24A-022 (7) I- DEPT. FILE COPY
e/ 7" dY T04, r�s"
� �' ' : BUILDING z o
hla lz.1-c-4-wr\Ap t-e. /4, PERMIT
VALIDATION
/A�Ji/�� ���///''' / ilk y'� DATE V 41 L/ // '} 19/ PERMIT NO. 2 / v
APPLICANT(�AI\LC t /-- I t3Ufi Gj H ADDRESS 8.. 0 G-E Q 0-0 T� Jc'
K aK Qv (� �\'') (NO.) 1 (STREET) (CONY R'S LICENSE)
PERMIT TO ( ) STORY ^-��� SF-J^''I.Nt..Cr- NUMBER OF
DWELLING UNITS /
(TYPE,YP OF IMPROVEMENT) r+ NO. 7� zZ ON I NG '/(PROPOSED USE)
42.
AT (LOCATION) C'� '... A.'... A. 1� s C.;: L, '�-��"� i DISTR CT "Ir �2
(NO.) (STREET)
rn BETWEEN 1 1 s.p e.G\ A AND eiiar4-'St. I
a (CROSS STREET) (CROSS STREET)
4 LOT
coSUBDIVISION LOT BLOCK SIZE
a
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m I
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
cc
0
IL REMARKS:
AREA OR $ .? c,C1 — PERMIT $ /0" 00
VOLUME ESTIMATED COST FEE
`rc/ Lai
(CUBIC/SQUAREt FEET)
OWNER 1 itc, Lai 44 N a 7-H^ AP
ADDRESS 8:3 YLbc GGot'e' b /f• /� BUILD 410,Or''," '/lie:A"''
(Affidavit on reverse side of application to be completed by authorized agen lower)
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 .
_�f CERTIFICATE ISSUED
/ d ' J a iiYt�fl _ DATE
e.
40 -r14 ,4 r`°` ' 1.411 04, BUILDING PERMIT -
Pi A s . CERTIFICATE OF OCCUPANCY
�41/ Z // _
jJ�' to y p� DATE Y 19 PERMIT N+�O.
APPLICANT C'IA J .. f -f lY p„✓s e.:~]` I E'�7 ADDRESS , 6 44.1 o a z, +s iZ,
'^"s, by' t (NO.) (STREET) (CONTR'S LICENSE)
NUME OF
PERMIT TO ( ) STORYr.f., t.t)e 1„,i-•.d ;,'�a (.''T DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED��. USE)
PEQ
AT (LOCATION) C,l' 1 'j �.t�"t..ft�C.' `s.] �yG DISTRI 1 f,`
DISTRICT A/2
(NO.) (STREET) (•y/f�
a t 3 BETWEEN fJ k` f.�- 'S V AND S ifi"K % t
0 (CROSS STREET) (CROSS STREET)
ch
a. LOT
m SUBDIVISION LOT BLOCK _ SIZE
a
U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
2 (TYPE)
K
0
LL REMARKS:
(1,1 K-i , 7 -;ii KiiI. }1 9C-Ef Kai K---:l K�I K-1i Kit ; 7 Kai 1
AREA OR zwuviIii ;I111{ ;Alit :1111 ►l�1j_:aim' im Aill7 IIIIIII 'i;Hi `.i•l� 11i
VOLUME • 7 � • 7 , 7 • 7 7 •=1 • 7 •=1 '11 ' 1=1 7 •r1 S
(CUBIC/SQUARE FEET) )IIII 'MI ;IIII ;IIII ;IIII ,IIII ;IIII ;IIII IIII ;IIII `IIII ;IIII ;IIII ii J;„1111 `1111
Li
.e dT71b['•fli[7lTI b!'flb7:►I R7 tTIbYR1• •t'11,V T.71 • • Ibt'71bTTlb I.idt:91 A'
OWNER } PY(„ ple.:1 filt 64 0 (,.q.,,, ! � ,./ E ASTER , P E ISES
`� �`4 b(,... F li C#c) 1i 7 SEE R - `,..•.,• .• • r
ADDRESS �„
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
AJJLJYJKS LUNY
1
I d I-
z 0 1
D-
i / i
. BUILDING .<
C'-
' t i ' '''1 1 • % c , '---. . s PERMIT. VALIDATION
-—
DATE ' / /4,1 19 . ' PERMIT NO • '
APPLICANT ' ADDRESS - 1 0 I-1 117"I 0 0 4,)
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ( ) STORY DWELLING UNITS i
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 1
ZONING
AT (LOCATION) ri ': •,..:-,, :. , 1 . -„.•1 • ,,... 1 -.. ;72. DISTRICT •,
(No.) (STREET)
wagaw.•
0, BETWEEN AND
MD (CROSS STREET) (CROSS STREET)
ch
LOT
a. SUBDIVISION LOT BLOCK SIZE
co
a
O• BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
co
ci
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
M 1
0
1,- REMARKS:
AREA OR . -4". PERMIT $ ,
VOLUME ESTIMATED COST $ 1
(CUBIC/SQUARE FEET)
...,,,"'
OWNER , • , • , i : I . • , , :•49, „I,
ADDRESS
BY
1
VIII. ZONING PLAN EXAMINERS NOTES — 9A `���� A Crxt3j of Northampton
1406 * -e>);.."
►•cl �fGlassxclpssctfs
DISTRICT V4� `0 ,),."6"
a�F-y> I:ffice of the 3lnspector of 'uilhings APPLICATION FOR
USE ,C�,3 ZONING PERMIT AND
Page ''9'7'y Plot Z L BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. p
SIDE YARD 44199..-1-42€11 SIDE YARD ZONING //RD
I. AT (LOCATION) ?3 (.--A DISTRICT
LOCATION (NO.) (STREET)
REAR YARD � )
OF BETWEEN AND
(CROSS STREET) (C 55 STREET)
NOTES BUI LDING
LOT
SUBDIVISION LOT BLOCK SIZE
0,
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
1 I New building Residential Nonresidential —I
2 I I Addition(If residential, enter number 12 IX One family 18 I Amusement, recreational
o/ new housing units added, if any, 13 I Two or more family Enter— 19 I Church, other religious , •
in PartD, 13) ���»>
IX. SITE OR PLOT PLAN — For Applicant Usenumberwoorof re family
— — — -�
3 I Alteration (See 2 above) 20 Industrial
I... _ 14 Transient hotel, motel,
Re N: :'••: 4 Repair, replacement
I 21 Parking garage
p p or dormitory — Enter number r
ire : : = 5 I I Wrecking (If multifamily residential,
-.
of units — . 22 I Service station, repair garage
M enter number of units in building in 15 17 Garage 23 I Hospital, institutional
r■s■S Part D, 13) 24 n Office, bank, professional
!_�.•: : C 6 ri Moving (relocation) 16 I I Carport
�a:N■■:•! ! 17 I Other — Specify 25 n Public utility V
r :: 7I I Foundation only
• : .� _ :■■aetlaeN■ae• 26 I I School, library, other educational
i:i neeermerea::NNw=
t rue/ B. OWNERSHIP 27I I Stores, mercantile
•
is ,�:�+�i.. : I 28 n Tanks, towers
•is:s::':::l:::::ii•'•=••: : I 8 h� nonprofit Private 'institutionetc corporation, 29 n Other — Specify
xi : I
see ! :_ : 9 I I local Public government)(Federal, State, or
i .... re:•tlaa••eaaatlee■INNaeen:
: C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
r '•'eU•••'•:: :: : processing plant, machine shop, laundry building at hospital, elementary
r:ee N■tltle
.:...tl..tl.: :
Me: ! : _ L : Jeere.: 10. Cost of improvement $ •3t�tic school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
!••••••=slleser�e: s _ ,j. :e: To be installed but not included If use of existing building is being changed, enter proposed use.
: : ! ee.tl■N.■■.etle.■tlee• •ems Oilins
in the above cost
�eN __ : •! : :l Ne: a. Electrical
■ee a■.e s■ : s■
.■!• e::N•Zi •e...*..:• Na �■ ON: ■tl b. Plumbing
il:::ei::::'_::::::■eaNS::::M::.:;:.:i ! : ! :e.a! ...l...ees! ::;:..N.I
e er r es : : : :::s: aN••NNOOOOOO•e•se:::::::: s
__:■ : ea.e e•.. : = reed tl■aaa c. Heating, air conditioning
tla:s_s a:::::e::::::::: ::! .: : : ietlal:I.ieramiN000OO =........1 : ::
:ii•s 1:::i: i::!•:: 1::.■all■sM::::::a::0=.■s■N::C:Cs: 0 = S!NaOOOOO•::`:i■nR■■1C='ls:s=:s:s::::::::::■!! : s )
_ !_ • a ■a . ■ e. ■e • • d. Other (elevator, etc.
■elllime:::a::••a"TM:ere:ll:a::a::Zaasa:O:MLA:" ■■es : •:• s ii:■• • •a• ■:::ass:lwa:aaew■N OO
{•.• e: ■• :'••:OOOO••'••••••••:NH: : •::Napa:::::'tl":: : 11. TOTAL COST OF IMPROVEMENT $.3�%`'V`r
e:s..r.. .:..3...sa::■s3.ssa■s::e.a■a. 1 : s::s:::ss•g:::•::: :::::s:E1:N•:s:i=i... :. .e.:.. ..s
ai ::::.al===•'•• :'• :■■e::: s.....■N■■::.e..:tl.ie.e.Nese■.a:gtl.■:■.N: :Nm■.■:a■al III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
.. Seri:/�.�:.� ... ::10::.N :...! I minl
ta :tl■N■:U�•e•� .NNN■•al.•s! :O•tla:tl.•:...:
:.: _ OI:YU::: •:: ■■ia: ■N6 !• ■� ..z • _ • •. • ...l _ •■•• ■a. ■■■•U■=es for wrecking, complete only Part J, for all others skip to IV.
■e■
etle■:■N■:.e■N: !:■■::t■N■: : ■■ ■::■.N■■■.■e:■tl ■■tl■ ■■■N N•■eN.■a■N.aaHe■■■■N■N■■■N■N� /1
'jiN••:N Se :a::■■:N•.::: +•!•■■ :...■:N ■a:tl .■! :N : :utl: :.■■ a .a _■ E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
- ,is.■:s:e •e. .... ... . • .e■. ■. ._�............
aaaa■ass■■:::assa:a■s -!-----■sa.':i.a■•:N:■OOOOOS SUS I _e_ Jr:N_ _ _ 48. Number of stories........�...-...—
�� lliil==!!:iw�ji=::ii=s ■ elm I e: I : •=e■••N= •p•:•••�=••ee•:s I::N eN■ tl::i•!: 30 L J Masonry (wall bearing) 40 I I Public or private company
i i::i;sl:::=:!■i■::a l:s:■■■e�s■e= _ :■ roe reN�■•s■e:::ii: ee MO••C : 31 VI Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area,
••si•11•s:::i ::_.::::l•:.::::g 8.N .::'i:l::•::�•: :es ::: all floors, based on exterior
_ .i.:ii:•.i. is=::i i: :i•■ :!:! _ ! tl:Nl. N•.:•N:: Wee:::::::"
::_1■:_ ! .sa:e:: : rums 32 n Structural steel dimensions
: S ::..N• . .. ■■e ■. .■■.
! NN ea a ■N. ■•. s
ii•i•i::i=.■•i:i: ■e■::::11::::11:: : ::i::::'•s.S.SR.;::i ::::•:::••:::::=uiie:::eassem :=•:::: .....:N.. 33 n Reinforced concrete H. TYPE OF WATER SUPPLY
:sa:i::::ii: :ii e:: ::• a■:e ! :urea
.N! :tl•:!•::MO MISS •e: :•N■:Ne ■ 50. Total land area, sq. ft.
l :::■■■::::■Nie■e.::: ! : : : ! 34 I I Other — Specify 42 I I Public or private company
:: iiiii:=i:l:iris • !i•ii::s::: ! ! I. ■.aa . ::: .e. ... .N■. . . . .e■a.
Ne i :■ a: �: =ee ii _ :a■tl:: = ■lm:N!!■:N••.sltl■i•:::•e=:;:•:�_ •_•_•••••.S:•e :•••:n 43 Private (well, cistern) K. NUMBER OF OFF-STREET
ii1s::•Ni:■:i■■::se.lee:.aiessi■:::■ae: s I _ _ .s :: s.:....:.aws _ _ : _ _ PARKING SPACES
=s.isi i s :i9 :Seii$ise_i :esiia:sa.ie■::i::::iris!=•� ! __:::: :e:■nunism it is '='• :. el •• nu•:: w ::e• I F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed O
a as i :: :• NN ■::• tltl• ■
: =:i::s 4:aasi:s :reuse ':siig=il:::::rash:si::::::::e: ■:s:■e•e■suleds:is=::spar:#:°II esi reetaiiinemeemene eelle:._���� 35 I I Gas Will there be central air 52. Outdoors
_ .iceman ■. : s :s ! : i:■■.■::■■Ntltls la::tl■a i s s s �,
!= N : :ii' :::•l�i:::•a.•sie'i3:i':ii=�r'�':iii:l:i==::! :=s'ri::::::•i::s:::�::lss.s:=;:l:i.s:s:s '::,:_::• sle.:i ::iii•'�iii::e:::::: 36 I I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
ii s� it:e lisii ludi:::ia::Z:..hri=ere ::w=Nesrah ■tl::eN!■•=■ hu ei•::iibun ■NN:::.:i•:•�Z �.•i:•::liihalii • ■_ ::.=•=N•e�■ Y I I I I 53. Number of bedrooms r
s s �ltltl tl. tlu __ • N■ ■ • aNNN _ N Na tlN■e tlNe • ■ NN 37 Electricit 44 Yes 45 No
is ss 11issase:s'a':s6sesie 1isisseeiiisg psiar shirrs•e:::: Niiii;' s =e....... ....1.:ass... s...1=8'Yiiiii..........#Iseiea� ""L 38 [--i coal
Ilunnua1numuumuns;>e>lillt'31 ntrammus:e'mm mm=ummumnasunalm..,..tormouran :moma:::Znl;:l: nra 39 n Other — Specify Will there be an elevator? 1 Full
54. Number of
'"m"m:um^-SR•• 46 I I Yes 47 I _I No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
,
Name Mai ling addre_ssn— :Cumber, street, cit , true/ .Ctate ZIP code Tel. No.
1 •� 2��GLC �C / , ' sOh�/ NOTES and Data — (For department use)
Owner or pa
Lessee 40/
G/G�IJ
Q.. Builder's5S7/333 ! ' 142/"v — 7 / � / O )e / z iL l!�Idye /� (i4227144 " 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.
Signature of applicant Address Application date
. 4 9
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
9 Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number ByPermit or Approval Check Date Number
PP Obtained PP Obtained 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
Permit number f U
Bui lding //
Permit issued 19 7/
Building /a 0 0
Permit Fee
Certificate of Occupancy S
- -- ---- Appro by:
Drain Tile $
Plan Review Fee S—
TITLE