/SQUARE FEET)
OWNER '.�',amP ra- ADD] i(-,qnt
BUIL
ADDRESS FA Grapifwnnd Dr-, Amherst,
Mac,,,- 01002 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY