29-454 (4) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR •
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1046
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
Bui Ider's
2rjC) License No.
Contractor �941 ! `(, .'
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 t Addr s Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dte Permit or Approval Check obttaained Number By Permit or Approval Check Obttaain d 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
Fire Grading
Building
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ �? 4-1 rJ •
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
It• •4 MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot "'*& APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all 'tems in sections: 1, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
t/t
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 New building Residential Nonresidential
2 Addition(If 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 n Church, other religious
number of units— — — — 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
40 Repair, replacement 21 �� Forking garage
P P or dormitory — Enter number r
5 Wrecking (f(multifamily residential,
of units ——————— — --� 22 f.� Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13) „ 16 Carport 24 Office, bank, professional
60 Moving (relocation)
7 � Foundation only 17 � Other — Specify 25 �� Public utility
26 n School, library, other educational
B. OWNERSHIP 27 E] Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 D 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................ w 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 $
III. SELECTED CHARACTERISTICS OF BUILDING — f=or new buildings and additions, complete Parts E — L;
for wrecking, complete only Port J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30KMasonry (wall bearing) 40 E] Public or private company 48. Number of stories..............
31 � Wood frame W C& 41 D 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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35E] Gas Will there be central air 52. Outdoors........................
36 Oil conditioning
L. RESIDENTIAL BUILDINGS ONLY
Yes Ye
37 r� Electricity 44 45
L 1 ❑ _ 1 NO 53. Number of bedrooms..............
38 Coal
39 n Other — .Specify Will there be an elevator? Full..........
54. Number of
46 [_'� Yes 47 D No bathrooms
Partial........
a DEPWUILDING INSPECTIONS BUILDING zD I\
12 Main Street O< lJ `
Northampton, MA 0'1/060 PERMIT <
29 -� 'I �� 4( VALIDATION
DATE i Ma�4 F1? --�-�19 PERMIT NO. 1b5
APPLICANT Frank Denno ADDRESS 14 orwoo Ave. - 'uJ
(NQ.) (STREET) (CONTR'S LICENSE)
Alteration One Family NUMBER of
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
56 Crestview Drive ZONING URA
AT (LOCATION) DISTRICT
(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, permit to construct a 10' X 16' deck
AREA 160 Sq. ft. ESTIMATED COST $ 980.00 FEE MIT 10.00
VOLUME E
(CUBIC/SQUARE FEET)
OWNER RnbPrt Glick euILD a e �011
ADDRESS 56 Crestview Drive BY y
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pjNT P