35-123 (2) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
i G
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code T& . No.
Norman —586---3W2
Owner or Mildred E- Cia-SChIni 19 Drewsen Dr. Ninrthampton. Mass.
1060
2. • Licens er'No.
Contractor
l
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 is authorize gent and we agree to conform to all applicable laws of this jurisdiction.
Sig re of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
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
II. VALIDATION
Building
Permit number ��
FOR DEPARTMENT USE ONLY
�
Building. Use Group
Permit issued 19 x,Z
Building Fire Grading
Permit Fee $
Live Loading
Certi fi cate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITL
o CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot
APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. C)
ZONING
AT (LOCATION) 19 Drewsen Drive DISTRICT
LOCATION ("O•) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 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)
140 Transient hotel, motel,
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) 25 ❑ Public utility
17 ❑ Other — Specify
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
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 $ i
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 ❑ Public or private company
49. Total square feet of floor area,
41 X❑ Private (se tic tank, etc.)
31 Wood frame p all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 L_ Other p J - 42 X] Public or private company 50. Total load area, sq. ft. ..........
— .S eci ti
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 L j Electricity 44 [_1 Yes 45 X_I No 53. Number of bedrooms..............
38 J Coal
39 L71 Other — Specify Will there be an elevator? Full.......... 1
54. Number of
46 [--] Yes 47 X❑ No bathrooms
Partial.......
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CD
� n
C=i
w Ulu= =Srm CERTIFICATE ISSUED
2-11 _ DATE
rr BUILDING PERMIT -
CERTIFICATE OF OCCUPANCY
DATE softa*- 19-al PERMIT NO. 38
APPLICANT Is CA ---- ADDRESS
0.)
t5 f" (CONTR'S LICENSE)
NUMBER OF
PERMIT TO I _) STORY DWELLING UNITS _
VEMENT) NO. 0 SE)
ZONING
AT (LOCATION) DISTRICTS,
(N0.) (STREET
t; rn BETWEEN AND
r (CROSS STREET) (CROSS STREET)
rn
LOT
n SUBDIVISION LOT BLOCK SIZE
m
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I I (TYPE)
Ir
O
L- REMARKS: 4016"o U-pa" raw
AREA OR "'g` '�••n*AYUI , �11�11 �I
VOLUME 7���111 TTT111 �1
(CUBIC/SQUARE FEET)
IOCTIIdl71 U' ID' 1� _�1 R'� A� i ZTIIOJ'!'.TI
OWNER f TO BE P QED 0 PR E
p SEE REVERSE SIDE F C�tDIT10 ARiIFICATE
ADDRESS A�1060
i hereby certify that the proposed work is authorized by the-awner of, record.
and 1 have been authorized* by the owner to make this application- 'asr -his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPARTMENT OF BUILDING INSPECTIONS � DEPT. FILE COPY
BUILDING z o
a ,.. +� MAIN STREET Q
ATUMPTON, MA. 03060 PERMIT (�
VALIDATION
35 • 323
DATE Janua'ly 26, 19 81 PERMIT NO. 38
APPLICANT Norman W- C l as^(„})i,ul ADDRESS 19 nre=en Dr43r&
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO gl rtaL�M NUMBER OF
teretioD (_.�.__) STORY j,jvina __DWELLING UNITS �.
(TYPE OF IMPROVEMENT) NO. ( 1 OPOSED USE)
ZONING
AT (LOCATION) 19 Dre>rris4en Drive DISTRICT SR
(N0.) (STREET)
oe BETWEEN AND
Ch
(CROSS STREET) . (CROSS STREET)
LOT
B' SUBDIVISION LOT BLOCK SIZE
m
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
cr
a REMARKS: Beanove 4u-4de wall of mall bedroom to_&D16rg& living r00M
AREA OR PERMIT
VOLUME ESTIMATED COST $ F $ �n n,, DO
(CUBIC/SQUARE FEET)
OWNER Nnrman W. & Mildred F M ascbini
BUIL NG D
ADDRESS 19 nrewaan nriva-Narth mnton, Ma„ 03060 BY
(Affidavit on reverse side of application to be completed by authors agent of owner)
INSPECTION RECORD
F
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
D EPAR,li+W Of SUILDUG II11SPlatONS i FIELD COPY
212 MAIN STRUT BUILDING
LUu rMg MA. 01060 PERMIT
a
35 - 123 g
DATE amw7 26, 19 111 PERMIT NO. 38
APPLICANT ADDRESS 14 ftANSM DTIVe
(NO.) (STREET) (CONT R'S LICENSE)
I NUMBER OF
PERMIT TO (�) STORY IIvi Y DWELLING UNITS
(TYPE OF IMPR ENT) NO. ( ROPOSED USE)
ZONING
AT (LOCATION) DISTRICT SR
N (STREET)
BETWEEN (CROSS ) AND
� (CROSS STREET)
LOT
a
SUBDIVISION LOT BLOCK SIZE
m
a
V
O BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
O;
O REMARKS: -amaxis go-Ida wall of 1m al I badmoom to saliar,ge iixixkg TAMW
AREA OR « P f1[►
VOLUME ESTIMATED COST _� PERMIT $ n
.s�r---
(CUBIC/SQUARE FEET)
OWNER � W. & Mildred Ciasehini BUIL NG D T
ADDRESS io prowea" nriyo_ Nnrti mant4yn— Mw. MOM) BY _