29-467 (2) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT
Applicant .........
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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.
Owner orb
Lessee
Builder'
/ s
2. ` 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 h!,s. uthorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature f�pplicant % i� Address Application date
DO N'OT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained 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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number 6
Building. �^ i Use Group
Permit issued �% � �� 19 o.2
Bui(ding Fire Grading
Permit Fee $ f� 0 tf
Live Loading
Certi fi cate of Occupancy $ Occupancy Load
ved by: ,.._.�
Drain Tile $ A
Plan Review Fee $
TITLE
• CITY OF NORTHAMPTON
B+ .$ MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
T Page _ Plot 4447 APPLICATION FOR
ZONING PERMIT AND
N TOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) / -'7WC[�+ DISTRICiZ)'k/4-
LOCATION NOJREET)
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 Im
M
1 ❑ New building Reside ial 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❑ Church, other religious
3 Alteration (See 2 above) u
number of units- - - - -� 20❑ Industrial
❑ r�
14 Transient hotel, motel, 21 ❑ Parking gorage
4 ❑ Repair, replacement or dormitory - Enter number
❑ 22 ❑ Service station, repair garage
5 Wrecking (11 multifamily residential, of units ------- - --�
enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ Other - SpeciJy 25❑ Public utility
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 �c 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
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. Heoting, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
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 beoring) 40 ❑ Public or private company 48• Number of stories..............
31 ❑ Wood frame 41 El 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 E] 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 1. TYPE OF MECHANICAL 51. Enclosed ......................
35,❑ Gas Will there be central air 52. Outdoors........................
36 CJ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 _] No 53. Number of bedrooms..............
38 L� Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46 [-] Yes 47 ❑ No bathrooms
Partial........
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a�
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PERMIT 2 f
- VALIDATION .
DATE , 19 113 PERMIT NO.
APPLICANTCo"Ll 16 Jagobt ADDRESS 9 gmtview Dy 030739
:NN (NO.) (STREET) (CONTR'S LICENSE) .
PERMIT TO sollt is I-) t*TORY arrr�i NUMBER OF
TORY L 'I� F 111 DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) {
ZONING
AT (LOCATION) 'ClAkswivy wn DIISTR CT
(NO.) - ( TREET)
r i.
BETWEEN AND
(CROSS STREET) - (CROSS STREET) is
LOT
1
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
f
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I
_ (TYPE) I:
REMARKS
AREA s
f
VOLUME k. ESTIMATED COST $ � •r�i FEEMIT
(CUBIC/SQUARE FEET) }
).
OWNER
ottM BUIL
ADDRESS BY }
WHITE FILE COPY . GREEN FIELD COPY CANARY APPLICANT COPY RINK - ASSESSORS COPY r
., � �,,
���
,`
.,
�;
h
� n r
�i.a
Department of Building Inspections
212 Main S&SWI#
Northamptgn'7ka. 01060 BUILDING o° y,dd
PERMIT �a
29-467
VALIDATION
DATE February 153. }g 83 PERMIT NO. 853
APPLICANT Cecil R Jacobs ADDRESS 9 Crestview Dr. 030739
(NO.) (STREET) (CONTR'S LICENSEI
NUMBER OF
PERMIT TO Solar Panels (_) STORY Solar Panels DWELLING UNITS 1 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 9
Crestview Drive DISTR CT UM
(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:
AREA OR ESTIMATED COST $ 5775 00 FEEMIT ►•00
VOLUME •
(CUBIC/SQUARE FEET) ^
OWNER BUILD
ADDRESS g Cr n;c North--pptonv Mae 01060 BY
WMITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY