31B-231 (2) !WIN., DEPT. 6F BOLDING INSPECTIONS BUILDING �°
isDo
212 Main Street oa
1,-- Northampton, MA 01060 PERMIT4
31B - 231 VALIDATION
DATE November 20, 19 86 682
PERMIT NO.
APPLICANT Al Omasta ADDRESS 40 North St. , Hatfield 006762
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration (_) STORY Office Space DWELER OF
LLIING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
57 XXXXX Gothic XXXXX Street ZONING
DISTRICT URC
(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: permit for the renovation of existing offices
AREA OR
VOLUME ESTIMATED COST $ 8.000.00 FEE
$ 32.00
(CUBIC/SQUARE FEET)
OWNER Steve Dashnf
BUILDI
ADDRESS X OXXXXX 72 Main Street, Nnrthamptnn BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSE SORS COPY pi{'INi Slip
?+` DEPT. dF BUILDING INSPECTIONS Z D
BUILDING
212 Main Street o<
Northampton, MA 01060 PERMIT <�
jAla — L34 VALIDATION
ILI
DATE ivovem!he) `9, 19 PERMIT NO.
I nmasta
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 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
offi
ces
(TYPE)
REMARKS: permit for the renovation of existing
AREA OR VOLUME ESTIMATED COST $ PER MIT
FEE
(CUBIC/SQUARE FEET)
OWNER BUILDING OPT.
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INT p
` � CITY OF NORTHAMPTON
MASSACHUSETTS
�• .n" ra OFFICE of the INSPECTOR of BUILDINGS
i ii -� /
Page 1 /Li Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
• BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. C)
I. pl
AT (LOCATION) J _. '"94 ZONING �I
DISTRICT
LOCATION R° ) (STREET)
OF BETWEEN AND /r—"—y
BUILDING (CROSS STREET) IC SS STREET)
LOT
SUBDIVISION LOT -, BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 I I New building Residential Nonresidential
2I I Addition(I/ residential, enter number 12 One family 18 I Amusement, recreational
of new housing units added, if any,in Part D, 13) 13 I I Two or more family — Enter 19 LA Church, other religious
number of units— — — — --> 20 I Industrial'
3 1- ......Alteration (See 2 above)
14 I I Transient hotel, motel, 21 Li Parking garage
4 I Repair, replacement or dormitory — Enter number
5 I I Wrecking (lf multifamily residential, of units — . , 22 Service station, repair garage
enter number of units in building in 15 I I Garage 23 I Hospital, institutional
Part D, 13)
16 Carport 24 I Office, bank, professional
6I I Moving (relocation)
17I I Other — Specify 25 Public utility
7 I Foundation only
26 School, library, other educational
B. OWNERSHIP 27 I Stores, mercantile
8 I- rivate (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 I Other — Specify
9 I I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
A_� 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 + er....447 e1X/J�
I a. Electrical ,�J�'O l// n_�--
b. Plumbing
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 — 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
48.
30 I I Masonry (wall bearing) 40 I I Public or private company Number of stories
31 7Wood frame 41 I 1 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other — Specify 42 I I Public or private company 50. Total land area, sq. ft.
43 I-1 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 I I Gas Will there be central air 52. Outdoors
36I I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ri Electricity 44 LA Yes 45 ^ No 53. Number of bedrooms
38 I I Coal
39 L I Other — Specify Will there be an elevator"' Full
54. Number of
46 n Yes 47 II I No bathrooms
Portia)
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — Number, street, city, and State ZIP code Tel. No.
1. i r f / 7�`'
Owner or
ii• 1 a
•
Lessee
2. Q • .,, it Q /�i/),/y ' --1 Builder's / .7
! �• License No. 6047
a L.L4
Contractor f
a/a3
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.
Signature of applica Address 1 Application date
�D /�".4 Sys tfhtsia
. 9t14
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required . Check Plan Review Date Plans By Date Plans By Notes
4 Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A roval Check Date Number By Permit or Approval Check Date Number By
PP Obtained Obtained
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
(.01D Permit number
Building q/i, t,,e-- q"� 19 Use Group
Permit issuedp� �
Fire Grading
Building
Permit Fee $ 932` Live Loading
Occupancy Lood
Certificate of Occupancy $
Approved by: f
•� A
.....,
Drain Tile $ , e�:, a
Plan Review Fee $ •
TITLE
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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