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do
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
_ .e
IV. IDENTIFICAT ON — To be completed by all applicants
ame Mailing address Number, stmt, city, a rf State ZIP code Tel. No.
Owner or �X. L9 2%i s-74 61 C
Lessee
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 appli gtion as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of ppl, nt �. Address Application date
00 NOT WRITE BELOW THIS LINE 4' u
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 Date 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 r I(17 FOR DEPARTMENT USE ONLY
Permit number ` V>
Building
� Use Group
Permit issued 1��� 19 _
Building Fire Grading
Permit Fee $ �(L�/C� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of U LDINGS
,�t a Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
t f ZONING
DISTRICT
I• AT (LOCATION)
LOCATION ) �/// (STREET)
OF (JY l ;'i- ._., Oct� AND
BETWEEN
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All a plicants 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(If residential, enter number 12 one family 18 Ej Amusement, recreational
of new housing units added, if any, -
13 Two or more family — E'nter 19 Church, other religious
in Part D, 13)
number of units— — — — > 20 Industrial
3 Alteration (See 2 above) 14 l
Transient hotel, mote ,
❑ 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 E�] Garage 23 Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
� Lr
60 Moving (relocation) 17 Other — Specify
25 1 _� Public utility
7 D Foundation only 26 n School, library, other educational
B. OWNERSHIP � `F ��� 27 C_� Stores, mercantile
f 26 n Tanks, towers
8 D Private (individual, corporation, >� /61
nonprofit institution, etc.) "�r 29 ❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (U it cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
i.l'` ! j' processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,•.............. j l� 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 $
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. T PE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 41 1 ring) 40 C] Public or private company 48. Number of stories................
Wood frame (septic tank, etc—1 Private (se . 49. Total square feet of floor area,
31 ) all floors, based on exterior
32 Structural steel dimensions .....................
33 ❑ Reinforced concret a H. TYPE OF WATER SUPPLY
✓� tt�� 50. Total land area, sq. ft. ..
1 4 Public or private company
34 Other — Specify p p y
4 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas II there be central air 52. Outdoors........................
36 Oil c ndi ' ning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 4 Ye No
r 53. Number of bedrooms..............
38 Coal
39 Other — Specify ill there be an e4e or'l Full..........
54. Number of
45 Yes 47 t7o bathrooms
Partial.......
/... .. _.. .. _. _...--,...,--',';.-.'S3.v"..+^ �..�:a6. a,,:.s, ,r. f+tt>-..• ,''.-«,.... .:,.c r..•^^, y.' +,.; .y'i r '.-1777777,`. -^ **'•- .-ss k. ,r` y, .���',,a„°'C
b h.
DEPT. DING INSPECTIONS
BUILDING Z �€r(
212 Main Street OO z ° '"�
Northampton, MA 01060 PERMIT
29 - 417 VALIDATION
DATE ou l'y 27, 19 87 PERMIT NO. 4.9
APPLICANT 1-My F Y�"�C)C�:'.`-a' ADDRESS .�.�• '.;"Cool=..)raC od Drive
(N0.1 (STREET) (CONTR'S LICENSE) {
NUM PERMIT TO Above Ground Pool (_) STORY �9 " ari i x i° i„we l 3 i nc DWELL ER OF
NG UNIT$ +
(TYPE OF IMPROVEMENT) NO. �1 (PROPOSED USE)
0c � (�i«�ICuV ZONING Ia
AT (LOCATION) DISTRICT L�c"z
(NO.) (STREET)
i
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 SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
a
REMARKS: Permit G13 _ablo 0001' 24 i.ilc%m .1: 3}`" j
I
I
AREA OR •t 1 PERMIT
VOLUME ESTIMATED COST .�_ «r', j « iS3 FEE $ � «
(CUBIC/SQUARE FEET)
OWNER &-fo n s A go 'an
BYI L 49
ADDRESS �)G .'� a s Applicant' s
WHITE - FILE COPY . GREEN FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PjNT- P
DEPT. !!F? iDING INSPECTIONS BUILDING o<
! 212 Main Street
Northampton, MA 01060 PERMIT
29 - 417 VALIDATION
DATE July 27, 19 87 PERMIT NO. 493
APPLICANT Lynne Moore ADDRESS Brookwood Drive Owner
(NO.) (STREET) (CONTR•S LICENSE)
Above Ground Pool One Family Dwelling DWELLING NG UNITS
PERMIT TO (__) STORY
(TYPE Of IMPROVEMENT) NO. (PROPOSED USE)
88 Brookwood Drive ZONING URA
AT (LOCATION) DISTRICT
(N0.) (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, permit for the installation of an above ground pool 241 diameter
AREA OR ESTIMATED COST $ 2,295,00 FEEMIT 41 110.00
VOLUME
(CUSIC/SODARE FEET) 7�"}
OWNER Same as Applicant BU1,/{,'`�,IV�
ADDRESS Same as Applicant' ,-, '�^ ---
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p -1 P