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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 .Stag- ZIP code Tel. No.
1.
Owner or �
Lessee
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
VOL A-1
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Chec Date Number B
Obtained y pp Obtained Y
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
II. VALIDATION
Building °--� FOR DEPARTMENT USE ONLY
Permit number 1
Building. / Use Group
Permit issued ��10 f1` �QQ/(� Iq t�
Bui Iding $ � y� > Fire Grading
Permit Fee C/) (((J/)
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ proyled by:
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Pages Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
�� ZONING `.
I• AT (LOCATION)
/rr A/eWe.` '7,fdp/2L DISTRICT
LOCATION (NO.) (STREET)
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
1 ❑ New building Residential Nonresidential
2;8.Addition(I/ 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- - - - •-0- 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -� 22 Service station, repair garage
enter number of units in building in 15X Garage 23❑ Hospital, institutional
Part D, 13) 16 F71 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) 17F-1 Other - SpeciJy 25❑ Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 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,•...,..,.... 4 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 f`
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 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❑ Masonry (wall bearing) 40❑ Public or private company 48• Number of stories...............
31 54 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
50. Total land area, sq. ft. ...........
34 ❑ 42 Public or company Other - SpeciJy ❑ p p y
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 C] Electricity 44 ❑ Yes 45 7 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..........
- El 54. Number of
46 ❑ Yes 47 u No bathrooms partial........
DEPT. OF BUILDIINSPECTIONS BUILDING z
+ 212 TA-51M-Street 0 l
Northampton, MA 01060 PERMIT
29 - 56 VALIDATION
DATE December 31, 84 PERMIT NO. 707
y
APPLICANT Hilde Koebke ADDRESS 1 rain Terr. Owner
(NO.) (STREET) (CONTR'S LICENSE)
Addition Garage/Carport NUMBER OF
PERMIT TO (_) STORY b `t DWELLING UNITS
(TYPE Of IMPROVEMENT) NO. (PROPOSED USE)
Gi rain Terrace ZONING URA
AT (LOCATION) DISTRICT
(NO.1 (STREET)
BETWEEN AND
(CROSS STREET) ICRDSS STREET)
LOT
SUBDIVISION q- LOT BLOCK SIZE
(�
BUILDING IS TO BE J FT. WIDE BY 15 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS, perridt for the construction of a storage/working storage/working area for residential use
addition onto existing carport. Also permit is for the enclosure of existing carport
area
VOLUME 135 SCj. ft. ESTIMATED COST $ 150.00 PERMIT Q' 10.00
(CUBIC/SQUARE FEET) 1 'P
Hilde Koebke
OWNER BUIL G
ADDRESS 46 Gilrain Terrace BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pop