29-092 (3) ZONING •
DISTRICT /
jW
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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
a-0-
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2 Bu
Lilder's /
�c1��
License No.
Contractor 0)6(07 o
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 of applicant Address Application date
a � �&
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit Approval Check Date Number B
Obtained y or PP N b
Obtained Y
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
/ r
Permit number P r'
Bui Iding n Use Group
Permit issued f 19nA
Building $ �� Fire Grading
Permit Fee r
I Live Loading
Certificate of Occupancy $ Occupancy Load
Approve ��by:��
Drain Tile $ � ' ,1e1•'iLr �- .
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
�t
Page Plot—.. APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. C)
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN ,1-1 AND
BUILDING (CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 F--1 New building Residential Nonresidential
2 ® Addition(IJ residential, enter number 12 FNI One family 18 Amusement, recreational
of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religious
in Part D, 13)
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 (11 multifamily residential,
of units ——————— — -i 22 ? Service station, repair garage
enter number of units in building in 15 L] Garage 23 Hospital, institutional
Part D, 13) 16 Car ort 24 �� Office, bank, professional
6E] Moving (relocation) p
❑
17�� Other — Specify 25 Public utility
7 ❑ Foundation only _ 26 School, library, other educational
B. OWNERSHIP r
t-0-04V n Stores, mercantile
28 Tanks, towers
8 Private (individual, corporation,
nonprofit institution, etc.) �J n Other — Specify
9 Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
�d o p 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❑ Masonry (wall bearing) 40 X Public or private company
31 Wood frame 41 [7 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 Other — Specify 42 ® Public or private company
43 F] 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 Electricity 44 n Yes 45 iq No 53. Number of bedrooms..............
36 Coal
39 Other — Specify Will t'7ere be an elevators 54. Number of Full..........
46 [—] Yes 47 D No bathrooms
Parti a I.......
a DEFjT. OFUILDING INSPECTIONS BUILDING 'D-
212 Main Street 0<
I IL
Northampton, MA 01060 PERMIT
29 92 VALIDATION
DATE April 6, 19 88 PERMIT NO. 181
.APPLICANT Albert Omasta ADDRESS 40 North St. , Hatfield
INO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition I—) STORY RrPP7WAV DWELL IN
UNITS
(TYPE OF IMPROVEMENT) NO. (PR POSEO USE)
AT (LOCATION) 46 RriPrwond Dr. , Florence DIISTR CT AT
(N0.) (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 f or the construction of a breezway between existing dwelling and existing
garage
AREA OR 240 $q. ft. 9,800-00 PERMIT 40.00
VOLUME ESTIMATED COST $ FEE .�
(CUBIC/SQUARE FEET) /J
OWNER Clarence Chickering
uILDI"
BYQ
ADDRESS
46 Brierwood Drive, Florence B
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p}N p
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