29-447 (3) twpf;,- DEPT,lLDING INSPECTIONS
BUILDING I :,-1( I i /),/. )
. .
Main Street o<
P
Northampton, MA 01060 PERMIT ..
4
4Y:1 VALIDATION
,,J.r. 17. 155
DATE 19 -' PERMIT NO.
APPLICANT LCIIAH::1 j. ! arib0(; ADDRESS E5 Ell :7.noton Pd. , Florence Ow,ler
(NO.) (STREET) (CONTR.! LICENSE)
,.? o NUMBER OF
PERMIT TO r, -, ' ,, ,.. ( ) STORY Car-Port, DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) ?-5 El I inoton Rd, Florence ZONING
DISTR 1CT URA
NoJ (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
(TYPE)
REMARKS: 1.:L::- ' for LiiitiiPLE=.1 c:,;; -'-)r)%.:: 11 X El
AREA OR ':! . vi'' :+.. :-.i.,HXV.)0
VOLUME ESTIMATED COST $ !WAIT $
(CUBIC/SQUARE FEET)
OWNER -.—
7)n: .1 C:,;: t' S BUILDING DEPT..-
ADDRESS BY
.,..__
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pirap
'A ■1111.111.111111■11.11 ....... .....""''''.-"----
et*
DEPT LDING INSPECTIONS BUILDING ii_ CO
9O ' E
Main Street o<
-_ Northampton, MA 01060 PERMIT
29 - 447 VALIDATION
DATE Mar. 17, (g 89 PERMIT NO._ 155
APPLICANT Lowell A. Sanborn ADDRESS 26 Ellington Rd. , Florence Owner
(NO.) (STREET) ICONTR'S LICENSE)
PERMIT TO Addition (_) STORY Car-Port NUMBER OF DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 26 Ellington Rd. , Florence DISTRICT
URA
(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
a h y (TYPE)
REMARKS: . permit for an attached car-port q J 1I l I 20'
AREA
VOLUME 240 sq. f t. ESTIMATED COST $ 5,000.00 FEEMIT $ 20.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS Same as Applicant's BY BUILDING DE' (�
ef°2 iv- �-vs-f
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY rstrtOp
,�i--' �, CITY OF NORTHAMPTON
'' MASSACHUSETTS
rOFFICE of the INSPECTOR of BUILDINGS
1.
� � Page C Plot el-4/7 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
ZONING
I. AT (LOCATION) ��. li�/GTON ,O l� DISTRICT'
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 I I New building Re "dential Nonresidential
2ZJ Addition(If residential, enter number 12 III One family 18 I 1 Amusement, recreational
of new housing units added, if any,
in Part D. 13) 13 [ I `wo or more family - Enter 19 L_) Church, other religious
number of units- - - - --). 20 Li Industrial
3 I I Alteration (See 2 above) 14 I I Transient hotel, motel,
21 ❑ Parking garage
4 I I Repair, replacement or dormitory - Enter number
5 I I Wrecking (If multi family residential, of units - -.>. 22 Li Service station, repair garage
enter number of units in building in 15 Garage 23 LA Hospital, institutional
Part D, 13)
16 I Carport 24 I I Office, bank, professionol
6 I I Moving (relocation)
17 I Other - Specify 25 I I Public utility
7 1 l Foundation only 26 ( I School, library, other educational
B. OWNERSHIP 27 I Stores, mercantile
8 I(�Privote (individual, corporation,
28 I I Tanks, towers
nonprofit institution, etc.) 29 Li Other - Specify
9 1 I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement $ .,],COO school, secondary school, college, parochial school, parking garage for
e department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical _ atl /a /�7 ®, „ ( /�-
b. Plumbing L3/ 1/4C1/
//'
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $ ..-3-;000
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 I I Masonry (wall bearing) 40 Li Public or private company Number of stories
31 I I Wood frame 41 Li Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 I Structural steel dimensions
33 I Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42 I I Public or 50. Total land area, sq. ft.
p fY private company
43 I—I Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 I Gas W,(I there be central air 52. Outdoors
36 I Oil conditioning'
L. RESIDENTIAL BUILDINGS ONLY
37 L Electricity 44 L_ Yes 45 �' No 53. Number of bedrooms
38 Li Coal
39 L_I Other - Specify Will there be an elevator', Full
54. Number of
46 H Yes 47 L—i No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
/ p Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
J
Owner or WfLi-41 S4-/Vat,eAi' L Eli//VG j/JA/AL2 /VAi 0/° Jt °`J'`1�e20
Lessee
Builder's
2. 04Il N /?-4/4611.4- 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
c ix !Ji �?�— /Z---k.
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 By Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Approval Check Date Number Date
Permit or A umer
PP Nb B Obtained By Permit or Approval Check Number B Obtained y
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 155"' FOR DEPARTMENT USE ONLY
Permit number
Peilding -A 19 Use Group
Permit issued � • 1 Vt
Fire Grading
Building
Permit Fee $ C 0' Live Loading
Occupancy Load
Certificate of Occupancy $
APP .
Drain Tile $
Plan Review Fee $
T LE
1 q(
. le / y--y
1
1 i 1
1
1
**'/;CD a..-1'
O��HMip�O
44. ;,e (lift( of Norfl7amptou tarlfirMr
?o lassacOatts __
DEPARTMENT OF BUILDING INSPECTIONS , =_;_`_`
INSPECTOR 212 Main Street • Municipal Building '`
Northampton, Mass. 01060 SV
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN.
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING AHOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
NOTES and Data — (For department use)
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT Ufk-
USE 61 4O /WL
FRONT YARD r
SIDE YARD /5 / SIDE YARD 15/
REAR YARD C:T if
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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