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29-254 (7) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES - IX. SITE OR PLOT PLAN — For Applicant Use a-;. `ate. s q r k i 4 v. r L x f f a r"# " € a q r ` { -,r'-} Y' $ Eii � +.. �. 4 �y ., rp' I d + � �'"s- 'a' c s�g`` .. p<d - t ' s ;,. .. � t tY a - s o-� 1 r a r rs b- -� knp �t r rlr- r � ' I r ' 5 4Yd 4 f t2 i 'P`4 - f � �. e»p" r + p�-1 �r'r6� -_ � a a ro-aef e I-fY ;§rr } i b "r-P." MI Y; 3g 121 +"k tk^3'��, '.t ., a, t s1-k 6 .4 ` ,�.... .,i e-tt" ¢fi Ir. �.✓._s m r a @ ( 4 "'S t �."` t �i t - gr �p#, - 4- l a _ %y - A`tr ' t + : Ij +-st r ­H_ T 5 y € " �� e i,,,-q °t t-r�. q1T t � }Fr;r"--- - T-? . -.-+±- ' .... 44 a 3 d A 14 t ,4_4 IV,� 7an141-11 6 i 6 # }l3 c i a5 4" � r , o- --i r i t ,ur .-- .. .�1 .- .,`. -, .:....' " , C m:+6 j 4 gt ` " S$ � �- $ a' {§ r I ; z i # t-t » ;-§ .0 {., my,.,� 44 4441 BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and .State ZIP code Tel. No. Owner or Lessee Builder's 2. i 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. Sign u of applic�a-4 t ' Address Application date 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 $ 1 A VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obta ned Number By Permit or Approval Check Obtta tned 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 DEPARTMENT USE ONLY Permit number Building / Use Group Permit issued 1�V _�• f�T 19 � Building r00 Fire Grading Permit Fee $ ao Live Loading t Certificate of Occupancy Occupancy Load Approved by: Drain Tile $ Plan Review Fee NOTES and Data — (For department use) t CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, It, 111, IV, and IX. O ZONING AT (LOCATION) x�, i�Q°+- �"z�i -w� 6$-J 7 .�Y.t..d DISTRICT(L h A LOCATION TNO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 ❑ New building 9 Residential Nonresidential 2 ddition(If residential, enter number 12[)�One family 18 ❑ Amusement, recreational of new housing units added, if any, in Par[ D, 13) 13 F-1 Two or more family - Enter 19 ❑ Church, other religious number of units- - - - -� 3 F-1 Alteration (See 2 above) 20 ❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units ------- - -- 22 ❑ Service station, repair garage enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport �� 24 E] Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other - Specify r�c��l 25 ❑ Public utility 7 ❑ Foundation only ��� � 26 ❑ School, library, other educational B. OWNERSHIP =s-"r 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 2=� �ri�D 29 ❑ Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g.,. food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT I$ r 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 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 I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ conditiXelev o 36 Oil L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ o 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other - Specify Will th Full.......... 54. Number of46 ❑ o bathrooms Partial....... hereby certify that the.proposed work is authorized by the owner of record and 1 have been authorized by the owner to make this application as his" authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET)_ (CITY) APPROVED BY TITLE DATE 19 DEPAR OF BUILDING INSPECTIONS � DEPT. FILE COPY °° 9 N, NA. mho BUILDING �a n ), Code PERMIT�l9 �` 29 - 254 e VALIDATION DATE September 12119 79 PERMIT NO. 44o APPLICANT Ronald Billieux ADDRESS 85 Qnerlwk Dive (NO.) (STREET) (CONTR'S LICENSE) /wy,�,,,,,,,,, NUMBER OF PERMIT TO_yyyyMA t�C €1t[)Qe (�_) STORY QQ(].. u^ j11I ff i(ZQe DWELLING UNITS (TYPE.. IMPROVEMENT) NO. (PROPOS USE) AT (LOCATION) 85 Overlook Drives Floreme DISTRICT URA (NO.) (STREET) w BETWEEN AND (CROSS STREET) (CROSS STREET) w ` IL LOT m SUBDIVISION LOT BLOCK SIZE 0 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) Ix ° REMARKS: k Constrnn t. exterior ann arete block exterior chimney & install Wood— burning stove. No o^e, f-Kk4�+e l -4 (/�� **A7 O.-rr,dC, io-1•79 e"9kG AREA OR (� �/y� PERMIT VOLUME ESTIMATED COST $ ,L�+ ,00 FEE � �O�QQ (CUBIC/SQUARE FEET) OWNER Ryan ald & Margaret Sillieux ADDRESS R5 O{r@r'look Drive, P1_0''enee BYILD G PT. z P_,A� (Affidavit on reverse side of application to be completed by authorized agent of owner)