29-496 (6) ZONING •
FRONT DISTRICT Or
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
f3
pa
ct
use
rf
Va
Ile\1 j4
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Me-5 (31060
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
mak this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signat re of applicant Address =;ication date
5�—M -e �c>
00 NOT WRITE BELOW THIS LINE
V PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained Y
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
Permit issued [ r 19 _ use Group
Building Fire Grading
Permit Fee $ D '
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
40 OFFICE of the INSPECTOR of BUILDINGS
Page 01 Plot °{ 'J APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
/ ZONING
AT (LOCATION)�6 /n,)� ^,r Q -
DISTRICT❑
LOCATION / (NO.) (STREET)
OF BETWEEN 'lUl'l.✓a►'l��-i./ 1- AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
—4
1tKNew building Re idential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if an
in Part D, 13) 13 Two or more family - Enter 19❑� Church, other religious
number of units- - - - --1• 20�� Industrial
3 ❑ Alteration (See 2 above) 14 l
l
Transient hotel, mote ,
❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (f/multifamily residential,
of units ——————— — —� 22 ❑ Service station, repair garage
enter number of units in building to 15 ❑� Garage 23❑J Hospital, institutional
Part D, 13) 16 ❑ Carport 24 r� Office, bank, professional
6 ❑ Moving (relocation) 25 Public utility
17 �] Other - Speci/y
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP �J 27❑� Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 ❑� Other — .Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
t,J 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.).............
CN�
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF 13UILDING — 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 /
48. Number of stories...............
30❑ Masonry (wall bearing) 40 ❑ Public or private company
Private (septic tank, etc.) 49. Total square feet floor area,
41
31 FZ Wood frame �� p all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify
42 ❑ Public or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — p'ci/y Will there be an elevcitoO m Full..........
54. Number o4
46 Yes 47 'D No bathrooms
Partial.......
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E
DEPT. OF BUILDING INSPECTIONS BUILDING zo �� f
212 Main Street 0
Northampton, MA 01060 PERMIT
VALIDATION
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO ,`7 NUMBER OF
(�_) STORY I DWELLING UNITS
r'e ie it )1
(TYPE OF IMPROYEME NT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(N0.) (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:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE .$
(CUBIC/SQUARE FEET)
OWNER BOIL EP
ADDRESS BY '�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY Pixf' IP
a DEPT. OF BUILDING INSPECTIONS BUILDING z212 Main Street <
Northampton, MA 01060 PERMIT
29 - 496
VALIDATION
L�
, DATE August 16, 19 88 PERMIT NO. 529
APPLICANT—+�a�TIQS Hnleva ADDRESS 501 Burts Pit Road Uwner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO — NpLI 6��' �i11n _(_) STORY__ Tool Shed DWELLING UNITS
(TYP F IM ROVEMEN7� NO. (PROPOSED USE) ZONING AT (LOCATION) 581 . _ Burts Pit Road D STN CT URA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK LOT 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
1 (TYPE)
REMARKS: permit for- the.-c t.
onctrl+rtino of a n()1 ShPd
AREA OR 161 X 241 = 384 sq. ft. 1 000.00 PERMIT 10.00
VOLUME ESTIMATED COST $ ' FEE s
(CUBIC/SQUARE FEET)
OWNER Same as Applicant +L�� �
ADDRESS Same as Applicant's BYI
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY I, P