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DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — \'umber, stmt, city, and State ZIP code Tel. No.
. e — - -4/7 1 -w P /!!U G/OG
Owner or
Lessee
2. /JL /ll' t /V/1/'416/e- �/y/ 4� eld'a 4.'V Builder's
License No.
Contractor
fy3uoo
3. , !d L 11
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.
Signet a of a licant Address y � Application date
00 NOT WRI/TE 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Dote Number B
Obtained y 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
II. VALIDATION
Building ( � FOR DEPARTMENT USE ONLY
Permit number X41
Bui Iding Use Group
Permit issued 19
Building �`� Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
$ f OFFICE of the INSPECTOR of BUILDINGS
Page Plot n APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in, sections: 1, 11, 111, IV, and IX. 0
ZONING
I• AT (LOCATION) / 7 ILI&Ej/ ����✓ DISTRICT -
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) (CROSS STREET)
LOT
f
SUBDIVISION LOT BLOCK SIZE /dO X led
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 7
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 Addition(lf residential, enter number 12 ❑ One family 18❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19❑ Church, other religious
number of units—Transient hotel, t—l— — —> 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 ll ransent oe , motel,C 1 21 L Pocking garage
4 ❑ Repair, replacement or dormitory — Enter number
22 �� Service station, repair garage
5 ❑ Wrecking (If multifamily residential, of units ——————— — "� 23 ❑� Hospital, institutional
enter number of units in building in 15 ❑� Garage
Part D, 13)
16 FAO Carport 24 Office, bank, professional
6 ❑ Moving (relocation) 25 Public unlit
17 E -1 Other — Speci/y �� y
7 ❑ Foundation only 26 School, library, other educational
B. OWNERSHIP 27 F-1 Stores, mercantile
8 Private (individual, corporation, 28 L❑ Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 ❑ 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,,,,,•,,,,,•...
� school, secondary school, college, parochial school, parking garage for,
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.......................
b. Plumbing .......................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT is Gd !l®
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❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories..............
31 Wood frame 41 ❑ Private (septic tank, etc.)
49. Total square feet of floor area,
all floors, based on exterior X 11
32 ❑ Structural steel 4 dimensions c�`�
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land ores, sq. ft. ........... ':5
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
NV� PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 E7 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............
38 ❑ Coal n,
39 ❑ Other — .Specify Will there be an elevators 54. Number of Full..........
46 Yes 47 I❑J No bathrooms
/F Partial........
/VC��
OF BUILDING INSPECTIONS BUILDING --D- 4
! 212 Main Street Oa
Northampton, MA 01060 PERMIT <a
29 - 462
VALIDATION
DATE 1111g 7 19 �/ PER Ig NQp� 424
APPLICANT Mass Contractors ADDRESS 1 ,/'- n "Ve� � �111c8p
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO
Addition (_) STORY Carport DWELLRING OF
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING AT (LOCATION) 47 Crestview Drive DISTRICT
lv'S�
(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
(TYPE)
REMARKS, perniit for the addition of a carport
VOLUME 16 I X 24 I ESTIMATED COST 6,000-00 PERMIT 24.00
(CUBIC/SQUARE FEET)
OWNER Rexford S1 oat BuIL
ADDRESS 47 rrPStyiPW Drive BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I241P