24A-036 (3) ZONING
DISTRICT
FRONT YARD
SIDE YARD
SIDE 1
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For deportment use)
! t/� L
IV, IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, stmt, rav, and .State ZIP code Tel. No.
1. ennc#� t✓ L os 7 wes(-ryo�� II?d
Owner or pro S3
Lessee A. � ivDS
Builder's
2. QVth tA &(- A/ S A4-'f- I L tense 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.
Signatur of oppI* ant Address Application date
W �-- l/,��cr�•..c_ ZAe zI �a.Olo6"_3 Ps-
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtta ned Number By Permit or Approval Chec Obtained Number 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
II. VALIDATION
Building �k FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued ���� 19 !2
Building \ Fire Grading
Permit Fee $ ��l J Live Loading
Certificate of Occupancy $ Occupancy Load
Ap oved y: ;.r;
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�.� MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
/,�
..,t Page Plot ,36 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) •/ /reS�ruV�� ""�"� DISTRICT
LOCATION /(NO..) J (STREET)/
OF BETWEEN 4-l,(,4g"O"" G AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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;K Addition(If residential, enter number 12❑ 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- - - - -o- 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l
l
h
Transient hotel, mote ,
❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (11 multifamily residential, of units ------- - -i 22❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ Carport 24❑ Office, bank, professional
❑ 17S Other - Specify 25 ❑ Public utility
7 Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP �d�'� e� - ��/f "C � � 27 ❑ Stores, mercantile
8 ® Private(individual, corporation, ,� 28 ❑ Tanks, towers
nonprofit institution, etc.) 60K^.Wl 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,,,,,,,,,,,,,,,, 41sbo, 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 i
a. Electrical..................... /000,
i
b. Plumbing .....................'r
c. Heating, air conditioning........',. O
d. Other (elevator, etc.)...........
11. TOTAL COST OF IMPROVEMENT E &000
111. SELECTED CHARACTERISTICS 0 F 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 11
30❑Masonry (wall bearing) 40 N Public or private company Number of stories................ Oh
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feat of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... 600,r CT
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42X Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUE I. TYPE OF MECHANICAL 51. Enclosed .......................
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 L 1 Other - Specify Will there be an elevator? Full..........
54. Number of
46 n Yes 47 S� No bathrooms
- Partial.......
DEPT. OF BUILDING INSPECTIONS BUILDING ZO v
212 Main Street '<
Northampton, MA 01060 PERMIT
24A - 36 VALIDATION
DATE .July 12, 198, PERMIT NO. 6()Ii
APPLICANT Kenneth Lynds ADDRESS 71 Reservoir Rond AnPr
INO.) (STREET) (CONTR'S LICENSE)
Addition NUMBER OF
PERMIT TO (_) STORY Pool & Sun Space Rooms DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
71 Reservoir Road Leeds ZONING URB
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 16' x 16' addition and a 16' by 20' pool house
AREA OR Fj QQQ�Q� PERMIT s 2[F.014
VOLUME ESTIMATED COST f FEE
(CUBIC/SQUARE FEET)
Kenneth Lynds
OWNER Reservoir Road, Leeds, Mass. 01053 BY
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - A SESSORS COPY pjN711P