29-485 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
+ra►{•
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or IA ' l �'/ • Q�OLO �C�'
Lessee
Builder's
2. 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.1.
Sig t re of applicant Address / Appli ation date
00 NOT WRITE BELOW THIS LINE
PLAN REVIEVRECORD — 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 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
II. VALIDATION
Building ✓ FOR DEPARTMENT USE ONLY
Permit number
Bui(ding. Use Group
Permit issued C> 19
Building `'� Fire Grading
Permit Fee $ C/f Live Loading
Certificate of Occupancy $ ---� cuponcy Load
'Ap ray d by:
Drain Tile $ i
Plan Review Fee $ /'
TITLE
w►�r•w CITY OF NORTHAMPTON
g. MASSACHUSETTS
$ B OFFICE of the INSPECTOR of BUILDINGS
Page Plot — APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX. �Q O
yr� ZONING �{'�
I• AT (LOCATION) `
LOCATION (NO.) TREET)
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
2A Addition(1/ 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 o/ units— — — — -�
3 F-1 Alteration (See 2 above) 20❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (if multifamily residential, of units ——————— — --- 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
Q 26 ❑ School, library, other educational
B. OWNERSHIP ; � 27 ❑ Stores, mercantile
8 ® Private (individual, corporation, )� f 28 ❑ Tanks, towers
nonprofit institution, etc.) ,d / 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.)............
1
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 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
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — .Specify 42 F—] 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 .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 C� Electricity 44 ❑ Yes 45 �:] No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
—
46 ❑ Yes 47 ❑ No bathrooms Partial........
Department of Building Inspections
212 Main Street « BUILDING Z //// /✓
ZO 0
6
Northampton, Mass; 01060 04
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PERMIT
30C _ 51_1 1 VALIDATION
August ugust 29� 19 84' PERMIT NO. 389
James ames F. Boyle ADDRESS 266 West Farms Road On File
(N0.) (STREET) (CONTR'S LICENSE)OF
Addition Screened in Porch DWELLRING UNITS
PERMIT TO (_) STORY -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
Lot #1 Burts Pit Road D STR CT SR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
PORCH
X 1� IS TO BE 10 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Tip G (TYPE)
REMARKS: permit for the construction of an addition of a screened in porch
AREA OR 2 500 00 PERMIT 10.00
VOLUME 120 SCl. ft. ESTIMATED COST . f • FEE
(CUBIC/SQUARE FEET)
OWNER James F. Bo yle
Zbb West s Road, Northampton, Mass. 106Q"
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - h$b�E'SSORS COPY