29-245 (3) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOT 'aft Data — (For deportment use)
IV. IDENTIFICATION - To be completed by all applicants r'• W-*
Name Mailing address — Number, sheet, city, and State ZIP code Tel. No.
Owner or
Lessee
2. License No. e� 7 3
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.
Signs jbf appli}cant Address Application date
DO T 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check obttait ed 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
Bui Iding. tip Use Group
Permit issued k"°'{'" i J 19 F".?
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
AprRyed by: -_
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of� �1BUILDINGS
�
Page c� 9 Pl0t�� APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o ING
I• AT (LOCATION) 00 DIOSTR CTU If l
LOCATION (N0.) (STREET) 7�T
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 Resident' I Nonresidential
2 Addition(If residential, enter number 12 L ne 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
T hotel, l
3 Alteration (See 2 above) 14 Transient ote , mote ,
❑ 21 ❑ Parking garage
4 Ll 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❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ 0 her — SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP i 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 � Private (individual, corporation,
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 $ -5_3 71>
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 C1 Gas Will there be central air 52. Outdoors........................
36 r 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? Full..........
— 54. Number of
46 1 Yes 47 ❑ No bathrooms
- Partial.......
)epartment of Building Inspections
012 0 i ,Str et BUILDING Z0
�oxttiam Zlti'; a. 01060 PERMIT (L ' ��. 0
29-245
VALIDATION
DATE February 15. )g 83 PERMIT NO. 86
APPLICANT Cecil R. Jacobs ADDRESS Reynolds Aluminum 030739
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Solar Panels (_) STORY Solar Panels DWELLING UNITS 1 —
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
86 Overlook Drive DISTRICT URA
(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:
AREA OR ESTIMATED COST $ 5375_00 FEEMIT ¢ 2 •Q0
VOLUME �A f•!+
(CUBIC/SQUARE FEET)
OWNER lcein etb P Scott BUiL
ADDRESS 86 Overlook llr Floramce,—Ma. 01060 BY 4,
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - A SESSORS COPY