35-043 (7) ZONING
DISTRICT <7
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
OR •
.......
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name lMailing address — Number, stmt, city, and State ZIP code Tel. No..
`2 Owner or a'v( e ea
Lessee r ln��
Builder'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.
Signatur ppli ant Address / Applicaa ion d to
O / �/WW
-A,4,f ZU
DO NOT WRITE #LOW THIS LINE jf
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans B Notes
Fee Started Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
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 FOR FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued � 19 , .v
Building Fire Grading
Permit Fee $ �� ' ���
Live Loading
Certificate of Occupancy $ Occupancy Load
App ove Y.
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page Plot 43 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
is
ZONING
I• AT (LOCATION) 271) DISTRICT
LOCATION O') TREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
m
1 ❑ New building Reside ial Nonresidential
2 ❑ Addition(IJ 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 ❑ Industrial
3 ❑ !44eration (See 2 above) l
l
h
14 Transient hotel, mote ,
��i/ ❑ 21 Parking garage
4 Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily 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 L❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
17 Other - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 School, library, other educational
B. OWNERSHIP �-1 z 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•,•••.•,•••••... 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 I$ J f�
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❑ sonry (wall bearing) 40 ❑ Public or private company 48. Number of stories..............
31 ❑(Food Frame 41 F-1 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ..................... 1 7
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - .Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 61 �
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........................
conditioning
36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 E) Electricity 44 1 Yes 45 No 53. Number of bedrooms..............
38 � Coal
39 Other - Specify t1c Y( i Will there be an elevator?- Full..........
Nm
54. uber of
bathrooms
46 [ Yes 47 No Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
212 Main Street O< 6'
Northampton, MA 01060 PERMIT <a
35 - 43 VALIDATION
5
DATE August 12, 19 88 PERMIT NO. 23
APPLICANT Gerard Custeau ADDRESS 971 Ryan Rd.
Owner
INO.) (BTREET) (CONT R'3 LICENSE)
New Building Too 1 Shed NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
971
—Ryan oa o NIN�T SR
AT (LOCATION)
(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 construction of a 8' X 8' storage shed
300.00 PERMIT 10.00
VOLUME 64 sQ. ft. ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER Same as Applicant Bu1LD1
ADDRESS
Same as Applicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK SSE SORS COPY Pix;° ' P