17A-112 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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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or t tre .1J 3 / ��ic.G`i� G∎//,
Lessee �r uaj ese:'/s-
/� / / Builder's
2. ` lLtr/�f7 G� GC1 •"-V r L■cense 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 di
DO 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 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 i
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number FOR DEPARTMENT USE ONLY
Building. r c— Use Group
Permit issued x . � S � 19 O )
Building Fire Grading
Permit Fee $ 'Q. Live Loading
Certificate of Occupancy $ Occupancy Lood
Approved by:
Drain Tile $ ,
a ( t
Plan Review Fee $ f1
TITLE
CITY OF NORTHAMPTON
' MASSACHUSETTS
*.;% I;• ra : OFFICE of the INSPECTOR of BUILDINGS
�''. Page /42 /1 Plot //Z APPLICATION FOR
INSPECTOR
ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
c/� //sJ� C'.7 ZONING //
I. AT (LOCATION) �/ ( 1� l °�_/ DISTRICI�/ /
LOCATION (N0.) (STET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
IA
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
1 ' -P4ewJwi..4 in9• -tata-;--. •f crc-.t-G'- Residential Nonresidential
2 I I Addition(If residential, enter number 12 n One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 1 I Two or more family — Enter 19 Church, other religious
number of units— — — — --). 20 Industrial
3 I I Alteration (See 2 above) 14 n Transient hotel, motel,
21 Lj Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (If multifamily residential, of units — --1.- 22 Service station, repair garage
enter number of units in building in 15 I I Garage 23 Hospital, institutional
Part D, 13)
16 ri Carport 24 Office, bank, professional
6 I I Moving (relocation)
7 I Foundation only 17I I Other — Specify "PL:T-G 25 Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 —Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 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 $ 7,e'er 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 / f
�l1fit- �'.G'dG% c f .22e-G
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 .1, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48.
30 I I Masonry (wall bearing) 40 Public or private company Number of stories
31 1 ) Wood frame 41 pi Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32, 'Structural steel dimensions
33 I I Reinforced concrete H. TYPE. OF WATER SUPPLY
34 I 1 Other — Specify— 42 Zlf Public or private company _
50, Total land area, sq. ft.
43 1 1 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 I I Gas Will there be central oir 52. Outdoors
36 Li Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ri Electricity 44 , J Yes 45 1 I No 53. Number of bedrooms .
38 Li Coal
39 Other — Specify— Will there be an elevator' Full
� 54. Number of
46 ri Yes 47 I I No bathrooms
Partial
DEIT. OF•BUILDING INSPECTIONS BUILDING 1
j;>: 212 Main Street a K
Northampton, MA 01060 PERMIT
17A - 112 VALIDATION
1 DATE July 25,
=Wean= PERMIT NO. 442
APPLICANT Whirlpool Inc. ADDRESS � �dVi1M>E1� Westfield
INO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (_) STORY Above Ground Pool D ELLLRIN�NITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
59 Carolyn Street ZONING URA
AT (LOCATION) 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 installation of a above ground pool 24' in diameter. Removable stair
on deck or selt closing gate
AREA OR 24' in diameter ESTIMATED COST .� 2,000.00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Vacquelien DeCarolis
59 BUILDIN
ADDRESS 59 Carolyn Street BY �L"
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNfxp