29-515 (8) low
Vill. ZONING PLAN EXAMINERSNOTES
DISTRICT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants 00040
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
t A c,1c c,G 6
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
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sign applicant Address Application dote
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 Is
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval I 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 FOR DEPARTMENT USE ONLY
Permit number C�
Building Use Group
Permit issued 19 .
Building Fire Grading
$
Permit Fee r`�
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $
Approved by:
r_ t � �►�,�s�
Plan Review Fee $ t�
TITLE
CITY OF NORTHAMPTON
9• a arms* MASSACHUSETTS
OFFICE of the INSPECTOR of BUILD NGS
Page Plot _ APPLICATION FOR
V T a
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
��/) / _ �p �/ /� /�j //y� ) p{� {{�,,�,/
ZONING
(• AT (LOCATION) _3` 3J �/t���/ �-'�s z ' `/6 r �'f 7` r I �C'' DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN A
BUILDING (CROSS STREET) (CROSS STREET)
1 LOT
SUBDIVISION OT / LOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Part — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2❑ Addition([/ residential, enter number 12❑ One family 18 ❑ Amusement, recreational
o/ new bousing units added, if any,
in Part D, 73) 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
40 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 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❑ Moving (relocation) 1
17�Other — Speci/y >�cp�'f117 25❑ Public utility
7 ❑ Foundation only j/ 26 ❑ School, library, other educational
B. OWNERSHIP kK f U `3 fare►�p J f2�l� 27❑ Stores, mercantile
8 ❑ Private(individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
90 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
C)� school, secondary school, college, parochial school, parking garage for,
10. Cost of improvement,,,,,,,,,,,,,,,, r
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.).............
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❑ sonry (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 .....................
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 — Specify Will there be an elevator° m Full..........
— 54. Number of
46 Yes 47 I❑ No bathrooms
Partial.......
�_ _ ___� _.. .. _. ._ ._ - .__. _t. _.,...,
M DEPT. OF BUILDING�I INSPECTIONS BUILDING oa O - CO
Northampton, MA 01060 PERMIT
a
28 - 33-14 VALIDATION
DATE April 19, 19 2P PERM( NO 21�
APPLICANT James F. Boyle ADDRESS 266-Rest--Farms load - -File
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO New Building I_) STORY __ Storage Shed NUMBER DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Tara Cir. ZONING
URA
AT (LOCATION) DISTRICT
4 (STREET)
BETWEEN 13 AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE R FT. WIDE BY 10 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the erection of a pre-fab storage shed
AREA OR 80 sq. ft. 700.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SOUARE FEET)
Ernest Sealander
OWNER 31 Tdrd BUILDIN I D PT � C,
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY F1xf"v