23D-196 (6) DEPT. OF BUILDING INSPECTIONS . BUILDING tic
212 Main Street �, � PERMIT /,,,ta�
Northsmpl on.!pleas.WOW
VALIDATION
DATE 19>` P NO. `) `
9
APPLICA9 aza.h.."
ADDRESS.WI
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
• PERMIT TOa 6/r'.0104 (_l STORY DWELLING UNITS
(TYPE OF IMPROVEME NO. �/� (PROPOSED USE) `'
V/ ,,,/(�f ZONING -'/;-
AT (LOCATION) .1 /{«P DISTRICT I_'
(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
4,..46
�JJ� /l�/�, 14- '�_/(,//''M r P E 1.
REMARKS: ���� • '` 6 Lei A /�� /
VAREA OR 0
OLUME + ESTIMATED COST $ (IC) 0 FEEMIT Z �"
�..J
JJ ( IC/SQUARE FEET)
f+ 7
OWN E BUILD G D �J//
ADDRESS 0 a 1 BY CC.���'
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
...
. CITY OF RTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES . .� MA NO „SETTS
:,i l . NO
DISTRICT J ems.;o�, *If OFFICE of the INSPECTOR of BUILDINGS
' •' Page oL 3 D Plot 9
l APPLICATION FOR
USE ZONING PERMIT ANC
INSPECTOR
BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: 1, II, Ill, IV, and IX. O
SIDE YARD SIDE YARD ZONING
I. AT (LOCATION) Warner Street (Bay State) Northampton. DISTRICT TR-B
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN Federal Street AND Hinckly Street
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —f
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building Residential Nonresidential
2 I j Addition(If residential, enter number 12 One family 18 I 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 Alteration (See 2 above) 20 I I Industrial
.•i• 2 14 I Transient hotel, motel,
. . Los: 21 Parking garage
:ii: 4 I I Repair, replacement or dormitory — Enter number
rain:.....as■ as • o units — --� 22 I I Service station, repair garage
OM
OM I _ U 1 5 I I Wrecking (If multifamily residential, f
ISI
enter number of units in building in 15 I Garage 23 I I Hospital, institutional
;N.....Nam.
Part
D, 13)
S., SOS : 16 I I Carport 24 pi Office, bank, professional
0::a.....a..a.. ■
... _ ' 6 I Moving (relocation) 17 I Other — Specify _ 25I Public utility
= 7 IXI Foundation only
:In a•a• ••l= :a = 26 I I School, library, other educational
a,•■■■a:
::S;....as: _���_■: B. OWNERSHIP ,
27 Stores, mercantile
1s: 'i... sa 2 _ 28 I I Tanks, towers
•a•.•a•■.• _ 2 8 LX� Private (individual, corporation,
Pa •34 seas __II
:Inonprofit institution, etc.) 29 I I Other — Specify
:a:•a■N■■` �..s.���� 9 I I Public (Federal, State, or
On:UV ■. - - - . ... - -- - + _ =v: local government) "V'
r••.••■N. .Nam■ a..: ..■r i y _.••
1. :sass sum: ! : is C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
ma■•■■■a• •.Me►.
Nu■N: ■r. N•Nl processing plant, machine shop, laundry building at hospital, elementary
u.us.■.`•N■■N ss:■•: '`.. !.....a...... 10. Cost of improvement $ 3■000.00 school, secondary school, college, parochial school, parking garage for.
s■■ -.saga •sass••Nara•N•••Naas■a•N-s•.•••NW....... department store, rental office building, office building of industrial plant.
n.a... .igiNN a i . : To be installed but not included If use of existing building is being changed, enter proposed use.
s:.:::Ha.-. ___. • ( in the above cost
a. Electrical
a.ma..S i •1 II . _ r i :
.•■:0::•r.ft,'.. t•a i, —,.a:::k.. . . :Oa■
u:
u us..u.lraw. •- _ .■
_• _ • b. Plumbing
.■•NN!t:_•:.i. . .1
:I'II::.:�','N■/■ NOON: 1 I i 19 c. Heating, conditioning
i:• • • �■■r■ I■ ; aN., = air
..� Si ::ss:a::::i=i l:l::r...: ""'' N.
: ra
d. Other (elevator, etc.)
■e ii ' • a•::ss:::: �� s ' 11. TOTAL COST OF IMPROVEMENT $ 3.000.00
ss :mass i�.rsallt,.t■s:.■ :
a• ■s:■a .ss.u•ua..ir --.• -9":"~sell•
....i�....N...•ii:: III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
_. _%.as-- ails.--- .., ee :I.1a■:..r•l a I: :::: for wrecking, complete only Part J, for all others skip to IV.
PI
■• i'....a.a..N .
:. •• • -,,;_•_`. • •• ••• • i t••; -- E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
_ _
..a •■a : 48. Number of stories
�•• ....••- :: : : : 30 I I Masonry (wall bearing) 40 I I Public or private company
Zii'••= a 2 : _ : I: s 2 31 I I Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
Rini■ •
• ss • • all floors, based on exterior
ii I..... "_•n=.•'•ji: : 11s:sa'ssaaaa.! _ : = a : lama•= =:saes • 32 I I Structural steel dimensions
■ ••s•i _____ •.•.. as s 33I I Reinforced concrete H. TYPE OF WATER SUPPLY
1■ INuuN l�� s I s1: _ _ :..1
: l mums ::: uua 50. Total land area, sq. Ft.
•• • 'N•.sps.S�a .' .• •■ a 34 Other — Specify42 Public or r
i�: :N1:"1"::s::: I•rN■■■Nuaur■•=rs : s:::••1!1•••a:•as:a • 1: :I: : 1 I I Hi private company
s. u. • : u u•��� s
■9 I•a.al/i mass •■ = 111.:•I:s:�:::•i•■a.••■:i:i::::a•= Min:
...I s•••aa:■s1::::::■ •■•■ • a ...i:ii:.■N■: 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
V.
•••a l:.:::i : •■■N::::::::::sass•••: :Wese•a. I 1•••1 •l :a••■I■I■•a:•:':la::l: l• PARKING SPACES
saga . ■■■. m .N a■N■■ . .
it
II • • •• Nei ass1s:s:aall a$ IN■l•'1f■iii�u• uN■.::::O ■:a:�l••;• :lsa•3:l ilaaall:�':'i:::: ''iN• a. 51. Enclosed
= ::: sl la:z11 Il:: :ea i:iii�:= :ai$ : _"ii'!i""" "a?'�ls::=•:r:'■= """ Shirr "S: :s:::_: a F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
N..aaa■. • s p •N • •gams■ N.Naa■ • ■ ■N •
�ll I••lill�l:• 'I�: •:111a11s�:a a al♦I a ■• ll• �■•,�a': •: ism■ : ::: '■� "• =" ::::: : 35 I Gas Will there be central air 52. Outdoors
: �• ■ a •■ :iiii■•■■�■•�pra • • .•• •• : sass:ai■i l■ S:' =j a1■■ :pl 'a■l ■sass... •N ■: •' eau i'
:s:. :i.i! sas:il.s•! a■Ns■�s1:.::...: s�•a aI N.........�■ .� as::a•la:■■ ra� • �l�s sail a I
11 I =■■ mN N!• N• l■N•:a.•a■ : • : :: •N•• sass : : : a • 36 Oil conditioning', —
' i I _�' i lil • ■ .•• • seas g ''� l:•• • : �? '� I I ama ss au.s.a. l:l•l:■ l• 'la�' I:I:I::=l�•as I L. RESIDENTIAL BUILDINGS ONLY
II II f*f SI m :n al:a �sllal:: •ai:aa a:asa::alilai'i: • ili a li iZ�riuu:i uia��riiii:lei■:aS:nu::ZU:•a::a•:: 37 I I Electricity ! _�
• N • ■ aNN• a •■s. a ■N N 44 Yes 45 No
I �• •NN • NN. N Na ■ r •• • • NaNNNs • 53. Number of bedrooms
I3 Masi __ a ski �R sr a ra.Nl=s •se ;m �u .■■e as=UU : ° � ffhh aims.. 5c:zs :r9e r.....::::a 38 Coal
:: i� a N
i1e1oz 111::a::1, ::::::l::::::II:Mali •glIMMISPI •_. :i='MMIUM• •.aasi:a...::all::::::s:::l::::•! I 39 LJ Other — Specify Will there be an elevators Full
54. Number of
46 fl Yes 47 III No bathrooms
Partial
P INT81f p
IV. IDENTIFICATION - To be completed by all applicc=;ts
Nome Moiling address - Number, street, pit}, and .Stan' ZIP code Tel. No.
Owner or
William R. 0ichette 300 Elm Street, Northampton. Ma. 01060 586-4217 NOTES and Data - (For department use)
Lessee �
Builder's
2. William R. Pichette 300 Elm Street, Northampton, Ma. License No. 586-4217 igeigard"j4.•
Contractor
ACOORDINATOR) for all sub contractors.
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.
Siigngture of_applicant_ Address Application date
L-l/-e., -K 4300 Elm Street, Northampton, Ma. Aug 24, 1984
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans By Date Plans ByNotes
9 Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check ObtainedD 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
Building. �(� 19 S/ Use Group
Permit issued
Building
Fire Grading
64")041•0
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
ved by: 9i? ,
Drain Tile $
Plan Review Fee $
TITLE