29-431 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT s
FRONT
SIDE YARD SIDE •
REAR •
NOTES
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NOTES and Data — (For department use)
lo� Zoe-
v
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee / pr ' *
Bui Ider's
License No.
2.Contractor cz
r
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 applicant 0 4Add ess Appli,c�ation date
a /,, /C/�/G��L Cam/L�
// 00 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 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
Bui Iding. Use Group
2
Permit issued ��� 19 _
Building ✓ Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ J"
TI
la CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
$ r Page _ _ Plot
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
_ L / ZONING
AT (LOCATION) it�,�..v'L/ /�1l/?' DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
^ LOT
SUBDIVISION LOT % BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -f
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 New building Residential Nonresidential
2 El Addition(1 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
3 Alteration (See 2 above)
number of units— — — — --� 20 ❑ Industrial
❑
14 ❑ Transient hotel, motel,
4 ❑ Repair, replacement or dormitory — Enter number 21 ❑ Parking garage
❑ 22 Service station, repair garage
5 Wrecking (It multifamily residential, of units ------- — -� P 9 9
enter number of units in building in 15 Garage CAS a7 23 ❑ Hospital, institutional
Part D, 13) 16 ort Car 24 Office, bank, professional
6 ❑ Moving (relocation) ❑ P �` as I
17 ❑ Other — Specify � 25 ❑ Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 TT�1�Privote (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 n 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.
7'o 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 $ v 3l
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 1<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
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
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 — SbeciJy Will there be an elevator? Full..........
54. Number of
46 [] Yes 47 ❑ No bathrooms Partial........
...........yr,.. __.. .-. ......�, _,.� ..P
. �rw
DEPARTMENT OF BUILDING INSPECTIONS
212 1�LJ!!�t MA. BUILDING /
NOtT�aArcPTO , . 01060 PERMIT a IL
29 - 433k ,� +►
VALIDATION
DATE Ma 12, 19_82_ PERMIT NO. IRA
APPLICANT jaceph I AdanCOWC? ADDRESS 432 Ryan Rnad
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (�_) STORY DWELLING UNITS
TYPE OF IM VEMENT) NO. (PR OSED USE)
ZONING
AT (LOCATION) Ryan ROAA DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT 411__BLOCK SIZE
BUILDING IS TO BE 74 FT. WIDE BY 7A FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Empty T.QS• cnnstrue-tino 2 Car garage and $tarage spar-A. Alma fral@4ng speond
story with future plans of W4*MM=U None at this time.
single family dwelling.
AREA OR PERMIT
.
�
VOLUME � ESTIMATED COST FEE 33.60
(CUBIC/SQUARE 72 FEET)
OWNER raeph 7 anoWt,7
BUIL NG D T.
ADDRESS _1 37 Ryan Rd- , Northamptan, Mai 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COP PINK - ASSESSORS COPY