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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.
C qku �- , c
owner or ,p
Lessee ' s e� � 1,40 UL��
Builder's
2 �� i S License No. 2S'
Contractor 1
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
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date PIons
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dte Date
Permit or Approval Check Obttaoined 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 y FOR DEPARTMENT USE ONLY
Permit number (ids
Building Use Group
Permit issued 19
Building �'t E 1 r _ Fire Grading
(, , ,-�
f
Permit Fee $ I Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ 011 01 A
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING r tt
I• AT (LOCATION) (�� rten- • DISTRICT /+
LOCATION /� y(�NO I f� (STREET)
OF BETWEEN /16 e r�oQ/,� (/.p. 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 D New building Res d tial 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,
4 C] Repair, replacement or dormitory — Enter number 21 C� Parking garage
5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 Service station, repair garage
enter number of units in building in 15 C] Garage 23 �] Hospital, institutional
Part D, 13) �
6 F—] Moving (relocation) 16 L J Carport 24 Office, bank, professional
17 L] Other — Specify 25 L ] Public utility
7 [—] Foundation only 26 C] School, library, other educational
B. OWNERSHIP 27 L] Stores, mercantile
8 Private (individual, corporation, 28 n Tanks, towers
nonprofit institution, etc.) 29 �] Other — Specify
9 L] 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,,,,,,,,,,,,,,,, �{(j 060 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 ''44 U /;
a. Electrical....................... 4/w _ i
f i
b. Plumbing .....................
c. Heating, air conditioning........ i/ C-•
d. Other (elevator, etc.)............. /i v 0<__
11. TOTAL COST OF IMPROVEMENT I$ 7000
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 g
3 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 I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 L Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ] Yes 45 _ No 53. Number of bedrooms.............. 0.0—
38 Coal _
39 Other — Specify Will these be an ele�ator� Full.......... ��
54. Number of
46 Yes 47 7 No bathrooms
- Partial.......
DEP� BUILDING INSPECTIONS gUiLDiNG z°
212 Main Street 0
Northampton, MA 01060 PERMIT
f 29 - 202 VALIDATION
DAYTE July 28, 19� 8�8„ }pERMW 7No. 483
APPLICANT BKD Construction ADDRESS J7`) Lllil St' 11�1yo e 44831
(NO.) (STREET) (CONTR`S LICENSE)
NUMBER OF
PERMIT TO Addition I_) STORY_ One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 43 Beattie Drive DIISTR CT
(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 addition of a family room
AREA OR 196 sq. ft. 1 7,000.00 PERMIT 64.00
VOLUME -ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
Larry Briggs
BU1L EP
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY poP