29-357 (6) Y
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP - 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
• IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
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.
Signature of applicant Address Application date
'+ /G'._
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER is I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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
Building J Fire Grading
Permit Fee $ ,j ,G�C Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee f �
,s
I
jo
NOTES and Data — (For department use)
L
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET ; -' / APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX. o
1• AT (LOCATION) t•L/'sr��, -L Cr y-2,� al(" -/�Gcd��''' DIOSTR Cl6� .
LOCATION (NO. (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
11. 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 Residen ial Nonresidential
2Addition(IJ 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 F-1 Alteration (See 2 above) 14 l
l
h
Transient hotel, mote ,
❑ 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) r '
7 ❑ Foundation only 17 kOther - Specify r` 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP �'�'TZ=-4 1i ✓s, H A' 27 ❑ Stores, mercantile
8 C5<Private (individual, corporation, r
28 ❑ Tanks, towers
nonprofit institution, etc.) '[j �C-+tl� 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.)............
11. TOTAL COST OF IMPROVEMENT Is
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
30asonry (wall bearing) 46�ublic 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 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 MECHANICA
35 ❑ Gas Will there central ai 52. Outdoors........................
conditioning?
36 ❑ it L. RESIDENTIAL BUILDINGS ONLY
37TElectricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will there a an elevo r? Full..........
54. Number of
46 ❑ Yes 47❑ No bathrooms
Partial.......
I hereby certify that the proposed work is authorized by the owner of record:
and I have been authorized by the owner to make this application asP his
authorized agent.
SIGNATURE OF AGENT
ADDRESS - _ -
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 .
z D
DEPT. FILE COPY A
DEPARTMENT OF BUILDING INSPECTIONS B U I L D I N G f IL
212 MAIN STREET < (
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
29 — 357 Code #79
DATE October 24, is 7_ PERMIT NO. 618
APPLICANT Albert Game ADDRESS 259 Acrebrook Drive
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Chimney & wood s±&y —J) STORY For won(i..YI17rY1 I n fi NUMBER OF
p� 't,[L'j):p DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)g
ZONING
AT (LOCATION) 259 Acrebrook Drive DISTRICTUU
(N0.) (STREET)
rn
BETWEEN AND
e (CROSS STREET) (CROSS STREET)
LOT
B SUBDIVISION LOT BLOCK SIZE
m
a
U
O BUILDING IS TO BE-FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
0 REMARKS: In ataj 1 interior masonary chimney and wood burning stove
AREA OR
VOLUME ESTIMATED COST $ 500.00 FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
f
OWNER Albert. GaguP
Btau!*rized.
ADDRESS 2 Arnahrnnk T t-jinn Nltnn B
(Affidavit on reverse side of application to be completed by agent of owner)
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