29-386 (4) CITY OF NORTHAMPTON
OFFICE OF THE COLLECTOR OF TAXES
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212 MAIN STREET
NORTHAMPTON,MASSACHUSETTS 01080
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants 'Fire At
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or 11
Lessee t dfa�0
Builder's
2. 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.
.nature of applicant Address Application date
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 is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Dote Number B
Obtained y pP 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 FOR DEPARTMENT USE ONLY
Permit number
Building , Use Group
Permit issued " ,( �' i 1913 _
Building Fire Grading
��
Permit Fee $tt�
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
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Page a _ Plot \3 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
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IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building Residential Nonresidential
2 Addition(If 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 — Entet 19 ❑� Church, other religious
number of units— — — — i 20 ❑J Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multi/amily residential, of units ——————— — --f 22 ' ] Service station, repair garage
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
B. OWNERSHIP 27❑ Stores, mercantile
28 Tanks, towers
BXPrivate (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
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..................... .�- X�
b. Plumbing ..................... Q
c. Heating, air conditioning..........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ ::4
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) 40X Public or private company 48. Number of stories............... O
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of Floor area, �0 "\
all floors, based on exterior tav
32 Structural steel dimensions ..................... (Q ,
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY /
34 ❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 E] 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 centrol air 52. Outdoors........................
conditioning?
36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY
31�< Electricity 44 F] Yes 45 ! No 53. Number of bedrooms..............
38 ❑ Coal /
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 No bathrooms
Partial......
a DEPT. OF BUILDING INSPECTIONS BUILDING '_D- $
! 212 Main Street O<
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Northampton, MA 01060 PERMIT
29 - 386 VALIDATION
DATE JIIQP r--- �9 0o dP5riveNO. 357 rs
APPLICANT Roger & Joanne Lobdel ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)OF
One Family R
PERMIT TO
Addition (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
36 Brookwood Drive ZONING UKA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
DECK
/tlA XANAX IS TO BE 12 FT. WIDE BY 18 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: he addition of a 12' X 18' deck onto rear of existing single family dwell-
ing
AREA OR 600�00 PERMIT $ 10.00
VOLUME 216 SSA f ESTIMATED COST $ FEE
ICUBIC/SQUARE FEET)
OWNER An01 irants BUILDII>{fi'UE�r
ADDRESS Same as A.nrn icant's BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p22 P