30A-032 (64) 4WM F BUILDING INSPECTIONS BUILDING Z
° v6
! 212 Main Street o< , 1 d `
Northampton, MA 01060 PERMITI IL
30A - 32 VALIDATION
DATE December 16, 19$��
T73' PERMIT NO. 716
APPLICANT Western Builders ADDRESS Granhy On FiI P
(NO.) (STREET) (CONTR'S LICENSE)
Foundation only Cardiac Fitness Center NUMBER OF
PERMIT TO
(_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Y g
AT (LOCATION)
320 Riverside Drive/Cutler Building, ZONING(NO.) (STREET) DISTRICT GI
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)
REMARKS: permit for the foundation only for a cadiac fitness center
AREA OR ( !�!�
VOLUME 5 Sq. t. ESTIMATED COST $ 2,500.00 PERMIT � 10.00
(CUBIC/SQUARE FEET)
OWNER NN M Cutlery Building Associates - - '
25 Main Street Nortyy,,,,,m,,.,�p�ton Mass. BUIL
ADDRESS f Northampton, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY PAg _ P
CITY OF NORTHAMPTON
MASSACHUSETTS
$ f OFFICE of the INSPECTOR of BUILDINGS
Pa a Plot���—
.YT g APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, ll, 111, IV, and IX. 0
ZONIN
I• AT (LOCATION) ✓�� ! / DISTRI
LOCATIONNO.) (STREET)
�OF BETWEEN r •—w-e:3, —AND
BUILDING (CR SS STREET) (CROSS 5 BEET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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(1/ residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
o/new housing units added, i/any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - •-o- 20❑ Industrial
3 F-1 Alteration (See 2 above) 14Transient hotel, motel,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (11 multifamily residential, o/ units ------- - -- 22 ❑ Service station, repair garage
enter number o/ units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ffice, bank, professional
6 ❑ Moving (relocation) p
17 X Other - Specify Pere 25 Public utility
7� Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 ❑ Public (Federal, State, 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,,,,,,,,,,,,,,,, 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 Z��� 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.)............ Z
11. TOTAL COST OF IMPROVEMENT sjw!l
III. SELECTED CHARACTERISTICS OF BIRLDING — For new buildings and additions, complete Parts E — L;
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 r AP,
te company 48• Number of stories...............
31 ❑ Wood frame 41 E] Pr ate stank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions .....................
33K Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 ❑ Pubor ivate company
50. Total land area, sq. ft. ........... S D
43 ❑
fu)l I, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 E:] Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricit44 ❑ Yes 45 ik No 53. Number of bedrooms..............
38 ❑ Coal yo
39❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 kNo bathrooms
Partial........
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, strert, city, and State ZIP code Tel. No
q
Owner or
Lessee
Buil'e"s
uiIder's
2. ."4, License No. 47.1171
Contractor ro
A r 2 G v�Ai SO ry ! JJ�
Architect o
Engineer
�t s�-
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 Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
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 `lYi
Building . use Group
Permit issued - Cry 19
Building r Fire Grading
Permit Fee $ • y C�
Live Loading
Certificate of Occupancy Occupancy Load
Approved by:
Drain Tile $ -�
t
Plan Review Fee L
TITLE
�. :Ab
NOTES and Data — (For department use)
�a l2 - 6L,-
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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