18D-040 (25) UHM .
212 .Lt+ STftET ,
NOR M:-MT N, MA; 01060 BUILDING o
- asn t PERMIT as
VALIDATION
DATE 1 ' 19 PERMIT NO.
APPLICANT Rnharr Rf)1 Alp ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO ';riDjo (_) STORY .-. DWELLING UNITS
(TYPE OF I ROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) . _ _ DISTRICT
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT LOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP B MENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE .$ .
(CUBIC/SQUARE FEET)
OWNER 1.10.11P't Boldtc
BUILDING DEPT.
ADDRESS >7' 412•' Striet> BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
DEPARTMENT OF BUILDING INSPECTIONS
NORTHAMPTON,EMA. 01060 BUILDING o°
PERMIT• /a. o 7-/O4/
18D - 40
VALIDATION
DATE July 10, 19 Al PERMIT NO. 37a
APPLICANT RnhPrt Rnl All[` ADDRESS 175 jrK +
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Wrecking (_) STORY Wrecking NUMBER OF
hh DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED E)
ZONING
AT (LOCATION) 175 King DISTRICT HB
(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)
REMARKS: Remove 2 hys Of car wash
AREA OR
VOLUME ESTIMATED COST $ FERMIT 1n,nn
(CUBIC/SQUARE FEET) `
OWNER Robert Bolduc
BU
ADDRESS 175 King Street, Northampton, Ma. 01060 BY
G D ,----Iff,44e
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT C PINK - ASSESSORS COPY
• , CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES 9�Ai '� )1.::1 ry MASSACHUSETTS
$"rf,;i n"ra
, ;.3.4; • a(� _ OFFICE of the INSPECTOR of BUILDINGS
DISTRICT
73 ,! �-f` Page ,�1' _ Plot APPLICATION FOR
USE ,,,-
ZONING PERMIT AND
L��jc / 7(Y�— .,--i INSPECTOR BUILDING PERMIT
FRONT YARD 1 Z
IMPORTANT - Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
SIDE YARD SIDE YARD ems/ ZONING
I. AT (LOCATION) r 37,) ////'�/ DISTRICT
REAR YARD 149
LOCATION (No.) /(STREET)
OF BETWEEN AND
NOTES �� G Vv' C-__ _' BUILDING CROSS STREET) (CROSS STREET)
Q1 LOT
( CiZ SUBDIVISION LOT_ BLOCK SIZE
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -4
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
--1
1 I New building Residential Nonresidential
2 I I Addition(If residential, enter number 12 1 One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I Two or more family - Enter 19 I_ Church, other religious
IX. SITE OR PLOT PLAN - For Applicant Use number of units- - - -
• 3 I 1 Alteration (See 2 above) 20 Industrial
• 14 I I Transient hotel, motel, 2 Parking garage
4 Repair, replacement or dormitory - Enter number
! i ofunits - - . 22 Service station, repair garage
5 Wrecking (If multifamily residential,
a. : enter number of units in building in 15 I I Garage 3 Hospital, institutional
■ ■ Part D, 13)
: ■■ 16 I 1 Carport 24 Office, bank, professional
6 I I Moving (relocation)
: ■ Ii • 17 Other - Specify 25 Public utility
! 7 ri Foundation only
Whoa ! 26 School, library, other educational
sa::a■sa - : my
sonsi■aa as ••as .- 27 Stores, mercantile
aaaaa.aa.a.saaa r • ■ aaaaa $�!t�'e•aaaa '!sa •a sa ■•sas»as...... a B. OWNERSHIP
-'ii :::::.an• ••m•• aars•■as�
$�•ss: � a •! �: a.r�■atar o■a aa.aa ■a 26 Tanks, towers
wma g� a • a• • at.rr.r
a•asiiiii a a::asa aa•••aaas :I�I••ass a a 8 I I Private (individual, corporation,
aa•a
a :. nonprofit institution, etc.) 29 Other - Specif
•
:sag a a 9 1 I Public (Federal, State, or
local government)
:; :! a C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
•a ■■a■:. processing plant,machine shop, laundry building at hospital, elementary
■■!■atta•aaa• :
aw•■a•a■au:s•!vw•a : ! ! 10. Cost of improvement $ ����� school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
$$am•• ! !•a To be installed but not included If use of 'sting building is being changed, enter proposed use.
in the above cost
tns■•a�e . ! :
:
a. Electrical ��y� ��/J
I3.n••a•a'O000OOaa.: ••!! : sir b. Plumbing
•a■smsa;:••amm ! : = c. Heating, air conditioning
s=•$$$:::�i:•i s•s•asss:mma __ : m :• d. Other (elevator, etc.)
meOOaa••aaii:3a:::a:::: : * * • a a ■ • • a : ■ a ■ a s : ■ / �—
ia:::! :::::::::#:::::::::: a : :! : 11. TOTAL COST OF IMPROVEMENT $ c, U1
�::!!•.$:......$:::::' ......l:$:am:mmaa _ : a III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E — L;
Isalm:ml:aa::n1. !!SHI . !"! :a.aa mi • a : for wrecking, complete only Part J, for all others skip to IV.
! ! ! : E. PRINCIPAL TYPE OF FRAME G. TY'E OF SEWAGE DISPOSAL J. DIMENSIONS
P:: • • • aaaaaa:::a::::::a:!•= a 48. Number of stories
a: !•la#a:•lw: ••::a _ama_ a ! 31130 Masonry (wall bearing) 40 Il Public or private company
Y
l mii • • 1:a•:m aalaa • __ C • ■ •_M
a Wood frame 41 • Private (septic tank, etc.) 49. Total square feet off oar area,
1111 :a$asaa.a::Nua • •:sass,■: s■s : s::::::s:::s: ar :sa: I I all floors, based on exterior
Ii$!!!$!C $$:a.a!$aa.:!! : : ! : 32 Structural steel dimensions �. �.
!lap
a !! :ss::aa a :•4!! _ a• 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY VVV
: !
s ! s .. s ss:saaaaaaa s::sms::ss:a
• l:a:: a:a aa: • ! p ■ 50. Total land area, sq. ft.
is ! • :ern : - ma! :a•u Mini: ■ 34 I Other - Specify 42 ublic or private company
-
lini !•aaaaa ::asaaaaaauaaaaa•!aa$aas! _! !••as:l !� •a.a.a aaa..a =aar� ! 3 1 I Private (well, cistern) K. NUMBER OF OFF-STREET
_i s • •■as aas ■ ■■
as a:• a!!:■:a:::::::•s:•::a:ss•'i IL, r
i ••w • • • • • s • r • PARKING SPACES
•a:aaatm!•a •sm::S::::al::!!!!!a• a.aa as•y aaaa:: !: =a!! !!■ 51. Enclosed
il' s: :sls•!•ls: :! •� • ••• : s F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
:$,aas•••• •• • $..$:.s$$mas:!slams : s s :MUM: s
$m$ sma$$$$$ff: t ::ss:sa•:$$am:aa :a$lssalsla•aa••a! ! : a n ■ $::• $$:a:::::::m !m••s ai: u ■ a.a: :::::::•5• 35 I 1 Gas Will there be central air 52. Outdoors
Ias m::::::sa::$$$$:aas a. a t:aaaaasaa•m MI. a a aas:•i;:�::l:::::::s:$•as:■$aasaa■a:aas•aaaaa•! conditioning?
:•• ••• "••a:•! aaa:aarZ:aiam!!S !!m:• ... ::::::::m!! . . .:::::::lam! 36 Oil 11 s. �al m ul::$:J$:•$maaa■a! a.. a$asa:• a■aaaaa•aaaa a::: •■ a.jal.aaaaaaa ••a•: :a:: a L. RESIDENTIAL BUILDINGS ONLY
iiii S>�!!m am a!•• • a $!ml:11ii:::mm!=!i!a! II: a:aa•••a •:an:x!Si:a::lamual::maas::l:n a ••sai:::U.....n::::••aaaaa 37 pi Electricity 44 I Yes 45 n No 53. Number of bedrooms
sa... as ss seas •. a. ••�u_� m :: a a.aaa•$saaaa a. s as.. :::asa:saa....a..aaaa:aaaaa ::s::s:::as I 1 coal
$a•$•$$ •$■ $ m $$: $$$ u$a• ::.s..s.. : s mas$aaeeR$ a :::....•s.■■a
1 l:m!lmmlmm:ltI!!am!lla iimmla! ;.ia;1 >;n„•t•oa•s _ _ it mmul::!lm mmismmm:lsa!4ai■•ssir,a:l:::: : : 39 I 1 Other - Specify Will there be an elevator? 1 Full
54. Number of
46 I I Yes 47 I I No bathrooms
Partial
BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
4
,/Nap4me a p jMaili�ngg addressdd — Number, street, city, and State ZIP code Tel. No.
O NOTES and Data — (For department use)
Owner or
Lessee -- -- I
-Buiide,re .-
2.
71 1P .. 3k I44rult14:)., i" License No.
Contractor
3. .
Architect or
Engineer
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.
Signat re of applicant 4Address Application date
/` � / - -- , 2-1-i/
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans ByNotes
q Fee Started By Approved
•
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 <'r1 /
Building . Use Group
Permit issued Aii,/Q 19Building Fire Grading
Permit Fee $ /g. ,'O Live Loading _
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee