29-251 (7) ZONING •
DISTRICT
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REAR YARD
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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.
over or
o L (w 01 060 0
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 pl cant Address JAppli 96 tion date
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
Date D
Permit or Approval Check Obtained 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
V11. VALIDATION
Building s -� FOR DEPARTMENT USE ONLY
Permit number
Bui Iding Use Group
Permit issued 7 �9S- 19
Building
Fire Grading
/
Permit Fee $ 1 C '��� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: ,
Drain Tile
Plan Review Fee $
TITLE
O
CITY OF: NORTHAMPTON
�. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page 17 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
Cmi 0\/�'��� oC , Qrw e- ZONING
(• AT (LOCATION) DISTRICT
LOCATION IN 0.) (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 X
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
sn
1 ❑ New building Residential Nonresidential
2 Addition(If residential, enter number
12F-1 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
3 Alteration (See 2 above)
number of units- - - - -� 20 ❑ Industrial
❑
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 L Garage 23 Hospital, institutional
Part D, 13)
16 �❑ Carport 24 r 1 Office, bank, professional
6 ❑ Moving (relocation)
17 L Other - Specify 25 L _� Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 K Private (individual, corporation, 28 ❑ Tanks, towers C (�
nonprofit institution, etc.) 29 Other - Specify L `
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,,,,,,,,•,,,,,,, o0 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.......................
6. Plumbing ...................... /&IIX
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ OO
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, r
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 ores, sq. 4t. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
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 rl Yes 45 No 53. Number of bedrooms..............
38 L❑ Coal
39 ❑ Other - Specify Will there be an elevators Full..........
_ 54. Number of
46 ] Yes 47 J No bathrooms
Partial.......
a DEPT. OF BUILDING INSPECTIONS BUILDING oa f ��
Northampton, MA 01060 PERMIT <a i
29 - 251
VALIDATION
DATE August 25, 19 87 PERMIT NO. 577
APPLICANT Ken Anol ik ADDRESS 61 Overlook Dr- , Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
New Building (_) STORY NUMBER OF
PERMIT TO StnraClP Sheri DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. IPROPOSED USE)
ZONING
AT (LOCATION) 61 Overlook Drive. ec
. FlnrnP DISTRICT IIR A
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION O LOT_ BLOCK SIZE
BUILDING IS TO BE 12 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 rP,pa i r/rPpl arPmPnt nf_pxi Ct� i ng C1e Chedl Will ho r-@ 1&r.@d by a
121 X 8' new one
AREA OR !1 PERMIT
VOLUME 96 Crl ft ESTIMATED COST $ 500 QQ FEE $ 1e(CUBIC/SQUARE FEET)
OWNER Same a-, uLnl irant BUI IN
ADDRESS Same ae A[)L111rant ' BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK -ASSESSORS COPY pZIP
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