29-203 (3) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR YARD
, IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants q,
Nome Mailing address — Number, street, city, and State IP code Tel. No.
1.
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 plicant Address Application date
T/
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or A rova I Check Date Number By
pp Obtained y pp Obtained
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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number �T
Bul Iding- Use Group
Permit issued 19 a
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
ved by:
Drain Tile $ f 11'� j
Plan Review Fee $
TITLE
0 CITY OF NORTHAMPTON
9 MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plote APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
`! ZONING
f3�/,t ,y • DISTRIC
AT (LOCATION) 0 4 �
LOCATION (NO.) (STREET)
�'%
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number 12X One family 18 ❑ Amusement, recreational
Of new bousing 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 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 L❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17X Other — Specify •• 25 ❑ Public utility
7 ❑ Foundation only
�' -/ 26 ❑ School, library, other educational
B. OWNERSHIP / d � g 27 ❑ Stores, mercantile
BArprivate (individual, corporation, 2B ❑ Tonks, towers
nonprofit institution, etc.) /tl--/jM.29 ❑ Other — Specify
9 D 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.
7'o 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.)............. eo��
11. TOTAL COST OF IMPROVEMENT s6Z kQ�
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_�_<Ioublic or private company 48. Number of stories................
31 VWood 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 4 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 I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Wil there be central air 52. Outdoors........................
36 Oil cond ianing?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 l❑ es 45 �1, No 53. Number of bedrooms.............
38 �� Coal
39 `❑ Other — Specify Will there be n elevators Full..........
�� 54. Number of
46 C� Y 47 E] No bathrooms Partial........
c
/ x O °� ,.
Ji
I
D y�
f
{
Dep.gj t of +gilding Inspections
21 Stree � °
BUILDING z
Northampton, Ma.s1.1060 o
PERMIT
29 - 203
VALIDATION
DATE `April 22, _19 A2 PERMIT NO. 146
APPLICANT Lnuis 1_ APnnit ADDRESS 35 ,Beattie Drove
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO New h]dog (_ 1 STORY DWELLING UNITS
(TYPE OF IMP§OVEMENT) NO. 69A.Ix. USE)
AT (LOCATION) 35 Beattie Dr F1 ZONING
iYP_,_.,l?SPIICe DISTRICT URA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE A FT. WIDE BY A FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP —BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Wood cnnetructinn- nn fnundation,p net & heam
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE 1000
(CUBIC/SQUARE FEET)
OWNER L-nuls J_ APnni t
Aeatt BUILD
�5
ADDRESS j,e Drive. F1n�r►GP; Mai (11Q60 BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY a PINK - ASSESSORS COPY