32C-017 (8) F DWI. Mt cUPY
ZD
BUILDING a
PERMIT
VALIDATION
DATE May 9, 19 77 PERMIT NO. 149
APPLICANT MAT+ C i 1 ber+. - RohArta RPrri Pn ADDRESS 7R Main Street
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration - Office (_) STORY Professional Office DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 7R Main DISTRICT CB
(NO.) (STREET)
oa BETWEEN AND
0 (CROSS STREET) (CROSS STREET)
a
LOT
Cal, SUBDIVISION LOT BLOCK - SIZE
D 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
0:
� REMARKS: Alteration - Professional office
AREA OR PERMIT
VOLUME ESTIMATED COST $ 5,000.00 FEE $ 15_OO
(CUBIC/SQUARE FEET)
OWNER Mark Ci l bert - Roberta Berrien BUI4.��409 ).....Q___74,
ADDRESS 7R main St- , N'tor- - Main at- , AshfiPla BY - `�� '
(Affidavit on reverse side of application to be completed by authorized agent of owner)
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
VIII. ZONING PLAN EXAMINERS NOTES ikA QIxt'j of Northampton
$� � �F
� , i(4Classxclfttsetts -.#- I I I
DISTRICT 41a' ,S iv-;
``"- lI fffce of the }r g
a�T� � ltts ector of uilDi><i s APPLICATION FOR
USE ZONING PERMIT AND
Page 3)-c- Plot / 7 BUILDING PERMIT
FRONT YARD
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. Q
G
SIDE YARD SIDE YARD ZONING
I. AT (LOCATION)
lk Mom,VI DISTRICT G
REAR YARD LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
NOTES
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 n New building Residential Nonresidential \I
2 I 1 Addition(If residential, enter number 12 I I One family 18 I I Amusement, recreational l.>'S
of new housing units added, if any, 13 I 1 Two or more family — Enter 19 I 1 Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use in Part D, 13) f
number of units— — — — 20 1 Industrial
3 Alteration (See 2 above)
peg
14 I Transient hotel, motel, 21 I I Parking garage fi
� �■!• !• _ ! 4 I . Repair, replacement or dormitory — Enter number t\
:Mg:.... _ 22 1 Service station, repair garage
I I Wrecking (If multifamily residential, of units — —!
'e. :• ! ! ! '! 5 le enter number of units in building in 15 I I Garage 23 Hospital, institutional
se
:MUM ■ • . \ ! = Part D, 13) 16 I Carport 24 OFfice, bank, professional
/e/:"eee ! ■■■ : 6I I Moving (relocation)
�::: eese • : 17 I I Other — Specify 25 ri Public utility
�• !� ! ! : 2 7 n Foundation only
•••!!■�•:•• !!• •• ! „ ! 26 ri School, library, other educational
am "a::e•:: :
*W B. OWNERSHIP 27 Stores, mercantile
__ ■:::1: _ ! 281 I Tanks, towers
:: 8 I JI Private (individual, corporation, 29 I I Other — Specify
:: : nonprofit institution, etc.)
'• re: _ _ : !a: : :: : 9 I I Public (Federal, State, or
:::: : : •e: gease•b"■■�""""x":":::::: local government)
\eea"■■■\//•l_ !._ On C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
•••' /ee•C!a••a! ! ! processing plant, machine shop, laundry building at hospital, elementary
�aa•ai■l :'•• ! ! : •:::: 10. Cost of improvement $ S 0 C 0 school, secondary school, college, parochial school, parking garage for,
: seee"aa•"! . : department store, rental office building, office building at industrial plant.
!aa/"e /eala/•a! ! :e: To be installed but not included If use of existing building is being changed, enter proposed use.
:: ' •':: :■ in the above cost
:me: :' _ : !� S
a. Electrical /
/a"!•ea•■\e/•■! ��: 1'is F L S S I Cr1 4l (1 l�I C.�
•!•• e!!!"•!ae ••! •: : :
• a■" o■ a!a"
':::elalae• •'l! •=l:i:s ml■ea■ C.:• : • :e :• "e
/•: :•aa ••:\• m" "/a •:: : :e • •\:•■•:: : b. Plumbing
:a'i! //\:::::::: : : •a:a■es:::.::: •a••::::::::::::
ii::'=o: :=::• •u wu • : :"='•:•i•:: . .al• •u• a•u:■Cia! c. Heating, air conditioning
•a/e:a■•a ::ae•:■•■aa••■:a: a: : : :e/e•e/:\■/�■/H■l■/: _ :/
a s s....a==.°s='=mmS° mlE•la :::Ees::..;s ....=:::m : ! _ "/■:ls�a'ser esa•••as . e" smsm. .s.m :
•m:::: i'a.m�":e• ■ a e• • ": ":■/":ea/ • ::ea\•:/:::\• "1 • :/:"■:a "• ■ : : d. Other (elevator, etc.)
1:' ••:: e•laaimesaaae"==• ae".1\ :a : : •::::i:a'•ill'aa•:mm: ill l: 11. TOTAL COST OF IMPROVEMENT $ S O 0 0
::e!SOW •: //. ■/. :•■ lee.•:: : ::..... ... ...../.... _■ "" "' """"" III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
ilm. . •al. /. ••s::•::sa""."•::::•e•. .."....1.. .... ..!•r•••ee.••al•:a. ...:. ...".......
:::il::•'1C::iS1":a:::•• ••a:==e•• l : i C:::•m::l!j:::•'::::::.'z:l:::•'•'•C:::: : : for wrecking, complete only Part J, for all others skip to IV. y
• aeaa=:: l■ ■■e•:::'•=a■eel: • nee ! "/• :::::1".1.:u: a•..:=a'""e■":wma =l::a:■"'•:::::'■:a::: L)
;•\/ eel! :eeea: l•e/el• a: ■■:■■ :•■■ E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
a.. e . •a•e e\ a ■ea
u=/al■:aa:::•■a•: : nemesia::: : 1 : 1: : ::"a:"/""/"u■ 48. Number of stories
il::a:::"al:::a : :• 30 N Masonry (wall bearing) 40 Cd Public or private company
a• •:l•■ " u■ eu : lees• •le■■■":•:•"•:"•_: iiieUl: Maaa:a:::: 49. Totals square feet of floor area,
'!:••ilia:::::a:i:i=i= iii• •laaaa • as : !• "•_"•'� I I I all floors, based on exterior
/"■ / • e■ ! •! !/ l : !• : :■ : 31 Wood frame 41 Private (septic tank, etc.)
Al
a•"l'�i l::a: •'a•al:: :1::•a: l :: :::": :" !' `v.
�:imi:::imm:i'l•i•:=::a ;:l : : :::•:•:::a::"•"•"1"ai=1aa'1:"""emmemml••1 ■ : :mew 32 I I Structural steel dimensions
::•e\•ee/ee Welleelel• : :ee•'l :•••/�:: 33 Reinforced concrete H. TYPE OF WATER SUPPLY �'
••s•s:�::l••:.. ..ss:•• s:.. .s. ...: s::s::::s. ..s ...s:l::s.. ..ss:::a:•la:s::s ....e ss• L
l�lll:s as,;::__:l's=aaa$a!!'.ss.$\=l::il : ll =seser••::ui:: ummeseemmelail""':::::::Sa=aaaa::l"•••:::::eemer 34 1 I Other — Specify 42 Public or private company 50. Total land area, sq. ft.
s •eas:a :a:::aa:a• :•igaa! : :. :::: •: •\rs ::a•.:•■ • : \/. .e••: . \.lu
! ! ! !• ! !! ! /!!ln/•:: •!/:•••:■a!: !!!■: :■aa!! 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
• • : " eie "e: : :: " ■ • a:• "• "e ■ ■ PARKING SPACES
_$..:._. =:=ss:samsc :m■•m::i a:m=$::\e•a s s .: ::.....s.a:.:....: : : l
=aa:l:ass= =l ■:g's: �'=s•aa$asa'ss:ls:.. .... .. : l:••::l..�s�': "... ••:
s.. .......a...:!/••assay s!: s::•s•::s:•=::ss::�'::••:?::::E?::•: 51. Enclosed 0
• ■:::•":m: 1:m'•1m:i l:! $1:::•1:1:/1::••e �':•' : :'••' ::•'■':'•"■:" '::::::/!!::" a••:■:::::::::.:l:l::l::' I F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
Mil• ls� e=l e: 5 :�===:�i= ::iii:=il =:i::: 1:::::�Zi•i1::::::!! ::i:••:::1•• ■•:':::e• ::::5�� :��'ii:ail: e•eee:e!!e•�NH:i■::=:::■':■ ■"• 351 Gas Will there be central air 52. Outdoors
m$iiim m:: •. $ :!!a••:!e•:e!!a� 1$s :'laaa!lasa••!••s•igse!"':11:s11•:l s•11..ael.. e!/••erd: !e=ee:e\ee
s. .. a■\ •: h::::::as. . ee■. •e.. .. .. .. " . ... ... . .... .." n conditioning?
a'a::••�e :/ll:::'!�!'S•: ! l:tliMial::: :_�::::::::::/e::::::.....=aaa:aa:::: ■•!•:aaa::e a ::=$�:r�1:�==a 1. : :::: 36�Oi1 L. RESIDENTIAL BUILDINGS ONLY
!! � ! i!�lmiln :ff •ii i ieen:i: l:::l:a!\/a!! :•!!\al:••\l■! :111:!!•:::1�•"■••■Sl:•lhIgird ■'ii:::lii®:::ii::=:!:•::a :"l:::::::■ I IElectricity 53. Number of bedrooms N
i �iii aiii: ■" :: •il"e " • " as ■_"/ ■ ■ u" ■a"M " ■ • ■ " //" e• • 37 as Yes 45 No
1 i 11 m`111m'l l 11m.111111sa111:emilimmmmmi r /huh 1i/■so:�=iammmlrm.�.l:;s1s. 8 �1==im=m r==11mm='1mm=:11m=11161 =emm �'sle=aka•■"!, 38 I Coal NI
IIIMUMMUMUMMUMUMMUMMilmmitaMMUM_____ ftlieg::::8:*;:l12.i- UUM■iii:pi==..:::: ::: : :::::::::::ll:::::::M::S:ii:! • 39 I I Other— Specify Will there be an elevator? Full
54. Number of
"VIIHA4'?^..!(' *■ 46 I Yes 47 I I No bathrooms
Partial
f 1
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — !Cumber, street, cit>, and State ZIP code Tel.'No. •
1 11�L�1 _ NOTES and Data — (For department use)
Owner or At. G 7$ Ma; n Sir tt � � Neerk, ..pj'm, Mass. p ip60
Lessee
2. Dqv► 1��5�e 5r' f N S7 /4 �=i L�{ L Builder's f /�.dM{.te/1 ��L �Q.11 •
License No.
Contractor
3.A D Ct I--45It-rt � M �T. 4 Fr: e(�e ���-38ct
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
ticein STJ I)eAT►ta;,,pTr j2./7-2
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 $
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
Buildingmi � / 9
Permit number � _
Building Permit issued /q
19 77'
Building
Permit Fee $
Certificate of Occupancy $
Ap ed by:
Drain Tile S
Plan Review Fee S_
TITLE
.....,0- ..... 17
F...k..II\. !.1\.,-1 I F ..t ti‘ II I
LOt
. AP PL I C A-I I 0 N .. b/f7-77 _ 'i' :' 1 -1) ro.
-
•
Zoninr Ordinance Section Jo 'I '!(..c,. .j_ve-0: File Po. 1.1.an Pile •
---,_k'---——--
- _ —-——------
.
;v1 iq •.
2ner 6)ItC,I -r.lic Applic: Matntt tt- ousr, -R .41,..rc. ..._ ate,.ill _
2 No.c r er ft Sr•; 00A r kom thq
Address 7 9' J4 Go m sT T. Ad:iresE: 4.r n ',di
Telephone Telephone
-
•-- ----
This section ls to be filled out in accordance with tile "Table of Dimonsiow1. and
Density Regulatione: . (Z.O. A!:TICLE VI) - •
. •
Zoning Use Lot Front Depth - . r,etbac?:s Max.B1d . Min. Op.
District Arc idth Front Side . pci2xL Cover. : Space __
..-
/0
East ' , Existi-IIE ' %
CB .
. .
• °I
. - -
/..,resent Proposed .
- ,0
-lark the appropriate lox to indicate the use of thr pz:- 1:
• ' f 1 Von-Conforming Lot 'and/cir StrUcture: Specify-, • . . __
I I Residential I ', Single Frilily UnitI Irultf-Family
1 IDuplex I 10thei.
• _p_ LBusiness
•
•[II] IL' strial - - • .. -
._ ,
1 ] Institutjor-,1
[Ii] Subdivision' I IRegul;,..r - _ I 1P.U.D.. ' -
_
1 IClustra‘ . L__) Ot]ier
. .
I 1Subdivision with "Approval-Not-Reauired".---a:-AmP:
I 1Planning _noard Approval:
- i •
1 I Zoning Board Approval (Special Permit 10.9: Variance)
.I 1City Council (Special Exception S. 10.10) ___
. W Natershed Protection District Overl.T.y: - (Z.O. Sect. _/..1V) I I Yes No
?arking Space Requirements: (Z.(.% , ect. F .1) _ ' -.Jequired t1/14 Proposed
r,oading Space Requirements: (Z.0; ect. 8.2) .- Required hi Proposed—
[X:J • .
Signs: (Z.O. Art. - VII) , . I I Yes -
No
.
Environmental Perfoniance Standards: (Z.O. Art. XII) I 1Yes WilTo
__
Plot Plan 1 ) Yes 1)41 Po Site Plan L_J yes FZ1.1‘lo
S. 10,2) . (S. ' 10.2 and 10.11
taiver Granted: Date 1 1
1 E:4 1,724 F7A r,-.1 L-1 WA bil t,:,41 F--!,il EZA M4 Vta AtiiM P.:=KI oem MR1 V...F1 NV4 gall len Wi% DWI t ...../( V.ZTA ET,4 bA41 ma tiLS.11 17.3 EG-11 WI EVEN ii4: f7.51 WI P,1 m
Iliis section for OFFICIAL use only:
- .LX)Approval as presented: .
[ podifications necessary for approval:
1 jReturn: (More information needed) - •
1 ! Denial: Reasons: -
.r V? 7 it21.:C.1.? 1/ . .
_
Signature of Applicant Date Sit.;nqture of Admin. Officer Date
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