29-257 (4) ZONING
DISTRICT -44
FRONT • .
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 s/rccl, �r �, c r1:! Slrrlr° ZIP code Tel. No.
Owner or -
Lessee
T N�
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.
Signature of applicant Address Application date
D0 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 is I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtai ed 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 # 3
Permit number y V
Building '
Permit issued ' 19_7
Building
Permit Fee
Certificate of Occupancy S
Approved by:
Drain Tile S f' -
C,
Plan Review Fee _
TITLE
Crzty of Northampton -0
� � �fGCttssRChusetts ��
Offirt of tht �ngvtrtor of 'Puirbings APPLICATION FOR
ZONING PERMIT AND
Pages Plot 7 BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. p
ZONING I
I• AT (LOCATION) DISTRICT
LOCATION YN0.) (STREET) z
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE Ica
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D 7�0
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Reside ti al Nonresidential
2 Addition residential, enter number
❑ J 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 (If 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, bank, professional
6 ❑ Moving (relocation) 25❑ Public utility
❑ 17 ® Other — Speci/y�/5 ��32�9i�1
7 Foundation only �
26 ❑ School, library, other educational ,t
B. OWNERSHIP _ 27 ❑ Stores, mercantile
8 ❑ 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 $ f�
111. 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. y
Q
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
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 ores, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47❑ No bathrooms Partial........
I hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to makehthis- applieation- 'as.!his
authorized agent.
SIGNATURE OF- AGE-4f-"'-2-- " fi
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE lq
DEPT. RU COPY
Zo
41li- QITr OF NORTFWgTON BUILDING a iL
NMZWW1 * NA. 01060 PERMIT VALIDATION
DATE kuaust 1 , 192_ PERMIT NO. 32-4
APPLICANT Neal Ahearn ADDRESS ln4 pveriook Drive
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Tn_ Q (,) STORY SldMai DWELLING UNITS OPE O Qq 0
USE)
AT (LOCATION) - - 109 Overlook Drive ZONING DISTRICT ilA
T�
(NO.) (STREET) -_-Y
a BETWEEN AND
1O (CROSS STREET) (CROSS STREET)
a
B. LOT
m SUBDIVISION LOT BLOCK SIZE
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
to
O
Z TO TYPE USE GROUP --BASEMENT WALLS OR FOUNDATION
f
Ir (TYPE)
0
I- REMARKS: In-ground-$i3AmA ng pool-
VOLUME `ESTIMATED COST $ . 000 FEEMIT $ lo.oa
(CUBIC/SQUARE FEET) //
OWNER Neal�A,,h�� M� BUILDING DEPT/�.`t�1C/ C2-
=f✓
ADDRESS 1129 OWMlook Dr-- ''Zorence, Mass• BY ` yQ�
(Affidavit on reverse side of application to be completed by authorized agent of ow-iv'01 �