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NOTES and Data — (For department use)
a 0
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Owner or Vl (t
Lessee
Builder's y
2. (J License No. G
Contractor _
S !✓C//OA I S /1"q
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
s AlyDe
Al
00 NOT WRITE BELOW THIS LINE!
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved lBy Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obttait De 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
Permit number FOR DEPARTMENT USE ONLY
���
Building Ulse Group
Permit issued Z2 19
Building l/) m O Fire Grading
Permit Fee $ y �1
L',ive Loading
Certificate of Occupancy $ Occupancy Load
Apppervmd by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g. .� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page ,�-F- 33 Plot �� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections://I, 11, 111, IV, and IX. O
1• AT (LOCATION) •� 277 Z40 /1A 1;zc- DIOSTR CT�12�1
LOCATION (NO.) �ISTREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. 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
20 Addition(IJ residential, enter number 12 One family 18 0 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 n Church, other religious
30 Alteration (.See 2 above) number of units— — — — __)0- 20 Industrial
140 Transient hotel, motel, 21 Parking garage
4 D Repair, replacement or dormitory — Enter number
5 El Wrecking (If multifamily residential, of units ——————— — -- 22 L] 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)
17 Other — Specify 25 Public utility
7 [:] Foundation only
26 0 School, library, other educational
B. OWNERSHIP 27[:] Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 D 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 of 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
30E—] Masonry (wall bearing) 40 Public or private company 48. Number of stories................
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior O
32 Structural steel dimensions .......
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY �'1-P .9yo Z140, 8 y
34 [:] Other — Specify 42JW Public or private company 50. Total land area, sq. ft. ........... IO
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET `
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
conditioning?
36� Oil L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n Yes 45 S�e_ No 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an elevator° Full..........
54. Number of
46 [_1 Yes 47Z No bathrooms
Partial.......
Aq _ 51 _
DEPT. OF BUILDING INSPECTIONS gU LDI NG Z° J'�� 1
212 Main Street oa �0 f 6
Northampton, MA 01060 PERMIT
28 - 33-10 VALIDATION
DATE jaAWgPy 2 '9 PERMIT NO
APPLICANT A. Austin Weidhaas ADDRESS •O• X Easthamp on 622
INO.) (STREET) (CONTR'S LICENSE)
STORY PERMIT TO
New Building Single Family Dwellin NUMBER of
DWELLING UNITS +1
(_) g
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Lot #10 Tara Circle ZONING URA
DISTRICT
(NO.) (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 for the construction of a new single family dwelling/2 floors/garage
AREA VOLUME 1680 sq. ft. ESTIMATED COST $ 89+000.00 FEEMIT $ 510.00
(CUBIC/SQUARE FEET)
OWNER Same as ADnllcan
BOIL
ADDRESS Same as Anal lcantls BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSESSORS COPY p�INTSIIP