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SIDE YARD SIDE YARD
REAR YARD 30
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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,
I' 20 C : CGC
Owner or v r` r� `�' r' S'�`"p-r-I
Lessee
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.
Signatur of applicant Add ress ` i �j A Application dote
1 y.n,C.1� ', a) 4, V+-G'r 7/ '�r'.J-�� W —*6 �j &—a -5_ � 1 30/";?7
00 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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check Obttaitned 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 �/'1 FOR DEPARTMENT USE ONLY
Permit number
Building 1, Use Group
Permit issued L20f 19
�..���
Fire Grading
Building
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
t Page Plot � ) APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all it/ems in sections: 1, Iyl, 111, IV, and IX. O ZONING
1• AT (LOCATION) 1t�-��!+vy OI tV�. lJ "' ,^i�-+^— I�G ! DISTRICT
LOCATION (NO.)` l 1 (STREET) ( j�
OF BETWEEN L'�l r kA—" \ 1 AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
--f
1 ❑ New building Residential Nonresidential
20 Addition(If 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— — — — --1. 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 Transient hotel, motel,
4 ❑ Repair, - 21 C� Parking garage
replacement p p or dormitory — Enter number
5 ❑ Wrecking (Il multi family residential, of units ——————— — -i 22 �_� Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) �I
16 �J Carport 24 Office, bank, professional
6 ❑ Moving (relocation)
17 Other — Sped/y 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,,,,,,•,•,,,..,, d school, secondary school, college, parochial school, parking garage for.
department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical....................... O
b. Plumbing ....................... C 'D 1
? / .'
c. Heating, air conditioning.......... G
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ 3 OOD
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.......area, ...
31 �Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet n floor area,
all floors, based on exterior � d
32 ❑ Structural steel dimensions ..................... . ,
33 ❑_ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 'Public or private company 50. Total land ores, sq. ft. ........... v
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35E:] Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning.' L. RESIDENTIAL BUILDINGS ONLY
37 Lv�-Electricity 44 Yes 45 'r^ No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevators Full..........
J 54. Number of
46 Yes 47 ✓ No bathrooms
- Partial.......
NOW
DEPT. QFRUUING INSPECTIONS BUILDING
+ . 212 Main Street 0`
Northampton, MA 01060 PERMIT <a $10.00
J 29 20 VALIDATION
DATE October 2, 19 87 PERMIT NO. 680
APPLICANT Thomas Lippie ADDRESS 29 Hickory Drive Owner
[NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Add it i on (_) STORY QnP Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 79 Hirkor� Drive DISTRICT 'o
(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: pp}Mi t fnr thA addition of h;;tbrnom And Add i t i nn onto Px t St i nQ hedronm
AREA OR PERMIT
VOLUME ESTIMATED COST on FEE $ 10_00
CUBIC S DARE FEET)
OWNER Same as Applicant
8U14 � '' •
ADDRESS Same as Applicant' s BY
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY pjNT' ItP