29-093 ZONING
FRONT YARD
SIDE YARD SIDE YARD
'IX. SITE . • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants 10%y
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner
Lessee
��� Builder's
2. Licen �a
se No.
Contractor
3. r
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 s authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of appJican i Address Application dote
i
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or Approval Check ObtDa ned 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 g' ® Use Group
Permit issued 19 ,?_
Building �y Fire Grading
Permit Fee $ 7 ' a�� Live Loading
Certificate of Occupancy $ Occupancy Load
Ap d by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
# MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page �9 Plot Tj APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
I• AT (LOCATION) ZONING j R /t
DISTRICT
LOCATION (NO.) U (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 70
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 �4 Addition(If residential, enter number 12 ne family 18 ❑ Amusement, recreational
of new housing units added, if any, 13❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13)
number of urzzts— — — — --)� 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 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
(
6 ❑ Moving (relocation) p �❑
17 ❑ Other — SpeciJy 25 Public utility
7 ❑ Foundation only ---: 26 ❑ School, library, other educational
B. OWNERSHIP �`(1�,'►t 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 ❑ Private (individual, corporation,
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•............... 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.).............
11. TOTAL COST OF IMPROVEMENT $
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
48. Number of stories...............
30❑ Masonry (wall bearing) 40 ❑ Public or private company 49. Total square feet of floor area,
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) all floors, based on exterior
32❑ Structural steel dimensions ...................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 ❑ Other — Specify 42 ❑ Public or private company
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 [—] Yes 45 ❑I No 53. Number of bedrooms..............
38 Coal
39 Other Specify Will there be an elevator? Full..........
er — 54. Number of
46 P, Yes 47 D No bathrooms
Portiol........
Department'of -Building Inspections
212 Main St-eet
Northampton ' a. 01060 BUILDING �°
24-93 PERMIT $a
VALIDATION
DATE Fphriiary 15, 83 PERMIT NO. 70
APPLICANT :gC�� R, Jacobs ADDRESS Reynolds Al=inUm 030739
(NO.IT (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO_ !SL panels (_) STORY Solar Panels DWELLING UNITS 1 _
TYPE OF IMPROVEMENTI NO. (PROPOSED USE)
AT (LOCATION) 17 Holly Court ZONING
0 ISTRICT V
(N0.) (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:
AREA OR PERMIT
VOLUME ESTIMATED COST $S875 on FEE
(CUBIC/SQUARE FEET)
OWNER John E- Hall
ADDRESS 17 Hol-iy Curt, Northampton. MAC 01060 BY IL D I
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY