35-044 (8) ZONING
FRONT YARD
SIDE YARD
SIDE YARD _
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION To be completed by all applicants
Name Mailing address Number, street, city, and State ZIP code Tel. No.
Owner or ox
Lessee
Builder's
2. LZ I I -I License No.
r-4
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.
Signat�e of "p I t Address Application I-
0 0 NOT W R I T E BELOW ,/THIS L I N E
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 I$
OTHER I$
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check 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 19
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupa oad
A
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,V
T a Page Plot C` y APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTA�NTTf— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. �Q O
ZCNING
I• AT (LOCATION) / /J rJ /I�y//�/ C.� DISTRICT
LOCATION (NO.) (STREET)
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. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
M
1 0 New building Resid tial Nonresidential
2❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
n Part D, 13) 13 ❑ Two or more family — Enter 19 ❑❑ Church, other religious
number of units— — — — --� 20❑� Industrial
3 ❑Alteration (See 2 above) 14 l
l
t
h
i
Transent hotel, mote ,
❑ 21 ❑ Parking garage
4 ❑❑ Repair, replacement or dormitory — Enter number
o units --). _ 22 L❑ Service station, repair garage
'5 ❑ Wrecking{lj multifamily residential, / ------- —
enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) 16 ❑
6 ❑ Moving (relocation) Carport 24❑ Office, bank, professional
❑ 17 C� Other — Specify 25❑ Public utility
7 Foundation only
26 ❑ School, library, other educational
B. OWN SHIP
28 Tanks, towers
27 Stores, mercantile
8 Pr
—,J/' ❑ivate (individual, corporation, Specify
Other — S
nonprofit institution, etc.) 29❑ p fy
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,..•••.......... C'GtQ 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 $ 51 x)o
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 L 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 F7 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........................
36 ❑ Oil conditioning?
_ _ L. RESIDENTIAL BUILDINGS ONLY
37 �J Electricity 44 No
�] Y e s 45 �_ : 53. Number of bedrooms..............
36 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
_ 54. Number of
46 [-1 Yes 47 ICI No bathrooms
— Partial.......
DeAprtment of Buildi-O' Lnspections
212 Main Street
Northampton, Mass. u1060 BUILDING ZQ
PERMIT X20.00
35 - 44 VALIDATION
DATE June 19 19 84 PERMIT NO. 252
APPLICANT Diggins & Worden ADDRESS Con2 Street
014271 (NO.) (STREET) (CONTR'S LICENSE)
One Family Home NUMBER of
• PERMIT TO Alteration I_) STORY Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
988 ai, m Y ZONING XRXXX Ryan Rd. 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
insAlate (TYPE)
REMARKS: renovate kitchen , install 2 windows and XXXXXXX and sheetrockl.
AREA OR 5,000.00 PERMIT 20.00
VOLUME ESTIMATED COST $ FEE .�
(CUBIC/SQUARE FEET)
OWNER Richard Keefe
ADDRESS
988 Ryan Rd. , Northampton BBYILDI
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK (- ASSESSORS COPY