29-451 (8) DEPT. OF INSPECTIONS
4' 212 Main Street BUILDING 0<
45'
-- - Northampton, MA 01060 PERMIT
29 - 451
VALIDATION
Frank Picard DATE April 14, 19 $ 18
APPLICANT April ADDRESS �� UrestviewMDr. , F lorencea Owner
(NO.) (STREET) (CONTR'S LICENSE/
PERMIT TO Addition (,+) STORY Porch DWELLING UNITS
(TYPE OF IMPROVEMENT) NO, (PROPOSED USE)
AT (LOCATION) 32 Crestview Drive ZONING URA
(NO.) (STREET) DISTRICT
BETWEEN AND
(CROSS STREET) (CROSS STREET)
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: - --.-. • .. • _ - ' . _ _ .. • . ' ' y
constructed permit #573
AREA E ESTIMATED COST $ 5OO•DO R
VOLUME Fr' $ 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS Same as Applicant's BUIL 124.046.1t
BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PNf" P
•w b
t .��,, CITY OF NORTHAMPTON
- MASSACHUSETTS
r. . OFFICE of the INSPECTOR of BUILDINGS
� Page t '414 Plot 1/3-1 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to/'complete/all items in sections: I, 11, Ill, IV, and IX. ) , Q O
I. AT (LOCATION) 3A. l)G5r✓iak/ Del �'
DISTRICT Co[fef j
LOCATION E..4.14006.-. 1-6/3(NO.) (STREET) e '/ `, j� /
OF BETWEEN S7' AND S/7N D' // /LJI- R6A1)
BUILDING (CROSS STREET) Vi (CROSS STREET)LOT
SUBDIVISION LOT / I BLOCK SIRE / VO J� /oO
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
—I
1 New building Residenti Nonresidential
2 I6/rddition(If residential, enter number 12 Ilitrne family 18 I I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I 1 Two or more family - Enter 19 Li Church, other religious
number of units- - - - -> 20 LJ Industrial
3 Ij Alteration (See 2 above) 14 I 1 Transient hotel, motel,
21 L Parking garage
4 I Repair, replacement or dormitory - Enter number
5 I Wrecking (If multifamily residential, of units - -* 22 ❑ Service station, repair garage
enter number of units in building in 15 I I Garage 23 Li Hospital, institutional
6 I I Moving (relocation) 16 I I Carport 24 I I Office, bank, professional
17 Other - Specify /) Rt-� 25 I I Public utility
7 L J Foundation only 26 Li School, library, other educational
B. OWNERSHIP 27 I I Stores, mercantile
8 17K Private (individual, corporation, 28 I Tanks, towers
Y' nonprofit institution, etc.) 29 Li Other - Specify
9 [ 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 $ OO.'00 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 $ 6O . DO
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 I I Masonry (wall bearing) 40 I I Public or private company
48. Number of stories
31 X Wood frame 41 I I Private (septic tank, etc•) 49. Total square feet of floor area,
all floors, based on exterior
32 I I Structural steel dimensions
33 I I Reinforced concrete H. TYPE OF WATER SUPPLY
34 I I Other - Specify 42 I I Public or private company
50. Total land area, sq. ft.
43 I—I Private (well, cistern) K. NUMBER OF OFF-STREET ilik,
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed
35 [ I Gas Will there be central air 52. Outdoors
"` 36 Oil conditioning'
L. RESIDENTIAL BUILDINGS ONLY
.. 37 CJ Electricity 44 L J Yes 45 i No 53. Number of bedrooms
38 Li Coal
39 L I Other - Specify /I L'/V'1' Will there be on elevators 1 Full
54. Number of
46 I 1 Yes 47.?� No bathrooms
Partial
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, City, and State ZIP code Tel. No.
1.Owner or (�' hf a/0
0
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
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
Date 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
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Q) Use Group
Permit issued �;(/ / 19 U
Building Fire Grading
Per ee $ /0' C� Live Loading
Certt- cate of Occupancy $ Occupancy Load
Approved by: A � •
Drain Tile $ (J �� ~��� "
jjjjJJJJ Ze141 •:
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
,. /0/4„)/-3,7
4
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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