29-518 (2) V-111. ZONING PLAN EXAMINERS NOTES
DISTRICT
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SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
�-- e
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
t. �,'� �� s d a /�i1�/�i•✓�T f�S Y _ t�./�u1 T� /9/�/ Jb�/�'/�f a s!'' --
Owner or
Lessee / O
Builder'
2. / A16- -*7 License Ns
o.
Contractor
3.
Architect or � �� :�O- �
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.
$ ic�� Address Application date
o a
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
Permit or Approval Check Date Number By Permit or Approval Check Dote 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
Use Group
Permit issued rrlt 19_;,
Building �� Fire Grading
Permit Fee $ a ( Live Loading
Certificate of Occupancy $ Occupancy Load
Approv d by:
t ; .
Drain Tile
n
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page Plot 3�3 ll APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, III, IV, and IX. O
Q ZONING
I• AT (LOCATI
�{_.�' // � L..�//f r� DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN �`� �` AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION +" MI�1— /LLB 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
1' New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12;KOne family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑J Church, other religious
number of units— — — — --)� 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 Parkin
4 ❑ Repair, replacement or dormitory — F.nter number 9 garage
5 ❑ Wrecking (1l multi/amity residential,
of units ——————— — -- 22 L_j Service station, repair garage
enter number of units in building in 1AD Garage 23 ❑I Hospital, institutional
1 Part D, 13) Carport 24 �� Office, bank, professional
6 Moving (relocation)
17 ❑ Other — Specify 25 ❑� Public utility
7 ❑ Foundation only 26 ❑1 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8-U Private (individual, corporation, 26 ❑� 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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement„,„•,......... &5--ewe 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 Q�
a. Electrical.....................
b. Plumbing ..................... G;
c. Heating, air conditioning.........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ T�oCID
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
30O Masonry (wall bearing) 40�Public or private company 48. Number of stories................ /
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, ---------
all floors, based on exterior !�
32❑ Structural steel dimensions ..................... �f/
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY p
34❑ Other — Specify 42 54. Public or private company 50. Total land area, sq. ft. ........... . r�
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........................
conditioning?
36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45rVj No 53. Number of bedrooms..............
38 Coal /
39 n Other — Specify Will there be an elevator” Full.......... /
54. Number of
46 Yes 47 W—No bathrooms Partial........ O
DEPT. OF BUILDING INSPECTIONS BUILDING o<
► 212 Main Street a
Northampton, MA 01060 PERMIT a
VALIDATION
DATE January 12, )g 87 PERMIT NO. 17
APPLICANT Paul D. Burns ADDRESS Ky—e. , Easthampton 10
(NO.) (STREET) (CONTR'S LICENSE)
New Building Single Fam./Garage NUMBER of +1
PERMIT TO (_) STORY DWELLING UNITS-
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Lot #11/House #15 Tara Circle ZONING URAXX
AT (LOCATION) 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 new single family dwelling/unfinished upstairs
attached garage
AREA OR 816 SQ. ft. ESTIMATED COST $ 45 000.00 PEEMIT 342.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant BOIL
pp
ADDRESS Same as Alicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY po.,-fp