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29-025 ZONING • DISTRICT ., i i FRONT 1 r SIDE YARD SIDE YARD REAR YARD L6 NOTES IX. 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N.....■ .".r.:S� S� ia�i"iiii •:::� � �Sii� 1111:;:: 'I�r ::1�g'�;:"■r�i�13'::::::�I::"�■r:.a:ii:� N� rr • Sll tall rI��ta�a1l�St#1� nil : ::Q:1,::::::::::::1,i �:iM�rii: :ar uw r MrMi�rua ■ ru:l.u1,:=:i u:r:u::rNU:rr:u02r1:: : : : g: is : 9::s:::: Lima l _� _ sr"�1�� ���:�_�ii_ w��i'�'ir�r��l�i•i�ii:�:::1,i:rZri/Rl�ii • NOTES and Data — (For deportment use) � IV. IDENTIFICATION — To be completed by all applicants .r Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. Owner or � Lessee Builder's 1, License No. Contractor ZP 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. Sign to a of applicant 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 $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date ate 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 $ `©s U Live Loading Certificate of Occupancy $ Occupancy Load Approv Drain Tile $ Plan Review Fee $ TITLE .. � CITY OF NORTHAMPTON �• * MASSACHUSETTS dill—oOFFICE of the INSPECTOR of BUILDINGS Page -�� Plot � APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I. —42— ! ZONING �/2 AT (LOCATION) � DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -f A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M M 1 ❑ New building Residential Nonresidential 2 Addition(If residential, enter number 12 b< 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,u i t t 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (I/multifamily residential, of units ——————— — -� 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) 7 ❑ Foundation only 17 ❑ Other — SpeciJy 25 ❑ Public utility L 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 A processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, �V V^ 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.)............. �1 11. TOTAL COST OF IMPROVEMENT $ iv C]a 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 31 Wood frame 41 El 48. Number of stories.............. Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior Lair A Q t 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 Gas Will the be central air 52. Outdoors........................ 36 ❑ Oil conditionin L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 �� No 53. Number of bedrooms.............. 38 Coal 39 �� Other — Specify Will the be an elevator? Full.... .... 54. Number of 46 [-1 Yes 47 ❑ No bathrooms Partial....... s ' �'� Department of Building; Inspcetions 212 Main Street • ,� BUILDING Z° /a, no Northampton, Mass. 0106 PEItMI� fa 29 - 25 M VALIDATION DATE April 29 1pg ��11 PERM`T NO. iHH APPLICANT William B. Brown ADDRESS �r "l�1C KKOaCC1l (NO.) (STREET) (CONTR'S LICENSE) Build new Porch NUMBER OF PERMIT TO {_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 22 Ri rt-*y Hi 1 1 Rnad DISTRICT TIRA (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE 12FT. WIDE BY 1h FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ITYPE) REMARKS: Addi Yi nn of npw nnrrh AREA OR 192 square feet ESTIMATED COST $ 29000.00 PERMIT $ 10.00 VOLUME �P (CUBIC/SQUARE FEET) _ OWNER William B. Brown 22 Birch Hill Road BOI ADORES BY 4&—, S WHITE - FILE COPY - GREEN - FIELD COPY CANARY - APPLICANT COPY - PINK - ASSESSORS COPY