35-186 (7) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
i i ft t4. f -�� f 4 t f
r + d # `' t-r. s
s Y
E t
g
I
t 4
S t se d 7
t t i d d �.
r d 4
4 $ ( 4
a S £ # r a
d 4 � A
Jl-
t
t
i t + e--a"f
g a :.
�3 ay �' r "Fdr ji
Ju
s o-:. .� ..I. #g$-r..4 a # m-S y k i'(.1. r,
5 k>k t# '$P° Y }'1 p-1— —'e -«'Jr' a } I .j td-I 9 a ,yp r t+ ��
F g i r #=
a 4-14t-�t: t P rt,. s },.x L { -} ..} 1 M1'..>§+ f --;k b .p t. ..A.t. S. .,..�, S } {J-t # r- t
+ t a. � <... E a *F. ` 5 wl,,.p f�'., +i-* -4-ti P -. "b. +`T,; r -:..S. ,5..}.`�.�...5,: .�,y ,.
4 .y.,. .� {.y- `,` ,~ '§' 'P'" '^p^ "�(? '-t' r ! �" �€-a-
,4 L -t-4'# `�wz-}" Y T Y 9 4 §. b.. ,,}.t P J YY+ �'�� 1'
s-�a �w-p1S #tr i }r +- r-,t z �. r'r i 1j k
,e 't "� two y°.,"f f r# 'r t ? -- ` rw .d. ;.._ - °t a+ -.�. a -�
r`a. s ate 3 t+t -t *117't ...
£ t - t t -tr a- +rl- d- a -:- t t ,b -s-> t a
yv # 4 tp r
{
-a S-i I- 7 Y''.7 e r t T 4 t 4p--{-y$s a #
11{ r t „p41 p... ,.,..�,..
@` ?. d 5 ,: #44+1_117 S ..-0 t m 6 s t ++_a �& .-
1!� �t tm- I.¢ � t "I'll" ;* z it k hh }t
t-° * ,.',��'Pr.I,i `d."r �"� �"�. E�7i---�fi 'r�- *.,..z q rrr.a.os- t. r-�6d 7�' P + -w.r r i4
a ° ¢p rip -§ - ~#-.�- A t a
11,t -d -S a+a £� -t-s--;,..i -++.8rta�+% -''- i s a.` s e�r. ; r..; t m :' * t *`e. `. .� y ..
} #
*
? - S( M .. t4#il
t f.y_ i t Y
t 4°� #''r r te., .. ..'e �"^�°+a `�,.. 44
r-� -e 7 ,.r#. .c.—t -� } a a t i Y 6z t -r +.�
d¢ .� g. }g'� did bYJk'£ d i..A fP 3� t �f YF £b,. H_ f�-;. "
i" I ra �, r +T a " a p 1, w ova
3 la t t .k i�f ^r I 4 . .. -t -%- t��} � r r
.,.'t
��
r s a _-`. r , 41 r t
4 RF s 4 t S€ �$T . a # t I s 3 f e i r� i- a � d
v 4 # t 3• t"° r' s �,, r �-
e:� pi-
�
d s r ° 9 -+ r
BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
t
1. 1 C'
ff . 'Z 4
( / �tF;�
Owner or
Lessee
Builder's
2 ,t License No.
Contractor ("i
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.
Sig ture of applic 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
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Do te
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 l' � �3 19 �
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ ' i
rt
'TITLE `
e
NOTES and Data — (For department use)
t
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS / p�
212 MAIN STREET o cGt APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
> .� ZONING
I• AT (LOCATION) l 17�V )� �-� f""> d DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN -J, -AND
BUILDING (CROSS STREE ` (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 V�] 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 F-1 Alteration (See 2 above) 14 ransient hotel, mote ,
❑ T h l l 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -)o 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 F-1 Moving (relocation) 16 ❑ Carport 24❑ Office, bank, professional
7 F-] Foundation only 17 ❑ Other - Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 � Private (individual, corporation, Specify
Other - S
nonprofit institution, etc.) 29 ❑ p fy
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 $
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 D Masonry (wall bearing) 40 ❑ Public or private company 48• Number of stories..............
3121 Wood frame 41 ^ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ... .�./..p.............
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY _21 3" 7 D
34❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43 0 Private (well, cistern) K. NUMBER OF OFF-STREET
1 PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35❑ Gas Will there be central air 52. Outdoors........................
360 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45p No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46 E] Yes 47❑ No bathrooms
Partial....... f
WAR any, 4
WIQ
r
C p r � � yx �' fi A,.a x, �a ,"�&,e ✓ ri � +�' "r�`. �' n'�,� �,r�� '� �
v.
y{_xy+
5; Los
Why so,
loan
low
s
E Ann
JIV
OA tw
s h ,
YAQ-M
Tw
j
�� ids" ~ ' -
� .
Nv
`
w� -
�.�..,� •_ �-�,.' �tea. � �: : . .�. _ +ax �
w 3
` 4r
x�
`. qga �
»��` ha �} � ,s :.,�€ - � 3Y �.. �§� ��•
Pin �
_T' i
hereby certify that the proposed work is authorized by the owner`of record
and I have been authorized by the owner to make this application as this
authorized agent.
SIGNATURE'- OF WOW '
ADDRESS
(NUMBER) (STREET) - (CITY)
APPROVED BY TITLE
DATE 19
DEPARTdT OF BUILDING INSPECTIONS Z D DEPT. FILE COPY
ZV_ MAIN NORTxAI PTON 01060 BUILDING a a
PERMIT
�5 ! +86 VALIDATION
DATE March 23, — 197_ PERMIT NO. 91
APPLICANT R-di n Mabjak® ADDRESS F�_QZ+AV®� Aji_A�' 1tT�tQ11:
(NO.) (STR€ET) (COANTR'S LICENSE)
PERMIT TO New Residence ( ) STORY Residence NUMBER NG UNITS. 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) Eyan Road DISTRICT SH
(NO.) (STREET)
a BETWEEN Brute -Pit Basal AND
a
(CROSS STREET) (CROSS STREET)
n LOT
m SUBDIVISION LOT BLOCK SIZE
a Lo
U BUILDING IS TO BE 28
O FT. WIDE BY `8 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
02
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I
O: (TYPE)
° REMARKS: CQnstiractr one-family residence
Wood frame - private �y(ge di(�sal -. oil heat -. (4 bedrooms)
1 full bath, 1 partial
AREA OR
VOLUME X344 ESTIMATED COST $ 2 FEEMIT $ x,5.00
(CUBIC/SQUARE FEET)
OWNER Edwin Matuaki2
ADDRESS 17 Graves Ave., Ntton. BYIL NG P .
(Affidavit on reverse side of application to be completed by authorized agent of owner)