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29-459 (5) Vill. ZONING PLAN EXAMINERS NOTES DISTRICT FRONT • . SIDE YARD SIDE ' • REAR YARD NOTES IX. 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Na • r ii = .go H /si ii L ' imp, a.=1=fn, iimi,iis�S=���ti $ and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, strcct, city, and State ZIP code Tel. N Owner or Lessee Builder's License No. 2. 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. Si lure of ap scan Address Application date 00 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 Date Permit or Approval Check Obta ned 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 II. VALIDATION Building 4q7 FOR DEPARTMENT USE ONLY Permit number Bui Iding. Use Group Permit issued a4i, 19�_ Building GG Fire Grading Permit Fee $ (.�� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE o� CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR oLfJ BUILDINGS "t Page Plots APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, HI, IV, and IX. �p O I• AT (LOCATION) (�t1?-r1� �_( � DISTRIcr�i�!\ LOCATION ("O.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -f A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M 1 ❑ New building Residential Nonresidential 254 Addition([/ residential, enter number 12�One family 18 Amusement, recreational of neu, housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19 Church, other religious number of units— — — — 20 Industrial 3 � Alteration (See 2 above) 14 � Transient hotel, motel, 21 E-1 Parking garage 4 Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (1f multi family residential, of units ——————— — -- 22 ❑ Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 n Office, bank, professional 6 n Moving (relocation) f 17 Other Speci/y yyal 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 El Stores, mercantile 8 n Private (individual, corporation, J 28 Tanks, towers nonprofit institution, etc.) �10, /� 29 Other — Specify 9 Public (Federal, State, or local government) G /� 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 a. Electrical....................... b. Plumbing ....................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. �ryy ,,ff 11. TOTAL COST OF IMPROVEMENT $ 6� L". 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 v Number of stories......... 30 ❑ Masonry (wall bearing) 40 Public or private company 48. .•.• 31 Wood frame 41 C] Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 l Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY ,��`�y� 34 r � Other — .Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35�Ggs Will there be central air 52. Outdoors........................ conditioning? 36 Oil L. RESIDENTIAL BUILDINGS ONLY 37 ' Electricity 44 —� es 45 _ No 53. Number of bedrooms............. 38 Coal — Spec-' Will there be elevator" 39 , Other ( 7Y' 54. Number of Full.......... _ 46 as 47 ID No bathrooms Partial 3 INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR DEPARTMOk OF BUILDING INSPECTIONS FIELD COPY BUILDING i PERMIT molts"mmome m. 01.00 29 - 459 J DATE SfttEmber 18, 19 80 PERMIT NO. 494 1 APPLICANT Dwdd L,. XIt}^t`Jl ADDRESS 71 (rant ew D.riys (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO W*ftd stave & shed (-2—) STORY d- stove DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 71 Crestyi*w Drive D STR CT UM (140.) (STREET) rn BETWEEN AND (CROSS STREET) (CROSS STREET) R LOT m SUBDIVISION LOT BLOCK SIZE U O BUILDING IS TO BE S FT. WIDE BY 112 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i m i O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) !C o REMARKS: Install wrad burning stave in existing chimM,, construct 8 $ 12 stara&e shed. AREA I I I VOLUME ESTIMATED COST $ _{� FEEMIT �p i (CUBIC/SQUARE FEET) OWNER David T.- Mareil BU LDIN O PT ADDRESS Ti Crestview Drive, N t©n,, Ma. B -_.-t -.z•= I `