29-420 (3) ZONING
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
I IX. SITE OR • Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants *4
Name Mailing address Number, stmt, city, and State ZIP code Tel. No.
Owner or
Lessee r
Bui Ider'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.
M of applic Address Ac tion date
y d�.�oZ
D0 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 $
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained 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
Permit issued _ 19
Building Fire Grading
Permit Fee $ 'M �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TIT
rA� CITY OF NORTHAMPTON
MASSACHUSETTS
$ e
OFFICE of the INSPECTOR of BUILDINGS
Paged Plot y�t� APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) om DOSTR CIU
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
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
M
1 ❑ New building Residential Nonresidential
2 L❑ 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 — Enter 19 ❑ Church, other religious
number of units— — — — --� 20 ❑ Industrial
3 ® Alteration (See 2 above) 14 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑I Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (Ii 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 L❑ Office, bank, professional
6 ❑� Moving (relocation)
17 ❑ Other - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, f / 28 ❑ Tanks, towers
nonprofit institution, etc.) /Z XI?1 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.)............
11. TOTAL COST OF IMPROVEMENT 1$4,S-690.�D
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 Wood 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. 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL TYPE OF MECHANICAL
35 Gas >Ye tral air 52. Outdoors.......................
36�'Oil c
_ L. RESIDENTIAL BUILDINGS ONLY
37 E ] Electricity 4 45 ❑ No-- 53. Number of bedrooms..............
38 Coal
39 ❑ Other — SpeciJy Wlevator Full..........
54. Number of
-447 ❑ No bathrooms
Partial.......
.��. a. __
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e
Dep!m!"ent of Bulls leg Inspections
212 Main Street"
BUILDING Z°
Northampton, Ma. 01060 $(L ���� y 10,9 PCRYII
a
29 - 420
VALIDATION
# DATE rM i1 28,, 19 A2 PERMIT NO. 151
APPLICANT Richard T ungorali ADDRESS 23 Cn1Aan nr;ye
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al taratinn O STORY DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PRO OSED USE)
ZONING URA
AT (LOCATION) 23 f n1Ann Drive - DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS 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: 18' ,
AREA OR ESTIMATED COST $ 2500.00 FEEMIT Q 10.00
VOLUME P
(CUBIC/SQUARE FEET)
OWNER RirhnrA T F ingol-.0 i - BOIL NG
ADDRESS 73 Golden Drlue El O0, Hill- 01n60 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY
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212 utim BUILDING ',,-
Ha�rW �. �: 010 i PERMIT °D
24 w 420
VALIDATION
" DATE _;�pY�L2A_ 19 +A2 PERMIT NO. 151
APPLICANT TtlahArd _1*F=zaral f ADDRESS �� apldd-.R ET"
. (N0.) STREETT (CONTk'S LICENSE)
NUMBER OF
PERMIT TO +� tiSBt� {� ( ) STORY DWELLING UNIT$
(TYPE OF IMPROVEMENT) NO. PRO USE)
ZONING
AT (LOCATION) 23 G�+3wdlRe DISTRICT
(NO.). ( REETI ,
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOC)( S)ZE
BUILDING IS TO BE FT. WIDE BY _FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CON'STRUCTION
TO TYPE _ USE GROUP BASEMENT WALLS OR FOUNDATION
P' (TYPE)
REMARKS. F Install 'i3aftaxQi ad fi'iW.'i1e-poel %2t X 36
AREA OR
VOLUME ESTIMATED COST $ 25w_00 FEEMIT $ 10,0
(CUBIC/SOUARE FEET)
OWNER f !�/
BUL/NG
ADDRESS BY
WHITE - FILE COPY GREEN - FIELDCOPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY
I t.