24A-005 (6) V4Kirti,;,
• DEPT, OF CJILDING INSPECTIONS
212 Main Street BUILDING �° 6/ D 6
rld 0<
zn:iNorthampton, MA 01060 PERMIT <a.
24A - 5 VALIDATION
Thomas St.Martin DATE January 21 , 21191 NNth Elm f tIT. No. 25wner
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
New Building g Detached Garage NUMBER OF
PERMIT TO (_1 STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
211 North Elm Street ZONING URB
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 28 FT. WIDE BY 30 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the construction of a new 2 car detached garage
AREA EA OR 840 sq. ft. ESTIMATED COST $ 3,200.00 ;aril- ,$ 42.00
(CUBIC/SOUARE FEET)
OWNER AXX Same as Applicant -- -----�
Same as Applicant ' s icant ' s BUILDING DOS a. %�
ADDRESS p P BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
P iMT P
,�.Yi .1:14, CITY OF NORTHAMPTON
VIII. ZONING PLAN EXAMINERS NOTES MASSACHUSETTS
.t �' .' r)1 OFFICE of the!/ INSPECTOR of BUILDINGS
DISTRICT fill C �ri / ��' . - �7 Plot 1/� ` �"y ,.` � PageAPPLICATION FOR
USE 00`43 / INSPECTOR ZONING PERMITNG AND
ULDFRONT YARD /5 / Z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
SIDE YARDy (
SIDE YARD ZONING
Y
I- AT (LOCATION) QIII _J/TrF Yl F--I DISTRICT
REAR YARD LOCATION �1 (No.) (STREET) ^
J
OF BETWEEN A-cr �z i•_ 4/'.v✓ AND //1/7{'in4 `�/J
r•
BUILDING (CROSS STREET) (CROSS STREET)
NOT ES LOT
SUBDIVISION LOT I-- BLOCK _ -SIZE_ Ar3 �!,'f
VI
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -1
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 New building Re idential Nonresidential
2 I I Addition(I/ residential, enter number g
12 One family 18 I Amusement, recreational
of new housing units added, iJ any, 13 I Two or more family - Enter 19 Li Church, other religious
in Part D, 13) g O I
IX. SITE OR PLOT PLAN — For Applicant Use number of units— — — — -�
3 I I Alteration (See 2 above) 20 I Industrial
••._ _ .•■_ : 14 I I Transient hotel, motel, 21 Li Parking garage
• r n. a :pal_ � INme"nle•-+!�•pi•,1 4 Repair, replacement or dormitory - Enter number
:Nle::NNNpapN•I■N■NN.N•:•• ■N• N•■ ■ ■N•■•N•••••• / . ..■!rA•■''f`� + I O units — 22 I Service station, repair garage \
iN• • : Y• NI : ■:: fl:•se•.r:N•N u:i••esaa N■I •.•NNeN•i! 5 I 1 Wrecking (11 multifamily residential, I)
••■ f• ome N• N 1�■N ;
N•■f:• : : :f _ ! i enter number of units in buildingin 23 Hos itol, institutional
.eville::::::■e•Ns■N■■•R•■NN■NNNN:•::i• .i 7Gi• 15 Gaage I P
i.N■ •+, .. Part D, 13)
N■:■•N•■p•:Y•:::1 i:f :•�.fN •f:::•\:!: NIe•:•:N ! •■■• ie:::.�:fi�:■:���ii : 16 I Carport 24 I Office, bank, professional
!:a•::=ffi�1■•• .::: ■:••u: _ 1 ! :NN: :I... ..- 6 I I Moving (relocation)
Iiii: s:=f:i::l1U�1a•,� ..S:uil:uifl'""'"liaa.al •,•.I:i:: els:N :helm :i1Ne•eei :wee:
17I I Other - Specify 25 Public utility
::l:::::::ls::::!•:ii:::::::ll:: ::__ •••■ eN : ■• ■••■ : ::•:■f 1•ff••MY) ! e•e. 7 I I Foundation only
!��i�! 1� : :: !: ! : ! : I.Ni.e•.1 : :: 26 I School, library, other educational
:iiil' 'ice■•:l1ii '!•■!•j=::: ill:::::: enise=� nieelirpe •allee••N••e: ::::i: •:u•ii ! B. OWNERSHIP 27 I Stores, mercantile Vt
Ale iiiiii-i::...:I •.ae •:::!!e:•lu:■.I..•!er•�••+:••••!■:•a��•e: ,,- - `.
se l::al::: 11lsili::f l:•l .••N••N/Nf N'■■'f°gpe ::0.■i ::::::rk,..\: :: : r corporation,
i. 28 Tanks, towers
! us N■ •■.•r. 8 Private (individual,
e•meemn::: •l•:::l::::. ee.eers:.e�:l eseess••!••••m Na: ! N ',•emu.••. : -- !i nonprofit institution, etc.) 29 Li Other - Specify
_•••. _ _ •:� ••e•
:f•eee :: • ! 1.N: •-•e•~• : :e••NN::::�•R.:e1•:NNN•■e•\NeeNH•N:;�N•e..•l• N•'-ISil 9 I I Public (Federal, State, or
!i ! :.:e■•'l s:$ :•i ll=ls••:se! :::im•: i s i =: :, local government)
NN N ••N•NNN • N •. •
:�e�■:'N•.N•NO N••'""■•ee• .N•N N■N••fNN•• •N• N•„.■ NN::""e ■ e• •• •
•• • NN••peN:..• ■S•N. .j r: ••• f • N •Ne■NN:.N.••N:•� a:::1,NM:SO.O...t_:
Nll Nll!. t:l::C:C• :==. ,:•••: N•••:.I.•N•l tm•■: N•• ::::.e=fffffJe:Or"'"`•-'f' C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
•••• ef•.••■■•••ff q•• • I•••• • ••• •• •/ M••• processingplant, machine shop, laundrybuilding at hospital, elementary
NN■Y••Hf�N::/NfNI■� :•l•::•N::lllll/II: IIIN•■Nf•N•NN•••N.m.f••Nf. : : �1 9 P
•NNN■..„..■■N.•::1.:•� :••: •. ••N..N of :•.•:_ ■u•.!: !■:•e�:■■N= . )I 10. Cost of improvement $ 3' eaD school, secondary school, college, parochial school, parking garage for.
•■e •N WeNN•fe e11:N N•r,•■NN•emm ■f■e• N••N'••-.•••N I,
•■e •e.NNf"N•e.• ■. n.�-:fiN•in .1■•ir ppolosol / ' department store, rental office building, office building at industrial plant.
i... SSWS 0ii i . = IONO„OS=_■O* SOH:■:• is N•• : •:i::: :••f(CUR ;::_•••■•••■•••f I To be installed but not included If use of existing building is being changed, enter proposed use.
emir:: es mopes
N::.\.• N� �. ��• N:ra.•eeN■i'•N••N•oNlN m •i ■•:• ■:N•uu. .I CS .•■ I� in the above cost
page'' • •N :N=■::r I■N►:N issop.N•N :•:.u: :Nu: •■e. •n ,•r - : 11:�a ■• a. Electrical .2t,(/ ,1 ele ems w/ �f/y ' e f i,0.-i-e r
Ii�:IIe+S.I:�IIIIn••II•:Sli•:W :: il•=::: r Si : : : :.e■f i•f•f. •e b. Plumbing en
wigs
•N NN 1••. O
urn : :: :::.::N e• f fosise :■e:: fiiimpN•eNNNN:N :::\::! NN••N••Ne•N•N•N■!:! li '"ii,:i i•c---- C. Heating, air conditioning �-
1:111211
si:=�l l •l ■■ •� ti:vifOSSW.Sesl er •• ::::: : ISa...::••■•�Onff::,` leee.i :f d. Other (elevator, etc.)
lifi: •i�: ::•:::::: !:►..r•:i:li.:::•iea N • _ •••• •fs•Nl = :Hum: it •:•i__,:ii::F.•c....'('a.�'e•. +, 11. TOTAL COST OF IMPROVEMENT $ �0Q
.o. i•• !
�••M y, :.•.....
ss:ss• se ll a �.: s: s : : ;:... .
:Mao esesa .ill.,i .:�-'l=l':=:: ::::::••=ill ' '•!'•" '" :i : III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
��•N•N■ ■••e. ��� l'/f 1f• • _• • f■ fe • •..••• •:::S: ■.•• • • ■ i II
l===iS = illllll:l� :=x:=g= __'•_i_•. !'=■' !!:!! !.••Ne'•! ::::::::1: i....=llll•:,: :••I•f■II::.I II '■ for wrecking, complete only Part J, for all others skip to IV.
Mt : fl:l ille=el:l::n Silin:li se �i�l:: ::::::l::l'"":.:: l:::::i::ffee:f :"lee=_, :::::: E. PRINCIP TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
1�i•:!=S:ll:}Z:•:::. ■:I f!� =i:i,=Nee:.:i.:le•lii l + : I 48. Number of stories 2
ii�•e�i •7i:e:��l�l�,=ia =i7i�= ':e•'=':�e.:::��..::=■f= :WOWS1 = N■: LOSS: = s•■= _ :::i�'::::= uSC1. = '•Q Ie company
: 31 I I Woodnf ary(eall bearing) 41 1 I Privlateic o(rsepticttank, etc.) 49. Total square feet of floor area,
lec=i� :lii:l iii:� f■�■:ill il; • ••ill: lfi:i::i:. • ■• I i.
if•fie::�COME i■::�il::•iiul ""'•"""'ill • all floors, based one exterior ��
i! l :::::l: •S :Nfe=lilt=l:3lll■e■•• l:::if=!: :!: ::n:i=••! I• -I e : : :■■•::.: 1' 32 I Structural steel N dimensions
ill i:i=ll=• •::•::•;: Ie:II:I : ::.• ■: •■ ■••I •.m:• •e■ ■ ••■••• .. ■• 33I I Reinforced concrete H. TYPE OF WATER SUPPLY
• wog i:ii: :.i l tl�S+�-- S : :::N!• ria : 1N■■e:•:N!ee:•:::::::N.::::NNI. :N1:: ::::: r :N••■' 50. Total land area, sq. ft. Q//
i !!!!!!! is!!liifft : iNii:l.h ll • • • !l :silll.ei!•:::• IN :info:••I•:I■.Il:!!!•II, ,Aiiiii::: lNNlN•::' 34 I Other — Specify 42 I I Public or private companyV 7
: • :: d l ll u i�': a llfl: '!• •: l ' :::::::!::::::::::::::re: • �.•., ■. •. .. w! : ! : � : ie: +' IeIIIf■If•:•e::III 43 I� Private (well, cistern) K. NUMBER OF OFF-STREET
!_ _ •••s••: _ _ _ :: s :oats: _ _Ili
:::
:3 l=.ls •_ : l ! �l mu ll.':llelf' all :l:::l:lf• 4•• ! :ell::!! l::s ' e s!:' I:rausll• s• PARKING SPACES
• • •felt :i. • a lif�'iiil•�'�"■i"•::l=i! 'ii:i:i:: :� i l:eli:i=:•il:::lZ CRIC :e�" 'fili ..m. •.1 l F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed oZ
=1i u .!: a ll l l u ••:s:•s ••. ■.essa:u::l:e�x!•■::■f•■••■:■ .....:: !!::l:z•s :..,,.
3':_�i•�• z•!i � nl p' jF' .0 f!;*fan::1fi'lll •mil: sill i'f!3• l::11f=�1ffili lN�:=f"• :: 1::::•1-li:=�:fif:l=Iifffil"N"NeN•N• 35 I Gas Will there be central air 52. Outdoors
i ti :I1 •li;Itiiliiiiiiiiii.i.... -L ++' -+inn ':Iliiilii.:11O:■:=iiii3iGiilill liiiiil:l •fi�!!:I=�i=:::ii:ul=:: I I conditioning?
n !. .. t}} i :atom:.. IININ :.. i:isiaa a:::fi 36 Oil
:1> 3: it ! 1-Ti t 1Y "i t tt 2 ' i ggl� =l iI�='�@ �� :ee �,� L. RESIDENTIAL BUILDINGS ONLY
��3iii.l i � .{1, I+L , :, 44 .ft .+; 'W1—"Nfa� hingb14 •�i�."11O_.IIIIIIiessusulgtili•"f■ I 'e 37 I I Electricity 44 L Yes 45 (!No
- � 53. Number b d
! , . 4
t rrti t TYi if j: { I ::: i' l�i�■ui! = i:::::�:■! •NNl 38 I I Coal —" ofbedrooms
24 ,tr ,.Y •;+ 14.
II ,i; �;,t .4 l •mill''�li��i o ��� e f �� iSi� i :fie:1�=fi•iel:: e
T #��� :Y i•� 0
� ,l_ l :N.� .■.:fin !all �• ill .. a' S 0
.,+.}.. ..,, •• •• • • N•N N NN N■N 39 Other - Specify f�d0 Will there be an elevator Full
I! " iI'�glmini u�==ni•llll•llu:�m��fl��u, .s.:... :.N.l i 54. Number of
46 n Yes 47 l 61.1,1ro bathrooms
PartialtO
P JO -P -- -
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
/1/ //�L tl it) l^
/ Sl /UdY!/t/,1 /_ isS S� NOTES and Data (For department use)
Ow �/ner or 0/71. a
Lessee CD/6.)6Q 737c
OW tJ G r• Builder's
2.
License No.
Contractor ^,
( r
3.
Architect or
Engineer 111//O�t �,/J ^7/-L' t r
,/ Z� L1�/
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.
Si not f applicant Address Application date
—"/: /r;/r-4 5 I /61/4 g
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
Fee Started Approved
BUILDING $
PLUMBING $
4
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 r� FOR DEPARTMENT USE ONLY
Permit number d
Building Use Group
Permit issued ..iully2 (94 19_g
Building Fire Grading
Permit Fee $ 40)•(Z) Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
co.0
Plan Review Fee $
TITLE