35-086 (4) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION To be completed by all applicants
Name Mailing address Number, street, city, and State ZIP code —Tel. No.
Owner or "".1 Cq
Lessee
Builder's
2. 40 S"r f,?"i License No.
Contractor
011?el
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.
ign ure of al)pl,c t Address Application date
00 NOT W R I T E BELOW T H I S L I N E
V. PLAN REVIEW RECORD For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL i$
OTHER I$
V1. 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
Bui ldi:ng. Use Group
Permit issued 19
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
D Approved by:
Drain Tile $
Plan Review Fee
I E
CITY OF NORTHAMPTON
�• y MASSACHUSETTS
• a
OFFICE of the INSPECTOR of BUILDINGS
Page �? ` Plot C, APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. jj O
ZONING
I• AT (LOCATION) ,��-.'"�' r' a rC.f�t,' ^"`« li, DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 New building 9 Re rd ntial Nonresidential
Addition residential, enter numer
2 b
❑ 12One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 F-1 Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - --jo. 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 ------- - -i 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 - 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. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
school, secondary school, college, parochial school, parking garage For,
10. Cost of improvement,,,,,,,,,,,,,,,, hl d
�l � Y 9 , P P 9 9 9
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 ..................... -t
c. Heating, air conditioning.......... ?
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BOILDING — 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 �I Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
P all floors, based ex jioy I
✓ 1/
32 ❑ Structural steel dimensions ....��,.,�..,�t1..•
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑J Public 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 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
�37 C� Electricity 44 ] Yes 45 ❑ No 53. Number of bedrooms..............
38 Coal
39 Other - Spcci/y Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 u No bathrooms
Partial.......
Department er Bu rldin, Inspections
212 -rain Street , BUILDING
zD
Northa ':pt®n., •:ia .S. .1 r060 p¢
• ,. PERMIT Qa /
33 - 8'J LG VALIDATION
,,,DATE June 39 s P qM NNQ 312
APPLICANT Jrf ro"'e. J. SzaIwL . ski ADDRESS -O E'T7u. ��-
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Pool Shed (�) STORY One �'a, l l j NUMBER OF
UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
:ear of 56 Westwood Terrace ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
2 r
BUILDING IS TO BE �2 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: it to build a pool she I
AREA OR 240 s . ft. .,500.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER Jero; e J. SZax,,10 sk4_ r
.- BUIL NG D T.
ADDRESS 56 v es twoou Terrace BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT C PINK ASSESSORS COPY