29-362 (3) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NPlfffft and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name �e q Mailing address — Number, reet, city, and State ZIP code Tel. No.
Owner or
Lessee
� Builder's
L. F3 0
License No.
Contractor
J
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
:�'ti � .� rim•t `+-�=' � ��' -z1� 5 - `� �`-
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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dae
Permit or Approval Check Obta ned Number By Permit or Approval Check Obta t 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
Building Use Group
Permit issued 4ZL., 19�_
Building Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ved by: �
Drain Tile $
(Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
�b .�i
,�. Page 41 Plot �P Z APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items i sections: 1, 11, 111, IV, and IX. /� O
�! ZONING L'&
AT (LOCATION) � � DISTRICT T r l
LOCATION (NO.) (STREET)
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
rn
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 Part D, 13) 13 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 F7 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)
7 ❑ Foundation only 17 Other — Speci/y 25 ❑ Public utility
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
a. Electrical....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............ qq
11. TOTAL COST OF IMPROVEMENT $d 3,J
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 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 1. TYPE OF MECHANIC 51. Enclosed .......................
35 ❑ Gas Will there be central it 52. Outdoors........................
36 ❑ oil con ioning? _ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 rte', No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Spr ify Will there b an elevator? Full..........
54. Number of
46 ❑ Yes 47 No bathrooms
Partial.......
apartment of Build Inspections
12 Main Street BUILDING Z0 F �
orthampton, Mass. 01060 2d j
PERMIT a
29 - 362 VALIDATION
DATE May 9. 19 84 PERMIT NO. 186
APPLICANT Jo-Ann Pinard ADDRESS 219 Acre Broolt Drive Owner
(NO.) (STREET) (CONTR'S LICENSE)
Alteration One Family Home NUMBER of
PERMIT TO ( _O. STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
219 Acrebrook Dr. ZONING URA
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: permit to replace od deck with new and converting existing windows to a pair of sli-
ding glass doors
AREA OR ESTIMATED COST $ 2,335.00 PERMIT Q 10.00
VOLUME �P
(CUBIC/SQUARE FEET)
OWNER Francis and Jo-Ann Pinard
ADDRESS
219 Acrebrook Dr. BYIL
WHITE - FILE COPY . GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY