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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and .State ZIP code Tel. No.
j.
C6�
Owner or
Lessee
l n er's
2• �' � l �,, ��� �
License No.
Contractor z�
3. � ,
Architect or
Engineer Q�
r
I hereby certify that the proposed work is authorized 6y 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 lows of this jurisdiction.
Signature of applicant Address r �, Application date
DO 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
4 Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obttained 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
Building. , i Use Group
Permit issued 1�1a f 19
Building
Fire Grading
r� )
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
4a. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page S Plot
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
AT (LOCATION) LOT 4Z SYLVESTER RD. DISTRICT
I•
LOCATION (N0.) (STREET)
OF BETWEEN [� -� // � �/� AND (CROSS STREET)
BUILDING (CROSS STREET)
SUBDIVISION
LOT 7— BLOCK SIIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use 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– – – – i 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l
Transient hotel, mote ,
❑ 21 ❑ Parking garage
4 Repair, replacement or dormitory – Enter number
5 ❑ Wrecking (if multi family residential,
of units ––––––– – -� 22 ❑ Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Car art 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) p
g ) 1 ❑ Other – Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other – Specify
9 ❑ Public (Federal, State, or
local government)
C. COSiB (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.
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
48. Number of stories...............
30❑ Ma onry(wall bearing) 40 ❑ Public or private company
41 nvate (septic tank, etc.) 49• Total square feet of floor area, 1 J
31 �ood frame Lr�l' p all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other – Specify 42 �ublic or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Ga Will there be central air 52. Outdoors........................
conditioning?
36 � it � L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 tic 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other – Specify Will there be an elevator? Full..........
54. Number of
bathrooms
46 ❑ Yes 47 o Porfial........
s
DEPT. OF BUILDING INSPECTIONS BUILDING ;_ g�� ee
212 Main Street 0
Northampton, MA 01060 PERMIT <a
35 - 41-2
VALIDATION
DATE December 2. 19 87 PERMIT NO. 793
APPLICANT Henry Fairlip ADDRESS 68 WintprherryLn. Owner
1NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO NpW Bit �1n� (�) STORY- Onp Fi 1v/�ranP DWELLING UNITS
(TYPE OF IM►ROVE NTI NO. (PROP SED USE-)
AT (LOCATION) I Qf 12 Al tpr Rnad ZONING
DsrR,cr- RR
(NO.) (3 REST)
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:
AREA OR
VOLUME 1588 $q. ft. ESTIMATED COST $ 80,000.00 PERMIT $ 399.49
(CUBIC/SQUARE FEET)
OWNER Same as ADDlicant
ADDRESS Same as pp scant S 9YILD� ^'�-' l
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pop
THE COMMONWEALTH OF MASSACHUSETTS ] ./1/. /(�1/�w��3'1
BOARD OF HEALTH / (��� S/
-'' .................�ITYoF.PRTTFfAM. TQN?............................................ `
No.... ..... FE �7r
Permission is hereby granted........... .............. ............ '' .
to Construct rzR p � ( ) a iv- .y e Disposal System
...................•--........................................._....
e.a .. .... ............... .............
g P Y
.. ..
Street �y
as shown on the application for Disposal Works Construction Permit o.. 1?
... ............
ated.....
DATE.................. Z d of Health
.. .........................................
FORM 1.255 A. M. SULKIN, NC., BOSTON