29-092 (5) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be mpleted by all applicants '"�®• R
Name Moiling address — Number, street, city, and State ZIP code Tel. No.
1. - - t .6 -31w,< o /.�° GiG60
Owner or
Lessee
Bui Ider's
2. (j ! O t✓! C`Z License No.
Contractor 06 2 S9�—66
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.
Signat r of a lican Address Application dat
00 NOT WRITE BEL THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or A roval 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
VII. VALIDATION
Building C FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19 512-70-
Building /) Fire Grading
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
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete ally items in sections: 1, 11, 111, IV, and IX. ,J(}/_f�/�/� O
T / ✓/ f® W(7(7 d ZONING FJt-'�
• AT (LOCATION)
�+ /p/C ,(� DISTRICT
LOCATION (RO.) (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
I F_� New building Resid ntial Nonresidential
2 Addition(1/ residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any, i
in Part D, 13) 13 Two or more family - Enter 19 n Church, other religious
number of units- 20 Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory - Enter number
5 n_ Wrecking (if multifamily residential, of units -------- - --�—. 22 Service station, repair garage
enter number of units in buiiding in 15 I 11 Garage 23 Hospital, institutional
Part D, 13) 16 -1 ear ort 24 Office, bank, professional
6 Moving (relocation) `--) p
17 ` „ f Other - .S'peci/y ____- 25 Public utility
F-]7 1� Foundation only �-
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) - 29 L l 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,,,,,,,,,,,,,,,, $ ZL90L1 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 ..................... nl_
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ zl C
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 i p company 48. Number of stories................
�, Public or private cam an
31 Wood frame 41 7- 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 J Other - Specify 42 rr Public or private company 50. Total land area, sq. ft. ..........
l
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 U Gas Will there be central air 52. Outdoors........................
36 E-1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 t Yes 45 No 53. Number of bedrooms..............
38 C Coal
39 Other - Specify Will there be an elevator? Full..........
-- 54. Number of
46 ( � Yes 47 D No bathrooms Partial........
DEPT.*I5wW*LDING INSPECTIONS BUILDING Z 0
212 Main Street I
' Northampton, MA 01060 PERMIT
29 _ 92 VALIDATION
DATE July 16, '9 87 PERMIT NO. 469
APPLICANT Kitchen Gallery ADDRESS 59_7on-77treet
(NO.) (STREET) (CONTR•S LICENSE)
OF
Alteration One Family NUMBERNG UNITS
PERMIT TO 11_11 STORY
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
46 Brierwood Drive 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 to install sliding glass door in kitchen area
AREA OR ESTIMATED COST +000•00 FEEMIT 10•00
VOLUME
(CUBIC/SQUARE FEET) � �
OWNER
Clarence & Pat " �� Chickering BUIL
ADDRESS 46 Brierwood Drive BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - A SESSORS COPY POP