29-251 (8) ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Owner or
Lessee [/
Bulder'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 applicant Address / ) Application date
/r
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 Is
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 QLi FOR DEPARTMENT USE ONLY
Permit number IC
Building Use Group
Permit issued 19�
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Approved 6���"—"`'j
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g. MASSACHUSETTS
OFFICE of �t�hee INSPECTOR of BUILDINGS
JV T
Page L ( Plot � � APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
// t'�i' �.!, I {" ! �fUi''(�..�-t( 0-7A ZONING
I• AT (LOCATION)�1 �'� ��- �"I�� �' �` �� DISTRICT
(NO.) (STREET)
LOCATION
OF / / VU I y)/ AND Y _�J�C-fJJ�� .
BETWEEN
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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(1/ 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 L❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 C_� Parking garage
4 ❑ Repair, replacement or dormitory - F.nter number
5 ❑ Wrecking (1l multi family 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)
17 ❑ Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWN RSHIP 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,,,,,,,,,,,,,,,, $ 3o, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
T'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical....................... (' " \, ((° �.'�f �.t _ .f, "
b. Plumbing ....................
/ d
c. Heating, air conditioning.......... U
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ i
III. SELECTED CHARACTERISTICS OF BUILDING — For new bui dings and ad itions, complete Parts It— 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 PK'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 /gg H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify ' G 1 42,� Public or private company 50. Total land area, sq. ft. ..........
t�G1111 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
_ LG7j1/ PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL /
35 ❑ Gas Will there be central air 52. Outdoors........................ t/
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY t
37.�Electricity 44 L❑ Y e s 45 No
__ 53. Number of bedrooms..............
38 ❑❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full.......... r
�7� 54. Number of
46 Yes 47'� No bathrooms
rc Partial........
a DEPT. LDING INSPECTIONS BUILDING ZO /j q (!
1 ! 212 Main Street o
Northampton, MA 01060 PERMIT <a
29 - 251 VALIDATION
DATE March 2, 19 87 PERMIT NO. 95
APPLICANT Robert Graham ADDRESS 0 a'ft Ave. , Easthampton
(NO.) (STREET) (CONTR'S LICENSE)
Addition One Family NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 61 Overlook Drive, Florence DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
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: permit for the addition onto existing rear of single family dwelling. Addition will
be kitchen enlargement and family room. Addition will also have basement
AREA VOLUME 240 sq ft ESTIMATED COST $ 30.600.00 FEEMIT $ 124.00
(CUBIC/SQUARE FEET)
OWNER Andr & Ken Anol i k ��
B UI
ADDRESS . 61 4 Overlook Dr_ _ Fl orpncp ev
f
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pjNTS P