29-276 (3) ZONING •
DISTRICT
FRONT YARD .000
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
Y
IV. IDENTIFICATION — To be completed by all applicants
Name t Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner 0 "` 3 y OD a I Oct
—
Lessee
's S q C'1U St- S
2' (; Builder's
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
19� �Z
NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans
Fee Started By Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check Date
Obtained Y or um
Nber B Permit Approval Check Obtained Number By
PP
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
Lj� OTHER
VII. VALIDATION
Building
Permit number FOR DEPARTMENT USE ONLY
_ ;��'�
Building
Permit issued � 19 EP Use Group
l i
Building , Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ 0 ancy Load
Approved
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
III
OFFICE of the INSPECTOR of BUILDINGS
Page Plot— 7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
w,/;��
�' ^G ZONING
I• AT (LOCATION) :341 4z)ks ' � tH le DISTRICT
LOCATION `NO•I (STREET)
OF BETWEEN (CROSS (CROSS STREET)
BUILDING CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
1 D New building Residential Nonresidential
2 ❑ Addition(// 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- - - - -i 20 Industrial
IA I Alteration (See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 Repair, replacement or dormitory - Enter number
5 El Wrecking (if multifamily residential,
of units ——————— — -� 22 L� Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13) 16 Carport
24 Office, bank, professional
�
6 Moving (relocation) 25 Public utility
1 17 � Other - SpeciJy
7 CJ Foundation only ii Q 26 School, library, other educational
B. OWNERSHIP t Qtlth.l 1►zL)L 27 ❑ Stores, mercantile
/ t 28 Tanks, towers
8 >4 Private (individual, corporation, 3 , Jj)
nonprofit institution, etc.) tS� 29 Other - Specify
9 D 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 $ V
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
48. Number of stories...............
30 Masonry (wall bearing) 40 D Public or private company
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame ❑ p all floors, based on exterior
32 Structural steel dimensions ...................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. 41. ...........
34 Other - Specify 42 Public or private company
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEAT) FUEL I._�fyP- OF MECHANICAL
35 Gas Will th re be central air 52. Outdoors.......................
cand;Jioning?
36 Oil `ay 'q _ L. RESIDENTIAL BUILDINGS ONLY
37 I�� Electricity y4. 44 F 45 No 53. Number of bedrooms..............
Ye';
38 Coal
39 Other - Specify Will there be an elevators Number Full..........
54. Ner of
bathrooms
46 Yes 47 `] No Partial........
..�..-�.
� t: ',t �.
•'�,.,� �
i.�ti5
Y
T. OF BUILDING INSPECTIONS BUILDING Z
212 Main Street 0 D
/e>
Northampton, MA 01060 PERMIT
29 - 276 VALIDATION
DATE September 13._ _1e P RMIT 595
APPLICANT Joseph & Gloria Zadworny ADDRESS roo Si e Cir. , UT S
IND.) (STREET) (CONTR'S LICENSE)
PERMIT TO Above Ground Pool (`) STORY One Family NUMBER LING UNITS-DWE
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 324 Brookside Cir. ZONING
DISTRIC
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
PO
X& �/y XVVOVV VL
��/
l[O�A)1'6�IS TO BE 30 FT. WIDE BY 1OT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: PERMIT FOR THE INSTALLATION OF AN ABOVE GROUND POOL
AREA OR VOLUME 480 so. ft. ESTIMATED COST $ 9,09 O FER $ 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicants
ADDRESS Same as Applicant's
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY powp