29-057 (4) ZONING
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN For Applicant _ .. ......
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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
Lessee
Builder's
2.
License No.
Contractor �j
3. 1.
Architect or
Engineer
1 hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to
ake this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
SigN lure of cant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
Q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
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 �3
Building "t Fire Grading
Permit Fee $ `(�
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap by:
Drain Tile $
Plan Review Fee $
TITLE
*�o ..* ' '�► CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,V
T a Pagel Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant
,�.to.'complete all items in sections: 1, 11, 111, IV, and IX. O
• AT (LOCATION) `�''�"�+' D
ZONING
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 Residential Nonresidential
2 Addition(/J 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 � Alteration (See 2 above) 14 � Transient hotel, motel,
4 u Repair, replacement 21 Parking garage
or dormitory — Enter number
f units -.�
5 o
Wrecking (If multifamily residential, —
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)
17 Other — Specify 25 Public utility
7 Foundation only �r'�j� 26 School, library, other educational
B. OWNERSHIP � /t•' 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•,,,,,,,,•,,,,,, s 0 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 rep /.lam'
a. Electrical.....................
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wreck'ng, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF WAGE SPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40E] Public p vote company �• Number of stories................ !
49. Total square feet of floor area,
31 � Wood frame 41 D Private a 'c tank, etc.)
all floors, based on exterior /
32 Structural steel dimensions .....................
33 n Reinforced concrete H. TYPE OF W TER UPPLY
34 Other — Specify 42 Public or r vote company
50. Total land are., sq. ft. ...........
43 ❑ Private ( el , istern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANI AL
35 Gas Will there be central it 52. Outdoors........................
36 Oil conditi 'ng?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No
53. Number of bedrooms..............
38 Coal
39 Other — .Spec i/y Will there be n ele tort Full.........
54. Number of
46 [-_—] Yes 47 U No bathrooms Particl........
,� - � � -� �.� � � � _ .s _, . ,. ,.
ew► �
��
Department of Buildirg InspecAon
212 Main Street ` BUILDING Z° 1� ��
Northampton, Mass. 01060 fa
2 PERMIT Fa
29 - 57
VALIDATION
DATE May 9, 19 83 PERMIT NO. 211
APPLICANT Mr. Paul Walker ADDRESS 2 1 rain Terrace
(NO.) (STREET) (CONTR'S LICENSE)
Addition DWELLRING UNITS OF
• PERMIT TO (_) STORY -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
52 Gilrain Terrace ZONING URA R ,
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 18 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS; ermit to Dut addition onto the garden shed
AREA OR 216 square feet 500.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
Pair. Paul Walker
OWNER B N P
ADDRESS 57 M 1 rain TPrr rp - - BY
WHITE - FILE COPY - GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY