29-255 (3) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
...........
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NOTES and Data — (For department use)
V1 0 dig
IV. IDENTIFICATION — To be completed by all applicants ��►''"*
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
{� Builder's
2. l e ;h..euv c 5 13 a
� � 1`( s j License No.
Contractor / C—LJ
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
L (!�2_1-
G'S-
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date )ate
Permit or Approval Check Obta ned Number By Permit or Approval Check Obttai 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Bul Iding• /' Use Group
Permit issued 19 3ep 19
Building / Fire Grading
Permit Fee $ fd ��
Live Loading
Certificate of Occupancy $ Occupancy Load
ed by.
Drain Tile
)P-t,
Plan Review Fee
TITLE
�o CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page c.2 Plot is� APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
• AT (LOCATION) C13 V eAk 0-6A /z ,/,C r4 DIOSTR CT
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 -i
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 ❑ 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 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 d 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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,•,•••,••••••, 60 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 $
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 ❑ 49. Total square feet of floor area,Private (septic tank, etc.) all floors, based on exterior
32 ❑ 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 ❑ Oil conditioning?
__ L. RESIDENTIAL BUILDINGS ONLY
L
37 Electricity 44 es o
�� Y 45 �-- N 53. Number of bedrooms..............
38 ❑ Coal
39 I❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 [:� Yes 47 ❑ No bathrooms Partial.,......
Departme7t*'bf BuiJding Inspections
212 Main Street BUILDING Z°
Northampton, Ma. 01060 O<
PERMIT
29 - 255
VA LI°ATION
DATE April 30, 19 82 PERMIT NO. 154
APPLICANT rbarlpc F- Bibeatt ADDRESS 65 Barret St�i N'ton-
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO tnrnt3nn (_I) STORY &ulASed StairWBT DWELLING UNITS 1
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING
AT (LOCATION) 93 Overlook T)r4ye, Florence 0(STRICT ITRA--
(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: Finrlosin_g exiating nrntsitip stairs wand frams, aluminum siding 4' X 6'
AREA OR VOLUME ESTIMATED COST $ 500_00 FEEMIT
(CUBIC/SQUARE FEET)
OWNER Charles Cooke
BUILDING
ADDRESS 93 Overlook Dr., Florence, Ma. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY