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29-453 (7) OV Vill. ZONING PLAN EXAMINERS NOTES DISTRICT USE ONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. 5 YC Owner or c 'A Lessee �' > �� Builder's 2. c e 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. Signoture of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL $ OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained Number By Permit or Approval Check obtai ate ed 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 Building. Use Group Permit issued 19 Building Fire Grading Permit Fee Live Loading Certificate of Occupancy $ t Occupancy Load Md Ae by: _ Drain Tile Plan Review Fee TITLE ry, Q3 CITY OF NORTHAMPTON * .- MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS ,YT Page - Plot c� APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) �'l�C /�C' /J�� 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M 1 ❑ New building Residential Nonresidential 2 ❑ Addition(IJ residential, enter number 12 L❑ One family 18 Amusement, recreational of new bousing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑� Church, other religious number of units— — — — —� 20❑� Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, 21 ❑ Parking garage 4 ❑❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — --o. 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 E] Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 ❑ Other — Specify T'"' C!t�`�-C h..✓) 25❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28❑ 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 rr processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, x/, L school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. 7'o be installed but not included If use of existing building is being cJaanged, enter proposed use. in the above cost a. Electrical....................... 1 vlC� - '✓c . 6 b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. /'�('�('�X74 11. TOTAL COST OF IMPROVEMENT $ C 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 F-1 Masonry (wall bearing) 400 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 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET 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 ❑ Electricity 44 [] Yes 45 ❑ No 53. Number of bedrooms.............. 38 Coal 39 Other — Sppc i/y Will there be an elevator? Full.......... 54. Number of 46 [-1 Yes 47 Cj No bathrooms Partial........ Department of Building Inspections 212 Main Street Northampton, s. 01060 BUILDING Z° 01w z- PERMIT as 29 - 453 VA LIE)AT ION DATE May 3, 19 84 PERMIT NO. 174 APPLICANT Teddy Bear Pools ADDRESS East St. , Chicoppee Falls (NO.) (STREET) (CONTR'S LICENSE) In round Swimming P o One Family ome NUMBER OF • PERMIT TO g ( )1 STORY y DWELLING UNITS _ (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 48 Crestview Drive ZONING URA AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE POOL IM& IS TO BE 18 FT. WIDE BY 36 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit for the installation of a new inground SW1mM1T1� 000 AREA VOLUME 648 sQ, ft. ESTIMATED COST 4,00'00 FEEMIT 16.00 (CUBIC/SQUARE FEET) F OWNER Henry & Donna Pasternak BU ADDRESS restvleW rive, F orence 0 0 BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY