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Vill. ZONING PLAN EXAMINERS NOTES
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For deportment use)
•
IV. IDENTIFICATION — To be completed by all applicants
Name'` Mailing address — Number, street, city and State ZIP code Tel. No.
1. 'C�?i+'+'Sr^_� 4_ �'�' —�,�' �r',�'�' I t'7 `T � c' '?.y1 'G-'L� 1'%•, `� � 1,.-. <_����,/ v�� ^.SC�t
Owner or
Lessee r�
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.
Sig ture of applicant Address Applications date
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check ObtaDate ined
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
19
Permit issued L
Building Fire Grading
Permit Fee $ � ° Live Loading
Certificate of Occupancy $ Occupancy Load
Appr >by:
Drain Tile $ V,4�
l
Plan Review Fee $
TITLE
Oita. % CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BGUILDINGS
Page 1=1 Plot �` APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. J/n O
I. `' ZON INCIj
AT (LOCATION) / DISTRI
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 —f
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
1 F-1 New building Residential 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 fomily - Enter 19 Church, other religious
number of units- - - - ---). 20 n Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parkin r
4 F-] Repair, replacement or dormitory - Enter number C� 9 garage
5 ❑ Wrecking (If multifamily residential, of units ------- - -� 22 ❑ Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13) 16 Carport 24 L� Office, bank, professional
60 Moving (relocation) p
7 [�] Foundation only 17 � Other - Specify 25� Public utility
26 School, library, other educational
B. OWNERSHIP L' 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) f-� )C 4;/� —�-' 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,,,,,,,,,,,,,,,, aiL 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.).............
1
11. TOTAL COST OF IMPROVEMENT I$
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 D Public or private company 48. Number of stories................
31 Wood frame 41 El 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 [::] Public or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 CJ Electricity 44 Yes 45 !—,! No
-- 53. Number of bedrooms..............
38 Coal
39 n Other - Specify Will there be an elevators Full..........
54. Number of
No bathrooms
46 P Yes 47 J Partial........
DEP�. F UILD' Street
INSPECTIONS BUILDING 'z 0
2Man tot a
Northampton, MA 01060 PERMIT
29 - 492 VALIDATION
DATE 19 88 PERMIT NO. 2255
APPLICANT jamec, 9 Dian op RprkenshawADDRESS owners
Ingroound Pool N0.) Ry8A T (CONTR'S LICENSE)
OF
PERMIT TO AMMAUX (_) STORY One Family DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 447 Ryan Rd- ZONING URII
DISTRICT /i
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREErl
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)
Permit to install inground pool , 16' X 32' with 4' fence surrounding
REMARKS:
it with self locking gate. Electrical permit also required.
VOLUME ESTIMATED COST $ A;QQ On FEE in
(C v9 U R'E FEET)
OWNER Same as applicants N/� 6 r
Same as app scan s BBYILDI db
ADDRESS
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY pjNT P