29-225 (5) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
rt f
4!, 4 €- s��c. "I" 'r7 r4� e°'�a '¢-#,. ? -rba- fi_p -Ffr .� .. r's1 .t-. Tt �`' { ' rs'-. + ..tea. TTI� � t g s t
, -�..�. T,-,r r .a si" j j �.
; .� t�rt7,4�..� a�.i 'a,
{-� .�3 .,."' �,d..,. p @{ € 3 p 3 I IC-i
f 1' p ''3 £-r •A ihd' �F�.. ^4^�. Y, -# r..�`.
aQ
r 1
a
� #�r` g�� #fir rya ` r
"... 1 #+ r 7 a. ."
r +t r r� d �.? a t a�'y� En?,..s�d� „.�^^�,....�. z „; r �...,�,.,. �!E .t.�}.mJ ,�4 6�-,.,44
�4
-
a
g r €
+ +
TY
p k 44
4 , r
r' a
k}L-,-ax.+y'--'.^�h�44,14
a t j t ,.-,. ,.ga FT
444
+
.�.
1 4 t 6 r � € _ §_ .} TT"j'. '1-t -. €t §4- 4 # d t�i- i..q_§
� ? " r a � "� 14 k � k�� 4 p.: �� �, y, .��t A 4 i
fr,t t +
da-r T�w�wp{$" A
x 41 -a"a {ff gg � � �F- -^r� � � � ?i +
Y 1�'4't. .4..$i-5 -?' 'f Y. '.f i d y+* 5 f.,[{-�, �, .�-{ .�q.. �.t""� '�_i_� � ��fi F$'y.�.. f';JJ
..w, xa f:
s
t t -�
TTH yr r r
;
a.3 a F a,.; 4, r ;
4, y 1 i
�}a f z a
a+-
�
..'e '-i4141'.
q
l i -# t
.x1 r
'
:L a
�{
gre a, � r� E t
,' p +a.:" w �" +d s-I':.; t' „ £P-�'"�.-r .r 3 rr a 4{ a t § {r- r +- a S s 4- -3 t¢a ;
d ` t -k 3 •-pµ-{„b 'h 1 9 i'f e Y.B_.
iz s ya"
�� r ffffl
q° ,a.f - " 1
1 �
#t4 r 4 b
a
r a
s
- �. r•x ._ .rte �� '�-f _
m
BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
Or IDUNTFFIZATION - To be completed by all applicants
Name Mailing address — Number, strut, city, and State ZIP code Tel. No.
Owner or
Lessee
Bui Ider's
2 06)/V" 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.
Signal f applicant Address A to
1
DO 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 By Permit or Approval Check Date
pP Obtained 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 y�
Building C i Use Group
am—`
Permit issued 19 l
Fire Grading
Building
Permit Fee $ t�"o Live Loading
Certificate of Occupancy $ Occupancy Load
Ap i d by: T, f- --�
Drain Tile L`
Plan Review Fee $
TITLE
NOTES and Data — (For department use)
CITY OF NORTHAMPTON `
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
/`�J ZONING �1
AT (LOCATION) AIL ( 7G/"e—LCC' /1` S S DISTRICTC A<A
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. 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(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
3 ❑ Alteration (See 2 above)
number of units– – – – --)� 20 ❑ Industrial
14❑ Transient hotel, motel, 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 E] Office, bank, professional
6 ❑ Moving (relocation)
7 E:] Foundation only 17 ❑ Other – Specify � 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP/"�G�•C.�t. CGLmr 27 ❑ Stores, mercantile
8 ❑t A Private (individual, corporation, }� ^ 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,,,,,,,,,,,,,,,, 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. 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 F-1 Other – Specify 42 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 11 TYPE OF MECHANICAL ' S1. Enclosed .......................
35❑ Gas I there be central air 52. Outdoors........................
con 'oning?
36 ❑ Ell L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44❑ Yes No 53. Number of bedrooms..............
38 ❑ Coal !'
39❑ Other – Specify Will there be elevato Full...[......
54. Number of
46 es 47 ❑ No bathrooms
Partial.......
I hereby certify that the proposed work is authorized by the,o"er 61 record -- -
and I have been authorized by the owner to make this application -as 11&
authorized agent.
SUAT01415 'OF AGENTj
ADDRESS -_
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
_rr
lc'017y DEPT. FILE COPY
....«AApDE?%P$2ZW OF BUILDING INSPECTIONS _;i
NORTFiAMPTON�. 01060 BUILDING �°- �I�
PERMIT VALIDATION
29 - 225 Cade #'79
DATE Septmber 14, 19 79 PERMIT NO. 445
APPLICANT David C. Wallace ADDRESS 144 Acirebrook Dr-. Flo.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO CbJtlMY & Stove ( I ) STORY fOr WOOd— i� Stove DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
t,,, ZONING
AT (LOCATION) 1`�`� AQx'ebrOtJk Drives Fl.OreI1G@ DISTRICT URA
(NO.) (STREET)
a BETWEEN AND
b (CROSS STREET) (CROSS STREET)
a
LOT
R SUBDIVISION LOT BLOCK SIZE
m
a
u
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
O
a REMARKS: "' Atove
r�luf ats w r4 i ksbe4464 ana a i' t )U— 'f° 'let P-AGP
AREA VOLUME ESTIMATED COST $ 250,00 FEEMIT s tO.00
(CUBIC/SQUARE FEET)
OWNER David C„ WallaQe
BUI ING EPT.
ADDRESS 144 Agrebrook Drive, Florencses Ma_ 01060 BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)