29-251 Addition 1987NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name
Mailing address — Number, stmt, city, and State
ZIP code
Tel. No.
Owner or
Lessee
Date Plans
Approved
By
Notes
BUILDING
ELECTRICAL
$
[/
2...�,�Ch
/)� 'i- ,V��! /.'F fj"�
/% 1— > U`t�� t - f}�L,�ta `fi-$ J�J%C•^<
Builder's
_License No.
PLUMBING
Contractor
$
3.
Architect or
Engineer
MECHANICAL
$
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 /
/L
Address
Application date
%
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required
Check
Plan Review
Fee
Date PIons
Started
By
Date Plans
Approved
By
Notes
BUILDING
ELECTRICAL
$
FURNACE
STREET GRADES
GRADING
USE OF PUBLIC AREAS
OIL BURNER
PLUMBING
OTHER
$
MECHANICAL
$
ELECTRICAL
$
OTHER
$
VI. ADDITIONAL PERMITS
REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval
Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained y
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 QLi
Permit number L�
Building
Permit issued y.7i/ �.� 19 R "7Z
Building%
Permit Fee $ ff'
Certificate of Occupancy $
Drain Tile $
Plan Review Fee $
Approved 6 -��"—"`'j
FOR DEPARTMENT USE ONLY
Use Group
Fire Grading
Live Loading
Occupancy Load
TITLE
INSPECTOR
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of �t�hee INSPECTOR of BUILDINGS
Page L ( Plot C25--, 1
APPLICATION FOR
ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.
I•
LOCATION
OF
BUILDING
e..A(^—K_ ff) A ZONING
AT (LOCATION)1 �'�- �' �� ' �' �` DISTRICT
__._ (NO.) (STREET)
// AND Y �J�C-fJJ�� .
BETWEEN
(CROSS STREET) (CROSS STREET)
SUBDIVISION
LOT
LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT
D. PROPOSED USE - For "Wrecking" most recent use
1 ❑ New building
2 Addition(1/ residential, enter number
of new housing units added, if any,
in Part D, 13)
3 ❑ Alteration (See 2 above)
4 ❑ Repair, replacement
5 ❑ Wrecking (1l multifamily residential,
enter number of units in building in
Residential Nonresidential
12�6ne family 18 ❑ Amusement, recreational
13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number o/ units- - - - 20 L❑ Industrial
14 ❑ Transient hotel, motel, 21 C_� Parking garage
or dormitory - F.nter number
of units - - - - - -- - -i 22 ❑ Service station, repair garage
15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation)
7 ❑ Foundation only
16 ❑ Carport 24 Office, bank, professional
17 ❑ Other -Speci/y 25 ❑ Public utility
26 ❑School, library, other educational
27 ❑ Stores, mercantile
28 ❑Tanks, towers
29 ❑ Other - Specify
B. OWN RSHIP
8 Private (individual, corporation,
nonprofit institution, etc.)
9 ❑ Public (Federal, State, or
local government)
C. COST
(Omit cents)
Nonresidential - Describe in detail proposed use of buildings, e.g., food
10. Cost of improvement,,,,,,,,,,,,,,,,
T'o be installed but not included
$ 3o,
processing plant, machine shop, laundry building at hospital, elementary
school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical .......................
/ ez-
(' "\, I ( ° �.'� f �.t _.f,"
/ d
b. Plumbing ....................
U
c. Heating, air conditioning..........
d. Other (elevator, etc.)............
J_
11. TOTAL COST OF IMPROVEMENT
$
i
III. SELECTED CHARACTERISTICS OF BUILDING — For new bui dings and ad itions, complete Parts It — Li
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)
31 Wood frame
40 PK'Public or private company
41 ❑ Private (septic tank, etc.)
48. Number of stories ..............
49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel
dimensions .....................
H. TYPE OF WATER SUPPLY
42,� Public or private company
33 ❑ Reinforced concrete /gg
34 ❑ Other - Specify' G 1
50. Total land area, sq. ft...........
K. NUMBER OF OFF-STREET
PARKING SPACES
t�G1111
LG7jlj
43 ❑ Private (well, cistern)
_
51. Enclosed .......................
52. Outdoors ........................
F. PRINCIPAL TYPE OF HEATING FUEL
35 ❑ Gas
I. TYPE OF MECHANICAL
Will there be central air
/
t/
36 ❑ Oil
37.� Electricity
conditioning?
44 ❑ Yes 45 No
__
L. RESIDENTIAL BUILDINGS ONLY
53 . Number of bedrooms ..............
t
Z
38 ❑❑ Coal
39 ❑ Other - Specify
Will there be an elevator?
46 [_—I Yes 47�7�'� No
`r'c'
Full..........
54. Number of
bathrooms
Partial........
r
,r
z
O
M
M
APPLICANT
DEPT.LDING INSPECTIONS
212 Main Street
Northampton, MA 01060
Robert Graham
29 - 251
BUILDING q, a)
PERMIT
VALIDATION
DATE March 2, )g 87 PERMIT NO. 95
ADDRESS 0 aft Ave.. Easthampton
(NO.) (STREET) (CONTR'S LICENSE)
(Addition One Family NUMBER OF
PERMIT TO _) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
A7 (LOCATION) 61 Overlook Drive, Florence DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION
LOT
LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY
TO TYPE
USE GROUP
FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the addition onto existing rear of single family dwelling. Addition will
be kitchen enlargement and family room. Addition will also have basement
AREAVOLUME 240 sq ft ESTIMATED COST $ 30.600.00 FEEMIT $ 124.00
(CUBIC/SQUARE FEET)
OWNER Andr & Ken Anol i k ��
8UI
ADDRESS . 614 Overlook Dr__ Fl orpncp BY
f
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY PONIP