29-166 (8) VIII. ZONING PLAN EXAMINERS NOTES
FRONT DISTRICT
SIDE YARD SIDE
REAR YARD
IX. SITE OR PLOT PLAN For
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1.
NOTES end Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants __
Name Mailing address — Number, stmt, city, and State ZIP code TeLAO.
� y►/-/� 363
Owner or , ®I oho
Lessee
Builder's
L.
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.
Signs a of applicant Address 1 Application dote 14 11 1APat lah6hl
% : A h -� j2�lfj�moo Drout k' I -
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 Is
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
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
Bul Iding. Use Group
Permit issued 19 _
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
$ APprov y
Drain Tile
Plan Review Fee $
TITLE
i
CITY OF NORTHAMPTON
r
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot—Z� _ APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. o
I •AT (LOCATION) �� 9121ei2cuL�y ' // IG'J DIOSTR CT�
LOCATION N0. (STREET)
OF h
BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
m
i ❑ New building Residential Nonresidential
ion(if residential, enter number 12 One family 18 ❑ Amusement, recreational i1
of neu, housing units added, if any,
i. art 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 Parkin
4 El Repair, replacement or dormitory — Enter number ❑ 9 garage
5 ❑ Wrecking (It multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage
r
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 L] Other -- Specify 25 ❑ Public utility
7 E] Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP !6=II1�1 L_i�� 27 ❑ Stores, mercantile
towers❑
8 ® Private (individual, corporation, 28 Tanks, l�.•
nonprofit institution, etc.) 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,
department store, rental office building, office building at industrial plant.
7o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.......................
b. Plumbing .......................
Ch
1M�/
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ ko
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 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42X 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 Xr Gas Will there be central air 52. Outdoors........................ N(
36 l ] Oil conditioning?
_ L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [ 7 Yes 45 No 53. Number of bedrooms.. `►�e
38❑ Coal
39 Other — Specify Will there be an elevator? a�
❑ p lY Full
54. Number of
46 [ ] Yes 47� No bathrooms
-- Partial........
t
y .- :EPARTMENT OF BUILDING INSPECTIONS
""'r MAIN STREET BUILDING D° d ' At DV 1111, l
No THAMPTONO MA, 01060 PERMIT <a
27 - 166 VALIDATION
DATE October 15, 19 81 PERMIT NO. 5RO
APPLICANT Bi rlhrarA F� QLlinn ADDRESS 11! Rri cry.*npd Drive
(NO.I ISTREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO STORY DWELLING UNITS 1
•(TYP OF IMPROVEMENT) NO. PROPOSED SE
ZONING
AT (LOCATION) 111. ID-4 �N.nr1 llriYe DISTRICT TTR A
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREETJ
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: Cnnstruet interior ma¢nnary block & tile lined ch_ i_ mn y in garage
install wood burning stove in cellar
AREA OR PERMIT 10 00
VOLUME ESTIMATED COST � FEE y+..
(CUBIC/SQUARE FEET)
OWNER Richard Diari (�
P j+inn
ADDRESS 116 AriPrwnnA 11riv- Northampton, Maw_ 010611
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY