29-371 (5) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (F
lG-�• is Z o y
IV. IDENTIFICATION — To be completed by all applicants AP
`
Name �q fj Mailing/address j— Number, ../turret, city, and state code i o.
Owner or
Lessee
1. �Li
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 o Address
]Application date
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate Permit or Approval Check ObDtai ed Number By Permit or Approval Check Obttaitned 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 /O FOR DEPARTMENT USE ONLY
Permit number
c
Bul Iding- Use Group
Permit issued 19 ?Z-
Building ` Fire Grading
Permit Fee $ 3o.2'd U
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ed by: n
Drain Tile $
Plan Review Fee $
TITLE
4APPLCITY OF NORTHAMPTON
9` MASSACHUSETTS
B OFFICE of the INSPECTOR of BUILDINGS
"t Page Plot 7
ICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items i sections: 1, 11, 111, IV, and IX. /� O
I• AT (LOCATION) ,// ZONING�/IY/.
DISTRI
LOCATION (NO.) (STREET)
OF BETWEEN ` � "� AND
k6 Ot
( (CROSS STREET)
BUILDING �//yy//��//
SUBDIVISION /rr� LOT BLOCK LOT
N
IL 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(IJ 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— — — — --> 20 �� Industrial
3 ❑ Alteration (.See 2 above) 14 Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
❑ __----- — 22 ❑ Service station, repair garage
5 Wrecking (Il multifamily residential, o/ units --> P 9 9
enter number of units in building in 15 Garage 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
r
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,,,•,•••,•••••,• 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.).............
r
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. TY�OF SEWAGE DISPOSAL J. DIMENSIONS r
30 VWood Masonry (wall bearing) 40 Public or private company 48. Number of stories.............. J
31 frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 L❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYP�F WATER SUPPLY
50. Total land area, sq. ft. ..........
34 [F--] Other — Specify 42 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ it conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 I Electricity 44 ❑ Yes 45 �/No 53. Number of bedrooms.............. ✓
38 ❑ Coal /
39 ❑ Other — Specify Will there be an elevator? Full.......... /
54. Number of
46 ❑ Yes 47 �Y/No bathrooms Partial.,......
woo
Department of Building Inspections
21,� Main Str BUILDING �°
Nt� c�,rton, 01060 PERMIT fa Pd. $32.00 5/21/82
i a
19 29 - 371 VALIDATION
DATE May 21 - 19 R2 PERMIT NO. 210
APPLICANT C1 iffnrd A_ Hnnver ADDRESS 15 Austin Circle
IN 0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Now Rvi 1 dine ( I STORY rArAgP & brPPZP�jay DWELLING UNITS 1 —
(TYPE OF IMPRO MENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 15 Austin Circle DISTRICT IIRA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Breezeway 16 24
BUILDING IS TO BE FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Npw garage And closed-In breezeway ---
AREA OR
PERMIT
VOLUME ESTIMATED COST $ a nnn FEE $ 32.00
(CUBIC/SQUARE FEET)
OWNER Mr• & Mrc rs1 i fferd Hnnvpr BUI
ADDRESS 15 Anctin Circle. Northampton. ma- '11060 BY
WHITE - FILE COPY . GREEN ^ FIELD COPY ■ CANARY - APPLICANT COPY • PINK ASSESSORS COPY