29-521 (3) ,�
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NOTES and Data — (For department use)
ZONING •
DISTRICT
FRONT YARD
LIX._ SITE OR PLOT
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Numb stmt, city, and State ZIP code I Tel. No.
Owner or Clf�
Lessee
Builder's
1' License No.
Contracto
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.
Sign of app lica, Addres Application date
7
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee -Started y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Obtained O t Number By
Obtained Y PP
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 FOR DEPARTMENT USE ONLY
_
Building
Permit issued �i7 � j 19 � use Group
Building � Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
L
CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
f OFFICE of the INSPECTOR of BUILDINGS
c� 1�
T Page Plot 133 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, Ill, IV, and IX. o
ZONING
A*rT1,6;-,�i - DISTRICT
I• AT (LOCATION)
LOCATION I N0.) (STREET)
OF BETWEEN AND
BUILDING (caoss STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
ll � -4
1 New building( " /u� Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family - Enter 19 ❑� Church, other religious
in Part D, 13)
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 (fl multifamily 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 ]
Office, bank, professional
6 ❑ Movin g (relocation) 17 Other - SpeciJy 25
Public utility
7 ❑ Foundation only 26 School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 F�? Private (individual, corporation,
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
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 charged, enter proposed use.
in the above cost
a. Electrical.............0......
b. Plumbing .............6J.......
c. Heating, air conditioning..0.....
d. Other (elevator, etc.)...... .... Lr
11. TOTAL COST OF IMPROVEMENT $ :J
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 /L /
,__ff.�� 48. Number of stories..(....
30 F-1 Masonry (wall bearing) 40 Public or private company
49. Total square Feet of Floor ores,
31 Wood frame � � � 41 Private (septic tank, etc.) all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
�y--� 50. Total land area, sq. ft. ...........
34 ❑ Other - Specify 42 u Public or private company
43 Z Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 V7 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Lc�l Yes 45 D No 53. Number of bedrooms..............
38 Coal
39 Other - Specify Will there be on elevators Full..........
i� 54. Number of
46 Yes 47 0 No bathrooms Partial
a`i sa (
DEPT. OF BUILDING INSPECTIONS
BUILDING z° / C%' 6
walmWain Street O<IL
Northampton, MA 01060 PERMIT
'28 - 33 VALIDATION
DATE April 13, 1 ERMIT NO. 232
o
Won eve ER.
MIT
Frank Deno ADDRESS 012365
IND.) (STREET) (CONTR'S LICENSE)
Deck NUMBER OF
PERMIT TO Addition (,) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
29 Matthew Drive ZONING T URA
(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: pprmit fnr the addition of a deck onto rear of existing dwelling
AREA OR 100 sq. ft. ESTIMATED COST $ 1 ,500-00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Frank Cerich 22 a ew r. BUILD me le�.4
ADDRESS BY�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSESSORS COPY pjNiS P