29-307 (6) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — ,'umber, stmt, city, and State ZIP code Tel. No.
Owner or ,
Lessee (/
2. Builder's
C ontractor 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.
JSig at re of applica t Address Appli ation date
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 A rovo I Date Date
Pp Check Obtained Number By Permit or Approval Check 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
VII. VALIDATION
Building �� FOR DEPARTMENT USE ONLY
Permit number
Building 1 Use Group
Permit issued '+ LI9
Building Fire Grading
$
Permit Fee l
Live Loading
Certificate of Occupancy $ Occupancy Load
$ Approved by:
Drain Tile
Plan Review Fee $
TITLE
<„ ► CITY OF NORTHAMPTON
40 MASSACHUSETTS
OFFICE of the INSPECTOR of BUILLDINGS
Page ail Plot 30 / APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
1i ZONING/,
I• AT (LOCATION) � � 1 DISTRICTv
LOCATION (NO.r IST BEET
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vt
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D M
M
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❑ One family 18❑ Amusement, recreational
of new bousing units added, if any, 13 F__j Two or more family - Enter 19❑ Church, other religious
in Part D, 13) number of unit`s- - - - -i 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 E] Parking garage
4 F__� Repair, replacement or dormitory - Enter number
5❑ Wrecking (l1 multifamily residential,
of units ------- - -i 22 E] Sorvice station, repair garage
enter number of units in building in 15 Garage 23 F-1-] institutional
Part D, 13) 16 Carport 24❑ Office, bank, professional
6 Moving (relocation) p
❑ g ) 17❑ Other - Specify 250 Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
28❑ Tanks, towers
8 `� 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
0,3 processing plant, machine shop, laundry building at hospital, element ary
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 bein changed, enter proposed use.
in the above cost
a. Electrical..................... f�r�,Q-
r
b. Plumbing .....................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT E
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
48. Number of stories...............
30❑Masonry (wall bearing) 40 F-1 Public or private company
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame ❑ p all floors, based on exterior
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other — Specify 42 F—] 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 D Electricity 44 ❑ Yes 45 FI No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - .Specify Will there be on elevator? 54. Number of Full..........
bathrooms
46 ❑ Yes 47 No Partial........
�s
r
M
s
s
DEPT. OF BUILDING INSPECTIONS BUILDING o2
! 212 Main Street
Northampton, MA 01060 PERMIT 0"
29 - 307 VALIDATION
DATE May 16, 19 86 PERMIT NO. 249
APPLICANT James F.XX M Natale ADDRESS 382 YXX Acrebrook Drive OLdCler
(NO.) (STREET) (CONTR•S LICENSE)
NUMBER OF
PERMIT TO New Building I_) STORY 2 car garage DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
AT (LOCATION)
382 Acrebrook Drive DISTa cT 1TR4 ____
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 26 FT. WIDE BY 30 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 garage
AREA OR 780 sq. ft. ESTIMATED COST $ 5.om-nn FEEMIT $ 39.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same AS Applicant BUILD G
as pp scan s BY � ~ame
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY ^ APPLICANT COPY ■ PINK - AS ESSORS COPY P0" p