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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel_.. No.
1.
Owner or l P
Lessee
f Builder's
2. n,bf C 101A /t 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.
Signature of li nt Address Application date
4/�' P le
r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained 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 7 FOR DEPARTMENT USE ONLY
Permit number
Building p ry
Permit issued V a U.1+_'� I X 19
Use Grasp
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
r •
t OFFICE of the INSPECTOR of BUILDINGS
t
Page— Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ty >r ZONING f
(• AT (LOCATION) 02 zr �#., + t' -" �7'/& .° ''"}' f4,"'"°".". DISTRICT
LOCATION IN 0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
rn
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 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1l multifamily residential, of units ------- - -i 22 �� Service station, repair garage
enter number of units in building in 15 Garage y1 f?t:,7�#P e gliIr( 23 ❑ Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other - Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,.,•,,,,,....... /7 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.................. t1 �C d�
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 /z;4 ZA
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
m0UR'e ' PARKING SPACES
1� 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�J Electricity 44 [—] Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will there be an elevators Full..........
54. Number of
46 Yes 47 '� No bathrooms
Partial.......
h
a DEP1!'001MILDING INSPECTIONS BUILDING i° 33,
+ ! 212 Main Street Oa
Northampton, MA 01060 PERMIT
29 - 360 VALIDATION
DATE March 21 , 19 88 PERMIT NO. 139
APPLICANT D J Russell ADDRESS 148 Ryan Road 009938
IND.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New Building (_) STORY Detached Garaae DWELLING UNITS
(TYPE OF IMPROVEM NT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 35 ebrook Drive Florence - DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT- - - BLOCK SIZE
al�
BUILDING IS TO BE 12 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
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"� 7,900-00 FEEMIT $ 32.00
AREA O $q. f t. ESTIMATED COST
VOLUME
(CUBIC/SQUARE FEET) -
OWNER Earl Pease BUILDING
W-A 4 ctf
cre roo r. , orence BY
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY PjNf' ' P