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VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN - For Applicant Use
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NOTES and Data — (For department use)
g
IV. IDENTIFICATION – To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
A N C /�C7 0.WE . y �A,Ell,So /'l7, PTO )7 0766o -6-- Owner or
Lessee
Builder's
2. 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 as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
/Vi -7-e )
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD – For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dote
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 l Use Group
Permit issued <<t✓ 1949—
Building cP, Fire Grading
Permit Fee /0
Live Loading
Certificate of Occupancy $ Occuponcy Load
$ Approved by: r
Drain Tile � ��+ � e. )
Plan Review Fee $ U
TITLE
- c^ CITY OF NORTHAMPTON
MASSACHUSETTS
A '
4 OFFICE of the INSPECTOR of BUILDINGS
aziffurri. or
Page /, C—. Plot 7 Y APPLICATION FOR
INSPECTOR
ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 1I, 111, IV, and IX. 0
I. AT (LOCATION) 1� ��" ZON DIST RI CT G �
IN /Y� � es
LOCATION (N0.) (STREET) �{//1 11 f,
OF BETWEEN %G`-'�e ^' AND U f it'....°, 644:,
BUI LDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION I LOT BLOCK SIZE
r.t
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For "Wrecking" most recent use rn
rn
1 ew building Residential Nonresidential
2 1 1 Addition (If residential, enter number 12 One family 181 1 Amusement, recreational
of new housing units added, if any,
in Part D, 13)
13 I 1 Two or more family — Enter 19 LA Church, other religious
in
number of units— — — — 20 Industrial
3 1 1 Alteration (See 2 above)
14 F Transient hotel, motel, 21 L P arking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (I/ multi family residential, of units — 22 [ S ervice station, repair garage
enter number of units in building in 15 L] Garage 23 1 Hospital, institutional
Part D, 13)
16 L_1 Carport 24 1,,__ 1 Office, bank, professional
6 L J Moving (relocation)
7 Li Foundation only 17 L] Other — Specify 25 LI Public utility
j� 26 1 S chool, library, other educational
B. OWNERSHIP r� T - _ J 27 LI Stores, mercantile
8 LA Privote (individual, corporation, 28 I Tanks, towers
nonprofit institution, etc.) 29 Li Other — Specify
9 Li 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 $ 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
t�7
a. Electrical \ V 1 1 / " � q ,
b. Plumbing
c. Heating, air conditioning
d. Other (elevator, etc.)
Qv-
�
11. TOTAL COST OF IMPROVEMENT $ SE"9.
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 [ 1 Masonry (wall bearing) 40 I I Public or private company Number of stories
31 LA Wood frame 41 Li Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 1 1 Structural steel dimensions
331 1 Reinforced concrete H. TYPE OF WATER SUPPLY
34 1 I Other — Specify 42 Public or private company 50. Total land ores, sq. ft. —
43 L Private (well, cistern) K. NUMBER OF OFF- STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 1 1 Gas Will there be central air 52. Outdoors
361 1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 L Electricity 44 l _ Yes 45 i ce . No 53. Number of bedrooms
38 1 Cool
39 Li Other — Specify Will there be an elevatoro Full
54. Number of
46 [ - 1 Yes 47 'L No bathrooms
Partial
DEPT.AF B% LDING INSPECTIONS BUILDING Z /6)/ 6
A )r j.: 212 Main Street o !
_ _ > Northampton, MA 01060 PERMIT
18C - 104 VALIDATION
DATE July 22 , la y Gieason NO
481 Owner
APPLICANT Eben C . Moodie ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
New B u i l d i n g Tool Shed NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
49 Gleason Road ZONING URB
AT (LOCATION) DISTRICT
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 8 FT. WIDE BY 12 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 tool shed
AREA VOLUME 96 sq . ft • ESTIMATED COST $ 500.00 PE 10.00
(CUBIC /SQUARE FEET) v / ,
�/
OWNER Same as Applicant J �
ADDRESS Same as Applicant's BYIL E ��f
1
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY peed P