29-496 (7) VIII. ZONING PLAN EXAMINERS NOTES
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code wTel. No.
as.. t�1 ^X"" " :^ 3✓eft', 690
Owner or .s.' r fir✓ /U 00. J !
Lessee
Builder's
2. -5P,,j' ("I License No.'TJa
Contractor P44^4 M C 1 007;-Y�
3.
Architect or p ) .j.
Z 104/0
Engineer - 7T� + /c; I ;Lu
o 7 Y 0
1 hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
is application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature applicant < Address
PP £ _! Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans By Date Plans B Notes
Fee Started Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained y PP Obtained 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 �37rr FOR DEPARTMENT USE ONLY
Permit number XXlI�-11
Building Use Group
Permit issued C&L 13 61 19�
Building i Fire Grading
Permit Fee $ �l. ��� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $ '?
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
r
$ f OFFICE of the INSPECTOR of BUILDINGS
T
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all
`° o ll items ins sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) 15-8 r �i JR7S P11— A`CZ. DISTRICT.
LOCATION (NO') (STREET) �/�
OF BETWEEN F-101LAAC t+ RA AND �v 14Y�.
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
11. 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
1 [__� New building Residential Nonresidential
2;<Addition(It residential, enter number 12 F-1 One family 18 Amusement, recreational
of new bousing 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 Parking garage
4 Repair, replacement or dormitory — Enter number
5 Wrecking (11 multifamily residential, of units ——————— — --0. 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only
26 n School, library, other educational
B. OWNERSHIP � ` .'JY''°"' ''` 4—! jQ ; 27 Stores, mercantile
1
8 Private (individual, corporation, 28❑ Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 0 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................ * P school, secondary school, college, parochial school, parking garage for.
deportment 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;
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❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories................ Gam+
31 .Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior O it
32 F__j Structural steel dimensions ..................... tf
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... ';I'^(�rj-b
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35tj4_Gas Will there be central air 52. Outdoors........................
36 n Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 "i No
CJ �7y _—. 53. Number of bedrooms..............
38 Coal
39 n Other — SpeciJy Will there be an elevators 54. Number of Full..........
46 1 Yes 47 ID No bathrooms �l
Partial....... J
.. ..�._..'_,.-__•- .^rte...-. ,.....-n.-...__-•".... _ .. _...
a DEPF BUILDING INSPECTIONS BUILDING
+ ! 212 Main Street oa .
Northampton, MA 01060 PERMIT
VALIDATION r
DATE 19 PERMIT NO.
APPLICANT �r°1d�C hey a�: f1 },_. - (')?AVORESS i `ul
("
(NO.) (STREET) (CONTR'S LICENSE)
• .f r y,,,. NUMBER OF
PERMIT TO (_) STORY (?c � ,• r c,iA 1 �l :r:,� DWELLING UNITS
( ' IM OVEMENT) NO. (PROPOSED USE)
P ZONING
AT (.LOCATION) �) � Pi �. AEI — 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)
.; f1-• "F a i> 'iG { a :.
REMARKS.
AREA OR F a PERMIT
VOLUME ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
OWNER BU G
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pQP
"Aft
___ --___.. •,,fig-✓
DE UILDING INSPECTIONS BUILDING �< ��
212 Main Street °a
Northampton, MA 01060 PERMIT
29 - 496 VALIDATION
DATE Mar. 29, 19 89 PERMIT NO. 189
APPLICANT Damp" Nnl Ava & Ann-Mari P Fa10)5RESS 581 Burts Pit Rd. wners
(NO.) (STREET) (CONTR'f LICENSE)
NUMBER OF
PERMIT TO in I_) STORY Garax-Mamilk Room DWELLING UNITS
( OVEMENT) N0. (PROPOSEO USE)
,.1 ZONING SR
AT (LOCATION) 521 Rlirtc Pit Road -- - 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 construction of a garage and family room above
AREA OR 30,000.00 PERMIT 151 .25
VOLUME 1200 sq. ft. ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
OWNER Same as Applicants
Same as Applicants BUILDIN Pr.
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY plNf' P