29-125 (4) Cl q
-- - 0
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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•-------- ..... .......
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, cav, and State ZIP code Tel. No.
Owner or
Lessee
t
Builder's
1, 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 —9 X7 �yj Application date
D0 NOT WRITE` BELOW THIS LINE
PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER 1 1$ t
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtta t ed 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 6-0—
FOR DEPARTMENT USE ONLY
Permit number
Building IV 72— Use Group
Permit issued j 19 _
FF Fire Grading
Building
Permit Fee $ �l Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: ���s�,
Drain Tile $ a�''-"""i
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
$• �+� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page — Plot a _� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Appli`c/anti to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING
I• AT (LOCATION) C j,/,7 Z//j•�� .� r `� �'� DISTRICT
LOCATION (N0.) (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. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
m
1 ❑ New building Residential Nonresidential
2 Addition([/ 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
i
Transent hotel, mote ,
❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
❑ 22 �� Service station, repair garage
5 Wrecking (I/multifamily residential, o units —�
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 — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
890 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
C �� 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..................... G
b. Plumbing ...................... 61 0
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUI DING — 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 FV Public or private company 48• Number of stories..............
31 ❑ Wood frame 41 U 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 f!
50. Total land area, sq. ft. ...........
34 ❑ Other — Specify 42 Public or private company
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES 1
51. Enclosed ....................... J
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 X No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — .Specify Will there be an elevators Full..........
54. Number of
46 Yes 47 )o No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS BUILDING lz°
212 Main Street O<
Northampton, MA 01060 PERMIT
VALIDATION
29 - 125
DATE February 11 , 19 87 PERMIT NO. 66
APPLICANT James F. Boyle ADDRESS 66 e�Farms Road On Flie
(NO.) (STREET) (CONTR•S LICENSE)
Alterations One Family Dwellin NUMBER of
PERMIT TO (_I STORY g DWELLING UNITS
(TYPE OF IMPROVEMENT) 40. (PROPOSED USE)
AT (LOCATION)
377 Ryan Road ZONING T URA
(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 for the interior alterations to existing single family dwelling/no structural
changes
AREA VOLUME 1152 sCl ft ESTIMATED COST $ 18.060.00 FEEMIT .� 48.00
(CUBIC/SOUARE FEET)
OWNER SaMP FIS A�n, '9
�nlir nt BUIL �! d
ADDRESS Same a-,; A_p.,nl irant I s BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY p'INT- P