29-485 (7) ZONING •
FRONT a
SIDE YARD SIDE YARD
REAR YARD
NOTES
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and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address — .Number, street, city, and State ZIP code Tel. No.
P, 4 �p q i
Owner or
Lessee
Builder's
2.
License No.
Controctor
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 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 By Notes
9 Fee Started y Approved
BUILDING $
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
l Date
Permit or Approval Check Obtat ed Number By Permit or Approval Check Obttained 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 I Pk 1 19
Building
Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ . panty Load
Approved
Drain Tile $
Plan Review Fee $
TITLE
0 11 CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR INSPECTOR of BQUI DINGS
Page OL � Plot qW APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — A" cant to complete all items in sections: I, 11, 111, IV, and IX. O
p
+:. 1 � \�\ E ZONING
(• AT (LOCATION) � '--� - ��-(�...,/t��C,��\ `� DISTRICT OF� IrN
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE QF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 FI 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) o'r
14 � Transient hotel, motel, 21 C� Parking garage At
4 Repair, replacement or dormitory — Enter number r �
5 ❑ Wrecking (if multifamily residential, of units ——————— — -- 22 C-� Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
a'
Part D, ]3) 16 Carport 24 L� Office, bank, professional °
6 � Moving (relocation) p
❑ 17 [?"Other — Specify_ 25 n Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP C� 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
�r
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,••,•,,,••,,_••, S 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....................... C, C-_176
b. Plumbing .....................
c. Heating, air conditioning.......... 6.
d. Other (elevator, etc.)............. at)
11. TOTAL COST OF IMPROVEMENT is 6-4
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 L__] Public or private company 48. Number of stories................
31 L] Wood frame 41 n 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 D Other — Specify 42 Public or private company
50. Total land area, sq. ft. ........... � ) r
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 rqa Will theNe,,be central air 52. Outdoors........................
36 1 Oil °'° l candrt onii)j�
L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 ( Yes-, 45 No 53. Number of bedrooms..............
38 1�7 Coal
39 i _ Other — Spccily Will there be an elevotor� Full..........
54, Number c{
46 [ ) Yes 47 No bathrooms Partial.......
f, p
yr.
t 0AWT. OF BUILDING INSPECTIONS BUILDING
212 Main Street O<
' Northampton, MA 01060 PERMIT
.. VALIDATION
DATE 19 PERMIT NO
APPLICANT ADDRESS w , ... !1',
(NO.) (STREET) (CONTR•S LICENSEI
NUMBER OF
PERMIT TO (^I STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
:}1 .',' - ZONING
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:
AREA OR
VOLUME ESTIMATED COST $
(CUBIC/SQUARE FEET)
-�
OWNER "1. 0 D P zz_r
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p
� v
y
..#!
�; �� ° t
� �`��'
a 4114MOT. OF BUILDING INSPECTIONS BUILDING o°
! 212 Main Street
IL
Northampton, MA 01060 PERMIT 04
29 - 484 VALIDATION
August 29, PER IT NO - 552
DATE -- Owner lorerice
APPLICANT
Ralph N. Ely ADDRESS A e rook fir. , F
(N0.) (STREET) (CONTR'S LICENSE)
New Building Storage Shed NUMBER PERMIT TO li, STORY NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
243 Acrebro Dr ive DINING
ok URA
AT (LOCATION) OISTRiCT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION c1 LOT BLOCK SIZE
BUILDING IS TO BE 10 FT. WIDE BY 9 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the construction of a storage shed
117.00 PER 10.00
AREUME 90 sq. ft. ESTIMATED COST FE
(CUBIC/SQUARE FEET)
OWNER Same as Applicant --- BU P
ADDRESS Same as Applicant's -- By
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY a PINK V ASSESSORS COPY p}NT P