29-192 (2) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP codei Tel. No.
Owner or
Lessee A'_•
Jf/� 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 application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of appli Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B 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
Building• Use Group
Permit issued Iq
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
p r ed by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page � � Plot 2— APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete.all items in sections: I, II, 111, IV, and IX. O
ww ZONING
I• AT (LOCATION) 43V'C ,y. DISTRIC
LOCATION (NO.) (STREET)
OF 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
1 ❑ New building Residential Nonresidential
2 Addition(IJ 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 l
l
h
i
Transent 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 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 Private (individual, corporation, Co /� { 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
//��
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,•,••,,,,•„ 00 — 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 Is 70 C/
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Li
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 42 Public or private company 50. Total land area, sq. ft. ...........
43 rN 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 conditionin L. RESIDENTIAL BUILDINGS ONLY
37 , Electricity 44 n Yes 5 ❑, No 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an evator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
Department of Building Inspections
212 Main Street
Northampton, Mass. 09:060 BUILDING '°
0a $10.00
PERMIT
29 - 192
VALIDATION
DATE_ May 24, 19 84 PERMIT NO. 206 -
APPLICANT Richard Dec ADDRESS 135 Dearfield Dr Owner
(NO.) .(STREET) (CONTR'S LICENSE)
NUMBER OF
Addition
PERMIT TO (_) STORY Exterior Deck DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
XXXXXXXSSXXX 135 Deerfield Drive 0ISTR CT URA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
yyyyyyDDyyeeyyckk
'B'<Jiti9M);S TO BE 10 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. XXXXXX permit to buildXXXX an exterior deck
AREA OR 120 sq. ft. 700.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SOUARE FEET)
Richard Dec
OWNER BU
ADDRESS
eer .1e r. BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY APPLICANT COPY PINK nAASSESSORS COPY