35-041 (15) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
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1
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1. sV-y-
Owner or L6�,a
Lessee v
Buii IdeVr's O-
2. Q�7� License No.
Contractor 66r-47r/
3. G
Architect or O��
Engineer 1/ti `T/Cif 1
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 oant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started 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
Building Use Group
Permit issued 19
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ -
TITLE
CITY OF NORTHAMPTON
B. .� MASSACHUSETTS
OFFICE of the INSPECTOR of ,BUILDINGS
Page ', Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
ZONING
AT (LOCATION) DISTRICT
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 A
A. TYPE 0 IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
m
1 New building Residentipe, Nonresidential
2 D Addition([/ residential, enter number 12 ne 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
of units ------- — -i 22 Service station, repair garage
5 n_ Wrecking (If multifamily residential,
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 L, Carport 24 Office, bank, professional
6 ❑ Moving (relocation)
17 Other — .Specify 25 Public utility
7 D Foundation only 26 r School, library, other educational
B. OWNER HIP 27 Stores, mercantile
8 Privote (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
O 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.
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 s
III. SELECTED CHARACTERISTICS OF BUIL ING — 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 E7 Pu c or private company 48. Number of stories..............
31 iXod frame 41 rivate (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior n
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 L:] Gas Will there be central air 52. Outdoors........................
36 r]/O conditioning
il L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 n Yes 45 No 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an elevator? Full..........
-- 54. Number of
46 r Yes 47 Lam o bathrooms /
Partial........ ✓
DEPT. OF ftILDING INSPECTIONS BUILDING ZO �� �^1
212 Main Street 0.9
Northampton, MA 01060 PERMIT
35 - 41-3 VALIDATION
ATE September 23, ,B 87 654
APPLICANT Progressive Strucfure3 ADDRESS tEr6 T LN�flj
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO New Building (_) STORY One Family/Garage DWELL NG UNITS +1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING KK
AT (LOCATION) Lot Sylvester DISTRICT
(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 construction of a new single family dwelling/garage/ 2 floors
AREA OR 1 �600 sq. ft. 80,000.00 PERMIT 637.80
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Henry Fairl ie
ADDRESS 68 Winterberry Lane BYtL DE
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PINT P