29-305 (4) D%5j QF BUILDING INSPECTIONS gUtLDING z° ;v )
212 Main Street D
Northampton, MA 01060 40 • PERMIT
29 - 305 VALIDATION
DATE March 13, 19 87 PERMIT NO. 121
APPLICANT Donald & Karen Lafleche ADDRESS 398 Acrebrook Drive Owners
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New Building I_) STORY Garaa DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. PROPOSED USE)
ZONING
AT (LOCATION)
398 Acrebrook Drive Florence DIISTR CT URA
(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 fnr the ronetrurtion of a new dptarbed garage 780 cn ft
AREA OR 780 $q. ft. 4 100.00 PERMIT 39.00
VOLUME .$ FEE
(CUBIC/SQUARE FEET) ESTIMATED COST
Same as Applicant
OWNER
Applicant $ BUIL
ADDRESS BY
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Vill. ZONING PLAN EXAMINERS NOTES
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants ampoft
Name Mailing address — Number, street, rz.ty, and State ZIP code Tel. No.
1.
Owner or /
Lessee V
y Builder's
2. License No.
Contractor �O
3. 4-
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 re of applicant Address Applic tion 4bte
3 7T
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 $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Dote Number B Permit or Approval 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 WRECKING
OTHER OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued . 19
Building (� Fire Grading
Permit Fee $ �Z l � Live Loading
Certificate of Occupancy $ Occupancy Load
Approved
Drain Tile $ � A
Plan Review Fee $ !!
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
f OFFICE of the INSPECTOR of BUILDINGS
Page Plot - APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
Q �I � ZONING
,{(�J� V DISTRICT
I• AT (LOCATION) y�� l � � `� �"`
LOCATION No•) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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
-a
1 CNew building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 F-1 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 � Two or more family — Enter 19 n Church, other religious
number of units— — — — 20 Industrial
30 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage
40 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — 22 L� Service station, repair garage
enter number of units in building in 15 MGoroge 23 ❑ Hospital, institutional
Part D, 13) 24 � Office, bank, professional
6 � Moving (relocation) i6 � Carport
17 D Other — Specify 25 0 Public utility
7 ❑ Foundation only 26 D School, library, other educational
B. OWNERSHIP 270 Stores, mercantile
8 �Private (individual, corporation, 28 0 Tanks, towers
nonprofit institution, etc.) 29 ❑ Other — Specify
9 0 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•,•,,,,,•,•,•,,, 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.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ L
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❑ 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,
zk 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 ores, sq. FT. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES r�^
51. Enclosed ....................... Cri
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 Cf Electricity 44 Yes 45 VNo 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator? Full.........
54. Number of
46 Yes 47 No bathrooms
r
Partiol.......