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VIII. ZONING PLAN EXAMINERS-NOTES
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants *IN* .
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
J. 1 G 5.77 Al L f CL,- FLv> � I�! C-)/bW c) �Yc 3
Owner 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.
Signaturl of applicant Address Applicati n date
00 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
Date ate
Permit or Approval Check Obtained Number By Permit or Approval Check ObDtai ed 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 0
Bui[ding Use Group
Permit issued 19
Bui Iding Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ a
ds�
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�+ as MASSACHUSETTS
$ s OFFICE of the INSPECTOR of BUILDINGS
Page _ Plot % APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
/_ y ]� /� ZONING
1• AT (LOCATION) 40 v S7-/'y� �CLL� DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — A/I applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 M New building Residen 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
number of units-- - - -- 20 ❑ Industrial
3 Alteration (See 2 above) 14 l
l
h
Transient hotel, mote ,
❑ 21 C� Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1/multifamily residential, of units --————— — —� 22 ❑ Service station, repair garage
enter number of units in building in 15 Garage 23 ❑J Hospital, institutional
Part D, 13) ❑
16 Carport 24 C� Office, bank, professional
6 ❑ Moving (relocation)
17 VOther - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP (2" 7D:_)k) S 27 �❑ Stores, mercontile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 L� 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,,,,,,,,,.••,.,. Cj 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 $ O`er
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 f
30❑ 48. Number of stories.........Masonry (wall bearing) 40 Public or private company
31 Q Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior p�
32 ❑ Structural steel dimensions ..................... O
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ..........
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 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — SpeciJy Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47❑ No bathrooms
Partial........
y DEPT. OF PUILULNG INSPECTIONS BUILDING �O
n Street o
Northampton, MA 01060 PERMIT <a
29 - 348
VALIDATION
DATE October 19, 19_ 87 PERMIT NO. 706
APPLICANT Robert J Kolakoski ADDRESS 64 Austin Cir_ , F1nrPnrP nWnPr
(NO.) (9TREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO NPw RO i 1(i i (_) STORY Stnra�nP �hP(1 DWELLING UNITS
(TYPE OF IMPROV MENT) NO. (PROPOSED USE)
ZONING IIR A
AT (LOCATION) 64 Austin Ci rrl P DISTRICT
(NO.) (STREET)
BETWEEN ANO
(CROSS STREET) (CROSS STREET!
LOT
SUBDIVISION LOT BLOCK. SIZE
BUILDING IS TO BE Q 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 fnr the rnnctrllctjpn of a now C'fnNalY��Ch { Q� 'Inl
AREA OR 80 sq. ft. ESTIMATED COST 100'00 FEEMIT $ 10'00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant .
ADDRESS ame as Applicant's 9Y)LD !
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK ^ ASSESSORS COPY pjNT P