10B-040 (3) ZONING •
DISTRICT
USE
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NOTES and Data — (For department use)
1
IV. IDENTIFICATION — To be completed by all applicants `
Name Mailing address — Number, street, city, anrf .State ZIP code Tel. No.
,. ck ta �.L �p �erevd.;,� �ce f err.
—3 Owner or f✓1�
Lessee 4, L Nos �►- �4�'`
2 phA� 0rL Builder's 2 / D
CC NOj License No. � J�YO
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.
Signat re of applicant Address Application date
7/leye oloto4 e- rv__lyu- 144r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plops Review Required Check Plan Review Date Plans BY Date Plans B Notes
Fee Started Approved Y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval I Check Dote Number B
Obtained Y pp 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 WOTHER
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued t-P 1gR's
Building V Fire Grading
Permit Fee $ /D Ud
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
wT Page Plot 0 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
N ZONING
I• AT (LOCATION) �`��• • �!•� Zee,Vj /1.1�i DISTRICT
LOCATION / ,(N0.)
/ . (STREE
OF BETWEEN bGy" AND ay*e /y
c, o •
BUILDING (CROSS STREET) (CROSS STREET) `
LOT /I
SUBDIVISION LOT BLOCK SIZE JJ
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
1 ❑.New building Residential Nonresidential
2 Addition()/ residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing 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 ❑J Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 multi family residential, of units ——————— — i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 ❑ Moving (relocation) 16 ❑ Carport
17 Other — Specify 25❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
h S�g
B. OWNERSHIP -� /Y14)7X. f� 27❑ Stores, mercantile
8 Private (individual, corporation, / 28❑ Tanks, towers
nonprofit institution, etc.) d�r 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
�� le, processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ 4GO 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..................... r
b. Plumbing ..................... C �( T
c. Heating, air conditioning......... D
�i •
d. Other(elevator, etc.)............ O
11. TOTAL COST OF IMPROVEMENT $ Say-/
III. SELECTED CHARACTERISTICS OF B ILDING — 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...............
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? 54. Number of Full..........
—
bathrooms
46 ❑ Yes 47 ❑ No Partial.......
WEPT. OF BUXDING INSPECTIONS BUILDING Z°
212 Main Street
Northampton, MA 01060 PERMIT
10B - 40 VALIDATION
DATE June 3 19 85 PERMIT N3o. 304
APPLICANT Kenneth W. Lynds ADDRESS Reservoir RCI. , ee s 668
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO addition (_) STORY inground swim p001 DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
71 Reservoir Road ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
POOL
XIS TO BE 20 FT. WIDE BY 40FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the instllation of a inground swimming pool
AREA OR 4,500.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE s
(CUBIC/SQUARE FEET)
Kenneth & Karen Lynds
OWNER
AD E eservoi.r , 7 Mass. ULL
BY pp�
0 SS B
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY I, NT LIP