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Vill. ZONING PLAN EXAMINERS NOTES
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SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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Bill HION60e 40-:111 t u;tnul:$ E�:.�mss:a�:: ;:_:::;:;:an,
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — \'umber, stmt, city, and State ZIP code Tel. No.
1.Owner or e U1-11
Lessee (7
s✓ V
Bui Ider'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 'pplication as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
i�67 b&(�1LX,5"d C) /- / -Signat re o /applicant Address Application da e
D NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Plans
Fee Started Y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or A Date
Obtained Y Approval Chec 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
Drain Tile
$ Approved by:
Plan Review Fee $ 9
TITLE
CITY OF NORTHAMPTON
• MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
i
t Page Plot — APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT/1/— Applicant to/complete all items in sections: 1, I1, III, IV, and IX. o
ZONING
AT (LOCATION) / v h V 'I{ DISTRICT
LOCATION (No.) ISTR ET)
OF BETWEEN �IOIt � 4f/P0AA AND /I `/Pa LJ'C®U/'t
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building Residential Nonresid tial
2 FSXAddition(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 n Church, other religious
3 F-1 Alteration (See 2 above)
number of units— — — — 20 Industrial
14 Transient hotel, motel, 21 ( Parkin garage
4 Repair, replacement C� g i
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
60 Moving (relocation)
17 0 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 L� Stores, mercantile
8 D Private(individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 E Other — Specify.`9 E] 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,,,,,,,,,,,,,,,, $ d 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....................... alt Of7�K C/
b, Plumbing .....................
c. Heating, air conditioning..........
J
d, Other (elevator, etc.).............
11, TOTAL COST OF IMPROVEMENT $ JOOt Oo
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 8. Number of stories................
y (wall bearing) 40 � Public or private company
31 Wood frome 41 F__j 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 — Speci/y 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........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n_ Yes 45 _ No 53. Number of bedrooms.............
38 Coal
39 Other — .Specify Will there be on elevators Full..........
r 54. Number of
46 l , Yes 47 J No bathrooms Partial........
DEPT. dFfft1tDING INSPECTIONS BUILDING 7°
212 Main Street Oa `
Northampton, MA 01060 PERMIT
29 - 249 VALIDATION
DATE July 1 , 19 87 PERMIT NO. 422
APPLICANT Charles Hayes ADDRESS 8 ver ook Drive Owner
(NO.) (STREET) (CONTR•S LICENSE)
Addition Deck NUMBER OF
PERMIT TO I_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
118 Overlook Drive ZONING Ura
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
DECK
KffSH! ff IS TO BE 6 FT. WIDE BY 8 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO�TYnPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the addition of a deck (attached)
ARE OR PER 48 sq• ft- ESTIMATED COST $ 260.00 FEEMIT s 10.00
(CUBIC/SQUARE FEET?
OWNER Same as Applicant
BUILDIN
ADDRESS _ Same as Applicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p0-fp