29-344 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants "� t
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owngr or
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.
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 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 Approvo I Check Date Number B Permit or Approval B I Check Date Number
Obtained y Pp 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
Building Use Group
Permit issued r 19 C�
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $$ Occupancy Load
Approved ,
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
10 �• MASSACHUSETTS
OFFICE of the INSPECTOR of B ILDINGS
Page 22 Plot 3) APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) c1q, DISTRICT
LOCATION (NO') (STREET)
OF BETWEEN _AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
—f
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 Parf D, 13) 130 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 (I/multifamily residential, of units -------- — -i
22 ❑ Service station, repair garage
enter number of units in building to 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 Moving (relocation) 16 ❑ Carport
❑ 25 Public utility
❑ 17 �-Other — Speci/ ❑
7 Foundation only
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
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 R l x C�
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............. o
11. TOTAL COST OF IMPROVEMENT I$
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
48. Number of stories...............
30 L] Masonry (wall bearing) 40 ❑ Public or private company
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... 4 r
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
42 Public or private company 50. Total land area, sq. ft. ...........
34 ❑ Other — Specify ❑ p
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 n Yes 45 No
53. Number of bedrooms.............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators 54. Number of Full..........
46 Yes 47 ❑ No bathrooms
Partial.......
BUILDING INSPECTIONS BUILDING ZD
212 Main Street o<I IL
Northampton, MA 01060 PERMIT
29 - 344 VALIDATION
DATE jU1T2 19 PERMIT NO. 413
APPLICANT Kayak Pnn1 s ADDRESS f�artford/Boston
(N0. (STREET) (CONTR'S LICENSE)OF
PERMIT TO STORY
One Family Dwelling DWELLING UNITS
(TYPE OF IM ROVEMEN 1 NO. (PROPOSED USE)
ZONING Ura
AT (LOCATION) 94 Austin Circle DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
POOL 28 20
XXKX%IXT IS TO BE T 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 for the installation of an above ground pool
AREA OR 560 $Q. ft. ESTIMATED COST $ 10,920 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER GlennEastman BUILDING
ADDRESS 94 Austin Circle Florence BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSE SORS COPY P Ofp