02-020 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
REAR YARD
I E
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV __.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and .State ZIP code Tel. No.
/�YvR7'f� ,�t�t d �y
Owner or �`. /QVt� f`�Q #41 ASS. 0to6f�
Lessee
2. N044ST54b HA L4- I/ ' 408 VO27`N FA2NtS ��, Builder's �t�•d9
/q License No.
Contractor
63fZ49
3. -0IvTu /psi
Architect or �sv C
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
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 D
Permit or Approval Check Obta ned Number By Permit or Approval Check Obta t ed 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number _ 322
Bui(ding• Use Group
Permit issued `, /( 19
Buildin g Fire Grading
��
Permit Fee $ �� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b
Drain Tile $ �,
Plan Review Fee $
TITLE
_ CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
YT Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
,r /� j� /p� ZONING
1• AT (LOCATION) 57-� /t��/� � 1"��IMS IL 17 DISTRICT-
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a
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 fami I 18 ❑ Amusement, recreational
of new housing units added, if any, 13❑ Two or more family - Enter 19 ❑ Church, other religious
in Part D, number of units- - - - •->
3 ❑ Alteration (See 2 above) 20❑ Industrial
14 Transient hotel, motel,
4 ❑ Repair, replacement 21 ❑ Parking garage
p p or dormitory - Enter number
5 ❑ Wrecking (If multi family 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)
17❑ Other - Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 D!j 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,,,,,,,,,,,,,,,, C(::!�) 2 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 2
a. Electrical....................... -1
b. Plumbing .....................
c. Heating, air conditioning......... t /
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUIL ING — 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. 10F SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories..............
310 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑ Public or private company 50. Total land ores, sq. ft. ...........
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❑ Electricity 44 [-] r-�Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
a DEPT. OF BUILDING INSPECTIONS gU1LDING z
t ! 212 Main Street 0<
Northampton, MA 01060 PERMIT
2 - 4 VALIDATION
DATE
July 11! 19 r E 85 399
IT O.
APPLICANT Homstead Hall, Inc. ADDRESS -498 1�T rTR Farms oa(P — 03t244 97
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (_) STORY Deck DWELLRING OF
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 569 North Farms Road D STN CT
(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 800 sq. ft. opened roofed deck
AREA OR VOLUME 800 sow ft. ESTIMATED COST $ 157000.00 PER
60.00
(CUBIC/SQUARE FEET)
OWNER Dr. David Morse (gl,
569 North Farms Road,, F orence BUILDING
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASS SSORS COPY P'IRT IIP