35-216 ZONING •
FRONT DISTRICT
USE
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
I
I
i
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
S61#1601/0
�i.
Owner or
Lessee
` t Builder's
"L. r, ,4d) i'��»+ .ir%-/ :� � License No. V
Contractor
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.
Signatu of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B By Date Plans Notes
Plans Review Required Check Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. 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
Building- Use Group
I9
Permit issued •
Fire Grading
Building ��
Permit Fee Live Loading
Occupancy Load
Certificate of Occupancy $
A/p /?d by:
Drain Tile $
Plan Review Fee $
TITLE
9�so� CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
QIT Page __- Y121 Plot A - 3 r/ APPLICATION FOR
i
j INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
Z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
• AT (LOCATION).-4I /1�� Ad V.1416 0.70 �+ ��� DIOSTR CT
LOCATION (NO.) (STREET)
OF BETWEEN IS/ /' R T C�IV AND
BUILDING (CROSS STREET) (CROSS STREETT))
SUBDIVISION �y�t/J��h'/% (/rL��,g LOT3_BLOCK SOT
II. TYPE AND COST OF BUILDING — A11 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,X One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
3 Alteration (See 2 above)❑ number of units— — — — 20 ❑ Industrial
14 Transient hotel, motel,
4 Repair, replacement 21 Parking garage
or dormitory — Enter number
5 ❑ Wrecking (it 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)
7 17 ❑ Other — Specify 25 Public utility
[--] 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
9� local government)
1 C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
d processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, J 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 existih bildin
in the above cost Q 9 u g is being changed, enter proposed use.
a. Electrical..................... (��t
b. Plumbing ..................... CJ
c. Heating, air conditioning.......... 00
d. Other (elevator, etc.)............. �/
11. TOTAL COST OF IMPROVEMENT $ ��"'f 4B
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 48. Number of stories................
31 FV Wood frame 41 56 Private (septic tank, etc.) 49. Total square feet of floor area,
32 Structural steel all floors, based on exterior j ICC� J F
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 there be central air 52. Outdoors........................
36 X Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 �J Electricity 44 [� Yes 45 I ', No 3
r 53. Number of bedrooms.............
38 ❑� Coal
39 L F�J Other — Specify Wi II there be an e!evator'l Full..........
46 r 54. Number of
1_� Yes 47 X No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS BUILDING Z° 1r
212 Main Street 'a
I �y
Northampton, MA 01060 PERMIT r
VALIDATION
DATE February 25, 85`"LL MIT O. 88 7
APPLICANT L.P. Audette Builders ADDRESS l e p f r. , oll 23/
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO New Building (_) STORY One Family Home NUMBER NG UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Lot #23 Ladyslipper Lane ZONING CT r
(140.) (STREET)
BETWEEN Off of Rt. 66 AND
(CROSS STREET) (CROSS STREET)
sueolvlsloN Tinkham Woods LOT 23 BLOCK LO E 35,551
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
permit REMARKS; perlmit for the construction of a new one family home with two stories, and an attached
garage
AREA OR 1870 sq. ft. ESTIMATED COST $_ 114,750.00 FEEMIT $-602.80
VOLUME
(CUBIC/SQUARE FEET)
OWNER Larry Audette
UILDI
ADDRESS 6 BY l f Rd. Sout ton ass. N
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjRT- 1�P
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