29-386 (5) ZONING •
DISTRICT
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SIDE YARD SIDE YARD
REAR YARD
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4401061
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NOTES and Data — (For department use)
-eqghw,fe
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
1.
Owner or O Et-L- (.d 17 Oidlpo S 8 -SS7
Lessee
X40
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
Jj
13<v (3Aooawoso 134. t=oo ►i��c, MA l�'trl�$�
DO 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 D
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta 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 /j� �
Use Group
Permit issued to% C_7C i 19_
Building Fire Grading
Permit Fee $ l "
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by
Drain Tile
Y
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g+ .� MASSACHUSETTS
e OFFICE of he INSPECTOR of BUILDINGS
,VT Page Plot Qw APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
" ZONING
I• AT (LOCATION) � O®� �d� D bo - DISTRICT
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
M
1 F-1 New building Residential Nonresidential
2 D 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 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 u Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) ❑
16 Carport 24 D Office, bank, professional
6 Moving (relocation)
7 � Foundation only 17 [::] Other — Specify 25 D Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 E�KPrivote (individual, corporation, 28❑ Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 E] 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 (� o
a. Electrical..................... �}iL� d'J C: as
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ 0r>.
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 SEWAGE DISPOSAL J. DIMENSIONS
30 asonry (wall bearing) 40 Public or private company 48. Number of stories...............
31 [ood frame 41 Private (septic tank, etc.) 49. Total square feet floor area,
all floors, based on exterior
32 F_� 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. ........... k.
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 Will there be central air 52. Outdoors........................
ti
condioning?
36 ❑ Oil _ L. RESIDENTIAL BUILDINGS ONLY
37 � Electricity 44 [—] Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevators Full..........
54. Number of
46 l r� Yes 47 E;f/N o bathrooms f
Partial.......
DEPT. OrWDING INSPECTIONS BUILDING �° / (�
212,Main Street O a /
Northampton, MA 01060 PERMIT
it
VALIDATION
29 - 386 October 20,
DATE 19 86 PERMIT NO. 619
APPLICANT Joanne Lobdell ADDRESS Bro` oRwood Dr. Owner
(NO.) (STREET) (CONTR•S LICENSE)
Alteration Sliding Glass Door NUMBER of
PERMIT TO l_) STORY _ - DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. IPROPOSED USE)
36 Brookwood Drive ZONING URA
AT (LOCATION) DISTRICT
(N0.) (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 for the alteration of a sliding glass door
AREA OR 864 sa. ft. ESTIMATED COST $ 700.00 FEEMIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Roger Lobdell
ADDRESS 36 Brookwood Drive BYI` ? '
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pop