29-427 (2) s ,
•HING PLAN EXAMINERS NOTES
FRONT DISTRICT
SIDE .D SIDE YARD
REAR YARD
NOTES
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4 AP
NOTES and Data — (For department use)
I '
j
0
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and .State ZI T.I.
Owner 0r
Lessee
+l
Buder'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.
Signature of applicant Address Application date
�t y �
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obttaaired 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 Z4,2 FOR DEPARTMENT USE ONLY
Permit number
Building- _ Use Group
Permit issued , h— 19
Building ( Fire Grading
Permit Fee $ _
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TLE
CITY OF NORTHAMPTON
44 MASSACHUSETTS
B
OFFICE of the INSPECTOR of BUILDINGS
Page 2-1 Plot_ _,�� A 7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, I1, Ill, IV, and 1X. O
ZONING
I• AT (LOCATION) DISTRICT(!
LOCATION NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
It. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building Re idential Nonresidential
2 Addition(1/residential, enter number 1 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 (If multifamily residential, of units ——————— — --) 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
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
10. Cost of improvement,,,,,,,,,,,,,,,,
processing plant, machine shop, laundry building at hospital, elementary
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 1$
III. SELECTED CHARACTERISTICS OF ETI LDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for alt' others skip to 1V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
3 Masonry (wall bearing) 40 LA<Public or private company 48. Number of stories...
31A Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based o efv�. r
32 L❑ Structural steel dimensions +rC!
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. 4t. ..........
34 ❑ Other — .Specify 42 J Public or private company
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 L j Gas Will there be central air 52. Outdoors........................
conditioning?cond
36V] Oil _ L. RESIDENTIAL BUILDINGS ONLY
_ Electricity 44 L� Yes No 53. Number of bedrooms.............
38 ❑ Coal
39 F I Other — Specify Will there be an elevator? Full..........
— 54. Number of
46 Yes 47 ❑ No bathrooms Partial........
�. n..r ,;t 'IDTs�;�+'�w.� . »»nz` �d.��.. ...'. " •.*«��& �:aa. .H} .^w,+.:.5e „y .r ,. 9�4i3�-
Department of Building Inspections
212 Main Street
rtha)zt&gW#f#Ma. 01060 BUILDING
v.
29 _ 427 PERMIT a
VALIDATION
DATE April Ii 19 A2 PERMIT NO. t0_4
APPLICANT neborah T Thomas ADDRESS" 79 Golden Drive
INO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (�_) STORY $uj�$np DWELLING UNITS 1 -
TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 29 Golden Drive DISTRICT (MA
(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: Sop al CA Permit 6564 dated 10(5181 for foundation
Addition of sunroom 12' X 16'
AREA OR PERMIT .
QO
VOLUME 7A? ESTIMATED COST $ 000 FEE -740
(CUBIC/SQUARE FEET)
OWNER neborr-ob T--_Thomas
BUlLDIaOE
ADDRESS 79 Golden Dr Northamp tong 1MA. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY w CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
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212 tv"t
mirth,*. 01060 BUILDININ12-4r
PERMIT a a , ^� . e�l
IDATION }
DATES "ll to 19 PERMIT NO
APPLICANT ADDRESS
STREET). 1 (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (—i—) -STORY DWELLING UNITS
T P P OVEMENT) NO. PROPOSED USE)
ZONINGb�
AT (LOCATION) � - DISTRICTS:.
(NO.) ($TREETI
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 CONF062M IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: teak YII @ pm=i1t (� # � fe=Ajk*,4mm s
A4"ttso of misrom 12 ix 1*
AREA{
! VOLUME ESTIMATED COST $ �P,EEEMIT {y �
(CUBICTSC ARE FEET)
OWNER" Le BUILDIN DE
ADDRESS BY
I WHITE - FILE COPY . GREEN FIELD,',-,f PY CANARY APPLICANT COPY ■ PINK - ASSESSORS COPY
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a CERTIFIED MAILT. RECEIPT
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Total Postage&Fees
C3 Sent To Richard & Dianna Ramsden
---- -------------------------i�eet,itpt:No:;-- 37S Brookside Crcle
or PO Box No.
c;ty.srare,zlP+4 Florence- MA 01062
2002