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FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, cav, and State ZIP code Tel. No.
� �c ,v, 3 0
� ti,z>' r
owner or
Lessee
"TIC /��M /r C ri
/. / Builder's
2. £ vc L ��l u C �M 1 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.
$igna re of app icant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y lans B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtai ed Number By Permit or Approval Check Obttai ed 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
II. VALIDATION
Building �� FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19
Building 11 Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved
Drain Tile $
Plan Review Fee $ i
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
oil
d
OFFICE of the INSPECTOR of BUILDINGS
Page � Plot o t J l-�`
APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
—7 �(/ nJ /`U/St 1� ZONING
I• AT (LOCATION) / /7 DISTRICT ' `n-
-
LOCATION (NO.) I (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
M
1 ❑ New building Reside ial Nonresidential
2❑ Addition(►/ 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 F—] Church, other religious
number of units— — — — > 20 Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parking garage
4 0 Repair, replacement or dormitory — Enter number 22 ❑ Service station, repair garage
5 ❑ Wrecking (1/multi family residential, of units ------- — —o.
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional
Part D, 13) ❑
16 Carport 4❑ Office, bank, professional
6 ❑ Moving (relocation)
17 ❑Other — Speci/ 2 ❑ Public utility
7 ❑ Foundation only
J_ 26❑ School, library, other educational
B. OWNERSHIP CSC' 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, �r 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................ c 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.j,
in the above cost 6 er O /,
a. Electrical.......................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT is 7 c/,&e,
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 1V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 L] Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories.........
31 ❑ 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 L] Other — Specify 42 ❑� 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 Electricity 44 ❑ es Y 45 i_,.! No
_— 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
— 54. Number of
46 r Yes 47 D No bathrooms
Partial.......
DEP1TOF.BUILDING INSPECTIONS BUILDING '-° , C(
212 Main Street O<
Northampton, MA 01060 PERMIT <a
29 - 50 VALIDATION
DATE July 1.1 .ERMIT NO. 447
APPLICANT Stanley S. Mihalak ADDRESS Y Owner
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO In-Ground Pool (_) STORY One Family DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
350 Ryan Road ZONING URA
AT (LOCATION) DISTRICT
(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 installation of an in-ground pool . Must be surrounded by a 41 fence with
a self locking gate
AREA OR 648 sq. f t. 7 600 00 PERMIT $ 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Same as Appl 1 Cant n
BOIL �i
ADDRESS Same as Applicant's BV fff///
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p 2-Rip