29-171 (3) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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SIDE YARD SIDE YARD
FEAR YARD
IX. SITE I,I
r
• • PLOT PLAN For Applicont
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NOTES and Data — (For department use)
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
L. -jcG° • License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is auth rized by the owner of record and that I have been authorized by the owner to
make this application as his uth ri ed agent//and we agree to conform to all applicable laws of this jurisdiction.
Signatur applicant Address i" Applicati n date
DO OT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For fice use
Plans Review Required Check Plan Review Date Plans By Plans B Notes
q Fee Started y y
Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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 "7 U V/
Building- Use Group
Permit issued � �190
Building ` Fire Grading
Permit Fee $ 0 Live Loading
Certificate of Occupancy $ Occupancy Load
Aay:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot 17 — APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.
ZONING
✓. i tJ
I• AT (LOCATION) ✓
DISTRICT
LOCATION ("O•) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 El N building Residential Nonresidential
2 Addition(If residential, enter number 12I� One family 18 Amusement, recreational
of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religious
in Part D, 13)
number of units— — — — --> 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 El Repair, replacement or dormitory — Enter number
f 22 � Service station, repair garage
5 Wrecking (If 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
9 (relocation)
6 Moving p
25 Public utility
17� Other — Specify
7 Foundation only 26 School, library, other educational
B. OWN SHIP 27 Stores, mercantile
28 Tanks, towers
8 Private (individual, corporation,
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,,,,,,,,,,,,,,,, ��a1- 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 $ a
III. SELECTED CHARACTERISTICS OF B ILDING — 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 F SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories................
30 asonry (w Private (septic tank, etc.)all bearing) 40 Public or private company '0 g-1z
49. Total square feet of floor area,
31 Wood frame P all floors, based on exterior %t� �.
32 Structural steel dimensions ..................... 1,,!
33❑ Reinforced concrete H. TYP OF WATER SUPPLY
50. Total land area, sq.ft. ...........
34 n Other — Specify 42 Public or private company
Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 D Gas
Will there be central air 52. Outdoors........................ //
conditioning?
36 F- J .I !,/ L. RESIDENTIAL BUILDINGS ONLY
37 CY tlelctricity 44 [—] Yes 45 No 53. Number of bedrooms.............
38 Coal
39 C� Other — Specify Wi II there be an elevator? 54. Number of Full..........
r bathrooms 46 �� Yes 47 . No at s Partial.......y
e;.. _s ,, ... .,,.
h
r � /`' i
A � '�
., 9.1
epartment of BuiLding Inspections
12 Main Street
orthampton, M�y,,,,�,,1060* BUILDING Oa :
PERMIT
29 - 171 VALIDATION
DATE August 15, Qf 19 83 PERMIT NO. 404
APPLICANT Norman F. Glenn ADDRESS 152 Ferry St. , Easthampton 039970
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (,) STORY DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
90 Deerfield Road ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 10 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for a porch addition to the rear of existing house
VOLUME _ 120 sq. ft. $ 4,000 00 PERMIT 16.00
-ESTIMATED COST • FEE •
(CUSIC/SQUARE FEET)
OWNER — - Pete Emerson
_ 90 Deerfield Road. Florence BY
ADDRESS I I EP
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK ASSESSORS COPY