35-004 (2) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YAR SIDE - .
REAR YARD
AM
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NOTES and Data — (For department use)
P
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and Stag ZIP code .Tel. No.
1. 8 T ''l
Owner or ,
Lessee ���
Builder's
2 t- (�� License Now
Contractor
Architect 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 hi authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signatu applicant Address Applicat o/dae
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date ate
Permit or Approval Check Obtained Number By Permit or Approval Check ObDta ned 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 198
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
�Z
TITLE
0 o CITY OF NORTHAMPTON
9; MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page , Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (Noj (5 REE
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 Rential Nonresidential
2 ❑ Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — -� 20 ❑J Industrial
JVN 3 Alteration (See 2 above) 14 l
t
l
t
t h
i
Transenoe , motel,❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (I/ 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 L] Moving (relocation)
❑ 17® Other — SpeciJy 25 ❑ Public utility
7 Foundation only ✓ 26 ❑ School, library, other educational
B. OWNERSHIP 10.4 .-" 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,,,,,,,,,,,,,,,, 300 Q 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..................... C S
b. Plumbing ....................... S
c. Heating, air conditioning.......
d. Other (elevator, etc.).............I
r�
11. TOTAL COST OF IMPROVEMENT $
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 Number of stories.............
31 Wood frame 41,X 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 42X Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36XOil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal T
39,)r Other — Specify / Will there be an elevator? Full..........
54. Number of
46 [7] Yes 47 No bathrooms
Partial.......
I hereby certify that the proposed work is authorized by the -owner of record
and I 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
DEPT. FILE COPY
o
DEPARTMENT OF BUILDING INSPECTIONS D_
212 MAIN STREET BUILDING as ja. OQ
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
35 — 4
DATE Auslist 20 19 8t3 PERMIT NO. 451
APPLICANT ThnmAg I- P .rri e-k ADDRESS 30 Crnss SLt� � Suffield- Ct.
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO� y in {_) STORY tint NUMBER OF
Sc�l$r S StQ water nniv DWELLING UNITS '.
(TYPE 0 MPROVEMENT) NO. (PROPOSED aSE)
ZONING
AT (LOCATION) 88 Turkey Hill Road DISTRICT RR
(NO.) (STREET)
m BETWEEN AND
10 (CROSS STREET) (CROSS STREET)
A
0. LOT
m SUBDIVISION LOT BLOCK SIZE
u BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
E
IX (TYPE)
° REMARKS: Three panel solar system - Ametek panels$hot water only. On garage roof
AREA OR VOLUME ESTIMATED COST $ 3,000 PERMIT
EE p 10.00
(CUBIC/SQUARE FEET)
OWNER Donald Stefanis I
ADDRESS — 88 Turkey_Hill Rd., N±ton.,_Ma. BUILDING EP
(Affidavit on reverse side of application to be completed by outhorized agent of owner)