29-443 (3) t
ZONING •
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR YARD
NOTES
A �
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — ''umber, sheet, city, and State Z�I+P code Tel. No.
Owner or
Lessee 1
t �ti
`� License 2. eNo.
�,-
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
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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or A roval Check Dare 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 �j FOR DEPARTMENT USE ONLY
Permit number I �
Bui Iding- Use Group
Permit issued V��� � 19
Building l✓ // Fire Grading
Permit Fee $ l�/ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ /
�o CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page DA Plot q 9 � AP P L I CATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX.
I. �fI I � S
O
AT (LOCATION) 7 nc,*k% DISTRICT ^
LOCATION NO.) f EET) ( `
OF BETWEEN �lG `'nC� _ AND \�:�C'ST \i
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 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 — 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 (l(multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, book, professional
6 ❑ Moving (relocation) r
17 Other — Specify 25 ❑ Public utility
7 Foundation only
n I / 26 E] School, library, other educational
. B. OWNERSHIP �L 1 9 5� 27 ❑ Stores, mercantile
8 Private (individual, corporation, //���jj 26 ❑ Tanks, towers
nonprofit institution, etc.) L�L� Q 29 ❑ Other — Specify
9 L❑ 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,
OF 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. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 40�YPublic 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. T E 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 I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [—] Yes 45 No I1 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 D No bathrooms
Partial.,.....
— '_��
r ,
e
e e
�_;
Department of Building Inspections
212 Mbk*%Ureet BUILDING
Northamp tcan, Ma. 01060 0< 0 S
PERMIT � /d
29 - 442
VALIDATION
DATE May 14F 19 82 PERMIT NO. 197
APPLICANT cynth a MaCrAry ADDRESS 66 Ell jng Rd,.0 F10_
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO nl a Q NUMBER OF
PO be shed (1.1 STORY Ah ve grAUn T c>.1-shed DWELLING UNITS 1
Ii TPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING
AT (LOCATION) 66 Ellin&ton Road DISTRICT
(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' Install aboxe ground syAmmingTpool 19' X 241
ZOW Construct wooden shed for storage 12' X 12'
AREA OR $
VOLUME ESTIMATED COST $�1 FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER Mickey T. tC___C�Fnthia McCrAry
BUILDI G DE
ADDRESS 6b �'L1ifl�tOt?Rj��T Fi erenee, Mai 01060 BY
WHITE - FILE COPY GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY
N q v,q r
� - A
r 71 m g
ILI
iv
OW
Y ir �
v
s
4
= y
Olt
Vj
s t,. Is
4 ` ,
epsrtmeent of Building Inspeet,ion$
212 Main Street y' Z D
Norft"tons Ma. 01060 BUILDING ,
z9 - z
$' PERMIT °a � '��
VALIDATION
DATE da�; 14 tA, 82 PERMIT NO. 122
ADDRESS F"i l ij&t n VA-0
(NO.) (STREET) (CONTR'S LICENSER,
NUMBER OF m
PERMIT TO �' ( _) ',STORY 1�2112 s" u hgd DWELLING UNITS
TYP£Of IMPROVEMENT) N0. ,� (PROPOSE USE)
ZONING
AT (LOCATIONL 66 ElAmrt= Rod DISTRICT'
(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 k BASEMENT WALLS OR FOUNDATION -
}y (TYPE)
REMARKS:
Vim cftstruet wooden 'shed for s ate 22• X 12'
AREA OR �-T PERMIT ��
VOLUME -_ESTIMATED COST FEE
# . t (004*C/SQUARE FEET) !
OWNER 7`rw i� 5, CVrnt'l& MCC:ra
-� BUILDI G DE
ADDRESS 6 R�L Um Rd,, l � • Maio
BY
WHITE - FILE COPY G EEN -. F1ELD`FCOPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY
' _ _