24B-080 (17) a.
*71 DEPT. OF BUILDING INSPECTIONS BUILDING �O
��' Street212 Main / D_ 00
Northampton, 01060 PERMIT
[P 1 - G 7 VALIDATION
[[ DATE 3 p76 19 PERMIT NO. /S O am,y
APPLICANT . '440 4f A e c re R M C tk i
S ADDRESS 56 )8 t? D Fo R D (S(I�/Ate It
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Co boo STOV`e- NUMBEROF
(_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 56 8RA-0 P-oRt DISTRICT G 12
(NO.) (STREET) ��
BETWEEN LA.)00 D N%n)✓ 7— (/
AND kJ f l E 3
(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: IA/ 57A1- h Li 00 0 ST0 V 'Q,
VOLUME ESTIMATED COST $
6�� FEEMIT $ `0 0 0
(CUBIC/SQUARE FEET)
`
OWNER Sfnnoiv' ftLTe R-M 2 L.( I
BUILDING DEPT.
ADDRESS S(o R RR D Fo R D BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p INT
•
;� ia DEPT. OF BUILDING INSPECTIONS BUILDING Z° �'
+ � . ei• 212MainStreet er / „y
aW > I"' ! CJ,
Northampton, MA 01060 PERMIT Q
LP 7 Z./ L' -+1
VALIDATION
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN (-t'' "' ' 'NOA-1 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:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
BUILDING DEPT.
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY l'INII SNP
r
.QS �i�d CITY OF NORTHAMPTON
•
VIII. ZONING PLAN EXAMINERS NOTES A•A MASSACHUSETTS
$�"C.:' i4l : OFFICE of the INSPECTOR of BUILDINGS
•DISTRICT V%jr ( ;-
milm � Page pZy a Plot g0 APPLICATION FOR
USE ZONING PERMIT AND
INSPECTOR
BUILDING PERMIT
FRONT YARD Z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
SIDE YARD SIDE YARD ZONINGI, AT (LOCATION) SG St- DISTRICT_
REAR YARD LOCATION i�(JNo(/..))(�/(/�7 (STREET) ./�.y�.�� ���+/��
OF BETWEEN `_ `"� ✓MON AND ,8A T v"� ter+
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING - All applicants complete Parts A — D --I
XI
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
m
1 I I New building 9 Residential Nonresidential
2I I Addition(If residential, enter number 12XOne family 18 I Amusement, recreational
of new housing units added, if any,in Part D, 13) 13 I Two or more family - Enter 19 L Church, other religious
IX. SITE OR PLOT PLAN — For Applicant Use number of units— — — — _ 20 I Industrial
3 I I Alteration (See 2 above)
:ea: : _ ! 14 I I Transient hotel, motel,
.•• ss. y 4 Repair, replacement or dormitory - Enter number 21 Ei Parking garage
nali l:xmd • .r•• x 1• • • um :.x ofunits - -� 22 I Service station, repair garage
i:••a■lit••x•�:= .a: ! .::.1.•i••l ir::::::::dIaimem x/rQxd•r.xaxoO•a = 5 I I Wrecking (If multifamily residential,
rx•//!ax■r/xux•i ti' !/ enter number of units in building in 15 I I Garage 23 I Hospital, institutional
a�:•xxrx• aea• /.1� • x.: ■ s_essee:!else pee: s•• ! 24 I Office, bank, professional
ssmes�s•axxx•/p!■x■•l.e::a : Past D, ]3)
i::ii: :: =::r =:5ei:•�u:i•x/•.:.:t.•• : :::::::• e : e 6 I 1 Moving (relocation) 16 I I Carport
v rlx•d■•■da• ••rl.x•x•lxx .xx.x ••i: a•• 171 I Other - Specify _ _ _ 25 I Public utility
..::_.•:::••r/a.•:fIV:1 �N�. : s :I :semi : .is s •:
• .• x • x• o=/xa�1 x xr: xd •. : :ax 7 I I Foundation only
:•:xlx:r:rx:::. iix:::• ::I ■x:x:.■..x.:uaxx■a.u.uxdx: s : 26 School, library, other educational
la:gq• :::ti1:• i iii• Pin'�a ssees�!=raa gefests: .. �0/OOOOOOOOOO i::is::::xxx•x::/x 2 B. OWNERSHIP 27 I Stores, mercantile
1l.I•Ll=ll6ir:la::rid:iiii::=■:::�:::i::::::::::::: i
�i= =••i■Rax • :Chas• ■ Uir xalxxa::::l pa:::::6 l ::: 28 I Tanks, towers
x r 8 Private (individual, corporation,
./ xr:i .1.xal: • ••a• : as _ L p resemixopummo_OOOOO...........a• : r nonprofit institution, etc.) 29 I Other - Specify
:pl•:x ■�•.:•SS••■t•O000OO �■ff••• ax•■.1xx xx■■• xr•:■:xxx.rr/r!•:•2 •• _:: 9 I I ocalic l government)
(Federal, State, or
1aa• • x:• ea ax. it assaggl• • ■ x
•:::1:::::: :'i:::1SC:�::N::::::::111:/N:l:::aNN:H:1Oa:N•■ ■:Nxrr :
• i. ■/•Id'l•l•5' I! a : rl••x•:1ial.21x/•■: 2...: C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
/..xxo • •• le ■Ha N..
•.�■ :: : •ad a..•=•_•x..l..d.xd.r....:/.a.•::::: : processing plant, machine shop, laundry building at hospital, elementary
:pe ••xax • OOOOOr• r•r � �•• pr•.d■x. • r■d.rx•xm.•■ m• a.. xx...x.axseses school, secondaryschool, college, parochial school, parkinggarage for,
l:«•al:oiled•�u�■••arlr•�il:::::::xp•t//••//a.=u•laaxa•••a•rax.•ui::: ::::•�i•/•= 10. Cost of improvement $ �. 9 9 9
••ra/t.xx r.......11xaaa••.r•:•i ri department store, rental office building, office building at industrial plant.
,�•mll�.xx..�•, x•i•.m • ats.•:a.axi•. dealt dddxda: a/ l To be installed but not included If use of existing building is being changed, enter proposed use.
::=•:1.unk n::::1a::::::: i. 1 l :I/•:
! in the above cost
need=■U■JE: •es.•x•.....Oemmee=xxxx.�.x•x.•dxrxxxls l r• iiiHIONSINIUMII a. Electrical
rr:ll a:ll: •aa x. a a� 3�i
=::aila•:ll: :l=::• : :••• :s•:•::el peplos along ••I r :e la..l : _ ' •• b. Plumbing
�•.xx.p••..•x...■_.. +x•...•.xa. _■ . . S25.60
llyre::lpT�l■ga::� l:•d re igi eili ilxxxx:OMM011l::::l::rrd•/.aaxdxa■l •xd.ail.l■! c. Heating,
1/ r■: l ■■xr:•••:.1:22. :.x:rxx•■ l air conditioning
:11VIO •i:F :ride• !:=! :•••x•::.:e:::::! I. I d. Other (elevator, etc.)
....:::N:ens:.n::l: l :::g::........:.l:dais : : .s !
:: r • •• -:_�:inn: ::::: :6 :::os . ma ■ . ....... ...•i ::: : : 11. TOTAL COST OF IMPROVEMENT $ � .oD
:l ld�•'m.".I.x.milllem imj. •! ASS�'imt 1:I::_II IIIIIIISI�:= �'••l=a= I •! : I I III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
s: : ...... sNOO isii..'s i•'=~l.11�N�•!•.i..■..�••s m s. xs:a ss . . : !.l:..::.1 : 1.la:l !a••:::::! for wrecking, complete only Part J, for all others skip to IV.
......::::::::f11r•.:/_::.....::::.1al•12i! .. :r.. .•.:. ..s.••d'ls:l •.• ■ .••■ : ■.•d E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
::::::::::. •i::li •! !I=.ax:a=... .....:1::::1red :•mead l••.!•l=ld■•d!i ! !x•.l - 48. Number of stories
•.x•• • a.. t. 1 I (wall bearing) 40 I Public or private company
: i:l 1lt •l!!.:•::l:. iix:==IdxN :::::1 ! x : ! :.: :••I 30 Masonryh/
: !! 49. Total square feet of floor area,
�.■ 1. •..:1:: .::lia :iles:�e•�I:el.• � Imdl l■xi..l:: : Jul l:a■ma:l 1 31 Wood frame 41 I I Private (septic tank, etc.) all floors, based on exterior
UICUIC U:1 .;nsle: ::::: •.ii: :•e ::�_ l rum:::uxxha :::: ::: :: ••d: maa•.••■.1: 32 Structural steel dimensions
ii iii • J HE I:. :s3il:artll. m. :eed d. aii ii a Y.m::: : : l :ll"mes:::::ll.•I a
�� !:l••:: d• • •x.d•rx•x.r.•::x x■d:.l:• :•.:: ! :. f
I I�;:i�RB:::::• r .rr.:•da.r •lei•=j::Lie1:=Ze•!SLi:aa •.•isa xi:•:: i lim::::::::: ::: ::::::::::::: _ 33 Reinforced concrete H. TYPE OF WATER SUPPLY
ii SS LL a r� xxr
is 1111:1l::l:1 !l::. . iSi.x. ! i:::e•:u::lilr:x:: ::a _ :1iid ■:111 : ^50. Total land area, sq. ft. —
• llli :la •::. • l i x mi u.:ux�x :la::d• • axa :as :!!: 34 I I Other - Specify 42 rY1'3Privote
ublic or private company
• . •■ a !•r=t= .••lea;.da=dd=• sD■11Ur: I a•=Ill•ll•I l aam �m::e:: •Im■(ill: 43 (well,
■ 1!!■ iis !:! !l!i • iS a 1OO a • i=area• cistern) K. NUMBER OF OFF-STREET
i: i- ae i it :i::::� j':•• : •� •••: el::: d :. • ••• ::..■:l::l:a • d ■ eea •■ PARKING SPACES
� �`!1j��� ••� :!! SSaa _ ::•:■■l! :d:/::.::!!:. !• _
• •l Uuiiiiid�����i�: i t {::I + liiii ."ii: 1e=::ii=so a.a. d: :! :ll:s:! ::�:::aa:•x::e •:::. ...ssi I=:I:::: I a 51. Enclosed
■. aad a: e • • .xaF. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
. 1' sl•.l•ll.s. :•; :N••:I : ar I. . .. .x ::::::1::!! e-sse:::l
■ i :! :II 1 :..IIaa:lgl.1m:11116!l :n: •:i 35 I Gas Will there be central air 52. Outdoors
: �1 +1 ! ■ xm' '� $�{ $� �2* ::�:ll:::: �rg.�i : �'::S:aYlal : lea lilt::i�t: :=3am•l I I conditioning' L. RESIDENTIAL BUILDINGS ONLY
t.•V.t.. i • ! }{. }+a j t .L +../ ! !•:::•! : ::l•.a■ ... 36 oil .
} I 1:1 $ ii It' 14$ { ir+ 1_$ /ii •!pl�x.•a=a = iixi UIVI■IIIIIxr _ 9 ! • •x m am maem 37 Electricity 44 Yes 4 No
�1111
gallium� +. }±t +�+ .• t';t . . .� r/M.N �:� :xN•I.xN .� : /�l�xd.l.1l.a:l::.:l a..o■ I Y Number O bedrooms
K tr+ +tit ' t* + •I• a• m:l 111:11: :: •• •i/•!yaai•• O:::OOOOOO:•••••••s L 53 N b r f b dr
'4$ i' f ; �+ ''��#++ , ''`; , • a . .i3� {"r ` � a�l!°•x :: i1:lYm: eiiiiYi i:: e: le:.:is:is::l I I coal ,.*
�" i+ x seed . • x.x xux. 39 Other - Specify WOO D Will there be an elevators Full
• +'`.. a "—_ 1,1:1 MO''t. :,} !•`_t ' 1111 1 r t r++,!•!:!IIIsliiInI:xi:: ::1�•p11:1•{111:an1i:::::: l e',
54. Number of
46 ri Yes -47 VIIIICNo bathrooms
Partial
P I■t 11 P
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1, s�titeli Stke- b 8I(tU� S+. Nor,tuayet �.f r o ioeo q ct NOTES and Data — (For department use)
Owner or c� 7 l�(µn�V�G7 T
Lessee Alter ` Ur, `
2. I✓aYrU e(b a s& it u e . d _Demo Builder's
License No. /J O �i 40 6144:41 €9 ` iFI I1J`�]
Contractor l/
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
94erete =rr, 56 3 21 g 7
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans ByNotes
q Fee Started By Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate
ate
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 FOR DEPARTMENT USE ONLY
Permit number
Bui lding Use Group
Permit issued /16' /S;'7 19 g-?
Building Fire Grading
Permit Fee $ F Live Loading
Certificate of Occupancy $ Occupancy Load
Ap�,,,��e'rL.�d by:
Drain Tile � P��
z
Plan Review Fee $
TITLE