04-009 (2) VII-L ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, rit and State !Bui code Tel. No.
r'
Owner or
Lessee /� t 1 L
der's
2.
( ( J License No.
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 s his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sign to of applic Ad'ddrrefss� Application date
1i L A
00 NOT WRITE BELOW THIS! LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
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
II. VALIDATION
Building / FOR DEPARTMENT USE ONLY
Permit number t
Building. �� �% Use Group
Permit issued 19 _
Building f Fire Grading
Permit Fee $ `�� �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�+ MASSACHUSETTS
$ s OFFICE of the INSPECTOR of BUILDINGS
wt Page 16= Plot— APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, I1, Ill, IV, and IX. D
/^ �i ZONING
I• AT (LOCATION) W 7 `� 7� DISTRICT(
LOCATION (NO.) ISTR T)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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
i F__1 New building Residential Nonresidential
20 Addition(l/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) 14 Transient hotel, motel,
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 D Hospital, institutional
Part D, 13)
6 E Moving (relocation) 16 Carport 240 Office, bank, professional
17 0 Other - Specify 25[::] Public utility
7 Foundation only 260 School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 Dz Private(individual, corporation, 11 28 D Tanks, towers
nonprofit institution,etc.)
[ y tee' 290 Other - Specify
9 0 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•,,•,,,••,,•,•,• 1�1 C3' 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 $/6ZvC'C'
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 D Public or private company 48• Number of stories................
31 Wood frame 410 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Struetural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 [:] Other - Specify 420 Public or private company
50. Total land area, sq. ft. ...........
430 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 Oil conditioning?
r-� L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n Yes 45 I No 53. Number of bedrooms..............
38 Coal
39 n Other - Specify Will there be an elevotor? Full..........
54. Number of
46 n Yes 47 D No bathrooms Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING ~Z IL
��
212 Main Street 0< lei
Northampton, MA 01060 PERMIT
4 n VALIDATION
J DATE November 2, 84 PERMIT NO. 619
APPLICANT Agua Pool ADDRESS n ie , onn.1
(NO.) (STREET) (CONTR'S LICENSE)
In Ground Swimming P o1!� One Family Home NUMBER of
PERMIT TO Q,) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 674 Kennedy Road ZONING URA
O ISTR ICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
K&a IS TO BE 45 FT. WIDE BY 18 FT. LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the installation of an inground swimming pool
AREA OR 810 sq. ft. ESTIMATED COST $ �5e0:e&- FEEMIT s 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Ronald & Marz Grimm
702 Kennedy oa , ee S, V)raSS. BUILDING DEPT.
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY ^ APPLICANT COPY ■ PINK - ASSESSORS COPY P -16 1'