30A-032 (65) a DEPT. OF BUILDING INSPECTIONS BUILDING ZO /
212 Main Street 0<
Northampton, MA 01060 PERMIT
30A - 32 VALIDATION
ATE January 27, $6 MaInM� TtNON 39
APPLICANT Cutlery Building �ssoc ADDRESS
(NO.) (STREET) (CONTR'S LICENSEI
PERMIT TO Addition/Alteration ) STORY Proffessional Office NUMBEDWELLR
NOF
G UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 320 Riverside Drive ZONING
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)
ar
REMARKS: permit )O alterations/addition to create a cardiac fitness center, exercise
and medical o ices
AREA OR 3680 SCJ. ft. 100,000.00 PERMIT $ 280
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
Applicant BUILDIN
Same as A
ADDRESS Ap BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pAft
CITY OF NORTHAMPTON
�• MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
Page - C. >� Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
`r'T
I• AT (LOCATION) Qk DISTRICT v-1
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
fJt
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,M Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
o/ new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
3K Alteration (See 2 above) number of units— — — — —> 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement oro dormitory — Enter number
/ —�units ------- — 22 ❑ Service station, repair garage
5 ❑ Wrecking (Il multifamily residential,
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24EKOffice, bank, professional
6 ❑ Moving (relocation)
17 F-1Other — Speci/y 25❑ Public utility
7 F—] 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 F-1Public (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,,,•••,,,,,,,,,, S 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 t I
a. Electrical..................... L r ,
b. Plumbing ..................... D ®
c. Heating, air conditioning.........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT 3 6b. A
III. SELECTED CHARACTERISTICS OF BUILDING — 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
304 Masonry (wall bearing) 40Public or private company 48• Number of stories...............
31 ❑ Wood frame 41 �Privote (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Speci/y 42 N_ or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
r--� L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 F"7-1 Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46n Yes 47�No bathrooms partial.......
0.
IV. IDENTIFICATION — To be completed by all applicants
Name ��Mailing address — Number, stmt, city, and State ZIP code Tel. No.
14 AS, u �lbb� S�� Td
owner or
Lessee
Y
1 Builders
2, License No.
Contractor
1
3.
Architect or
Engineer y
1 hereby certify that the pr posed 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.
Si ature of applicant Address Application date
00 OT 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 Obta ned 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 n FOR DEPARTMENT USE ONLY
Permit number 137
Building. Use Group
Permit issued °Z� 19 B6
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by-
Drain Tile $
Plan Review Fee $
TITLE
w
NOTES and Data — (For deportment use)
Vill. ZONING PLAN EXAMINERS NOTES
SIDE YARD SIDE YARD
REAR YARD
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