35-083 (8) IA
C4
7-4
ZONING
FRONT YARD 5—
SIDE YARD r SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants '
Name 9 Mailing address — Number, street, city, and State ZIP code Tel. No.
,Owner or �. t V!'.i� / Frl�, /V6iC /�rE/ ;��
Lessee
BuiIder'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 o applicant Address Application date
/L Y;�
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans B Notes
Fee Started Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued ( 1// 19
Building Fire Grading
Permit Fee $ � �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ -
CiCl �
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Plot
Page �S
, g APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
//��/,ry�r7_1 !� / � ZONING G�
I• AT (LOCATION) / 'v vJ`'��'' � �/�� DISTRICT V?{�-
LOCATION (NO.) (STREET)
OF BETWEEN AND
(CROSS STREET)
BUILDING (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 rn
rn
1 New building Residential 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, 21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — --- 22 L� Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 Moving (relocation) p
17 Other — Specify f✓�/ I�f ¢ 25 n Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP J(OMGCJ, `r KiA e4& p t4a '@ 27 Stores, mercantile
28 Tanks, Towers
8 Private (individual, corporation, (�
nonprofit institution, etc.) ��" e r 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••••••••••••.... 0 C 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....................... Lla'en
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ ..�d�.
III. SELECTED CHARACTERISTICS OF BIJILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Pat J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMEN ONS
48. Number of stories...............
30❑ Masonry (wall bearing) 40 L Public or private company
49. Total square feet floor area,
31 Wood frame 41 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 n Public or private company 50. Total land area, sq. 4t. ..........
43 L7 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 conditionin
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44F-] Yes 45 X No 53. Number of bedrooms..............
38 Coal
39 Other — Specify j Will there be an elevator? Full..........
54. Number of
46 1 Yes 47 No bathrooms
Partial....,..
DEPT. OF BUILDING INSPECTIONS 0 i
! BUILDING Z 12 Main Street 0 [ �%
Northampton, MA 01060 PERMIT
35-83
p VALIDATION
DATE Apri 1 25 1g 88 PERMIT No. 232
APPLICANT Dennis J. O'Brien ADDRESS 1245 Burts Pit. Road owner
IND.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New building (_) STORYStoragp shed & wnrk,;hnp _DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 1245 Burts Pit Road ZONING
DISTRICT SR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Permit to build a workshop and storaciP -,hp(1..
AREA OR PERMIT
VOLUME ESTIMATED COST $ 2 1 200 Qn FEE $ 10-no
(CUBIC/SQUARE FEET)
OWNER Denni- J- O'Rri an �!� / G
BUILDING 0 l(�d.
ADDRESS 1245 R()rt.c Pit. Road BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS C PY Z,. p
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To
Date Time .T-
WH LE YOU WE--W-,%E OUT
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Of
Phone
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL TALL AGAIN
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Message - � y
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EFFICJENCY0 LINE NO.2725 AN AMPAD PRODUCT 60 SHEETS