11-012 (6) 1-. DEPT. FILE COPY
ZO
BUILDING
2 a-
PERMIT
VALIDATION
DATE Juno 6, 19 77 PERMIT NO. 210
APPLICANT Kenneth Fearn ADDRESS 12 HenGhaw Ave.
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Ana-fam y il residence (2__) STORY Residence NUMBER OF
DWELLING UNITS 1
(TYPE OF I PROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) MorninEsi d a Dri ve DISTRICT SR
(NO.) (STREET)
a BETWEEN AND
cn
(CROSS STREET) (CROSS STREET)
m SUBDIVISION Brookwood LOT 29 BLOCK SIO E 30,000
a
u
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY _ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
CC (TYPE)
0 REMARKS: (:nnetruct Anp—family residence
-
AREA OR
VOLUME ESTIMATED COST $ 52,000 FEEMIT e. 156.00
(CUBIC/SQUARE FEET) ,P
OWNER Kenneth & Pa.uli nee Fearn .^ %BUILDING DEPT:ADDRESS 12 eshaw Avene / / 41:?J &/
(Affidavit on reverse side of application to be completed by outhc :zap#agent of owner)
CITY OF NORTHAMPTON it
ZONING PERMIT APPLICATION l e =,'/ /'' Tax Map No // �/ / Lot /°-2 / l
i Zoning Ordinance Section 10.2 a Redeived: File No. Plan File
l
Owner d,r, F-1 II 1 ` 6,f`o, Applicant a (,; HI <'
Address fr/c■ ri i tl=c, 41 0, rV =-. Address / )- ( ;r 1r c, t i 4 v 4 ,
Telephone Telephone
<;r =�� _ p' 5 C
This section is to be filled out in accordance with the "Table of Dimensional and Density Regulations:
(Z.O. ARTICLE VI)
Zoning Use Lot Front Depth Setbacks Max. BId. Min. Op.
District Area Width Front Side Rear Cover Space
Past Existing'-T R r "76G4(% _6^ / (7' *'—r/ -----)f . ;( %
Present Proposed %
Mark the appropriate box to indicate the use of the parcel:
❑ Non-Conforming Lot and/or Structure. Specify
X Residential ASingle Family Unit ❑Multi-Family
El Duplex ❑ Other
❑ Business
❑ Individual
❑ Institutional
El CI Regular ❑ P.U.D.
❑ Cluster ❑ Other
❑ Subdivision with "Approval-Not-Required"-Stamp:
❑ Planning Board Approval:
❑ Zoning Board Approval (Special Permit 10.9: Variance)
El City Council (Special Exception S. 10.10)
Watershed Protection District Overlay: (Z.O. Sect. XIV) ❑ Yes 0 No
Parking Space Requirements: (Z.O. Sect. 8.1) Required 2_ Proposed
Loading Space Requirements: (Z.O. Sect. 8.2) Required VA- Proposed
Signs: (Z.O. Art. VII) ❑ Yes IZNo
Environmental Performance Standards: (Z.O. Art. XII) ❑ Yes , No
Plot Plan )Yes ❑ No Site Plan ,IK Yes El No
(S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date ❑
This section for OFFICIAL use only:
'Approval as presented:
❑ Modifications necessary for approval:
El Return: (More information needed)
El Denial: Reasons:
J //G
, 1 ,,, ( , ,_ . 4 _ :1 _ , ) i Sign ture of Applicant Date Si nature of Admin. Date
TN E PRINTING PRESS
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .A'rnnb(r, street, ritN, aria( \fate ZIP code Tel. No.
O wner or e.✓ nC�+E� �� o 12- f-)foshgk 4 sic, n sY'1•-i- o
Lessee /r
1 c� vft+1E. I—ttl ��t
/�
/ Builder's
2. C,/�4retie�- pe.j..iS/p _ 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
f pct _
k--4-1.411 1.a- i C re..."0 j V"0— • / y?
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired 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
VII. VALIDATION
Building
Permit number 210
Bui lding
Permit issued June 6, 19 ?7
Building
Permit Fee $ 156.00
Certificate of Occupancy S
Approved by:
Drain Tile S
Plan Review Fee �P)1
TI
b+oa r0+ ANd
• „!►,4 ) Crier of Northampton
)�;,•.
�+, E i ".,
' ;Y�,, i ffiassarlmsetts
Office of the inspertor of iiiibings APPLICATION FOR
ZONING PERMIT AND
Page 1/ 1, l� Plot i '- BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. Z
O
Ho g ZONING
I. AT (LOCATION) 1 �o CO 1 i'1 ) c 1 i C t,`(v C°' DISTRICT R
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING //� (CROSS STREET) y (CROSS STREET)
El �,t,,fI t \ f LOT -i t? L'1„_G'
SUBDIVISION ✓ f (�'�` 1<'t.'(,' C �' LOT -� BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 INew building Residerytial Nonresidential
2 I I Addition(If residential, enter number 12 I One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family - Enter 19 I Church, other religious
number of units- - - - 20❑ Industrial
3 I I Alteration (See 2 above) 14 Transient hotel, motel,
I I 21 1 Parking garage
4 I I Repair, replacement or dormitory - Enter number
oy'units - --� 22 Service station, repair garage
5 Wrecking (If multifamily residential, I�✓I/
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D. 13) 24 Office, bank, professional
16I I Carport
6 I I Moving (relocation)
17 I I Other - Specify 25 Public utility
7 I I Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
28 Tanks,
8 1V/Private (individual, corporation, towers
nonprofit institution, etc.) 29 Other - Specify.
9 I I 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 $ / 61,--r) 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 $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; ,a
for wrecking, complete only Part J, for all others skip to IV. D
G)
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS '2—
m
48. Number of stories
30 Li Masonry (wall bearing) 40 I I Public or private company
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 1 .�-Wood frame ( p all floors, based on exterior
32 I I Structural steel dimensions 2- 3 0
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other - Specify
42 1 Public or private company 50. Total land area, sq. ft. ✓c trir '
43 I I Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed r F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
35 I I Gas Will there be central air 52. Outdoors
36 1.✓—I'Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 I I Electricity 44 I .1 Yes 45 I No 53. Number of bedrooms Lt
38 I I Coal
39 I vI'bther - Specify t..`'t,.3C' U 0( Will there be an elevator? Full I
54. Number of
I"N
46 I I Yes 47 o bathrooms --��
Partial..f'±...