29-092 (6) ZONING •
DISTRICT
I USE
FRONT YARD
SIDE YARD SIDE
REAR YARD
NOTES
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, city, and State ZIP code Tel. No.
G to foC�
Owner or
Lessee
Builder's
2, f!"c�C! License No. -1/3 i
Contractor
012 43
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.
Signature o oppli nt Address Application date
00 NOT WRITE BELOW 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 Is
OTHER Is
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtai ed Number By Permit or Approval Check Obtained 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 `j` ) FOR DEPARTMENT USE ONLY
Permit number
Bul[ding. Use Group
Permit issued 19 _
Building Fire Grading
Permit Fee $ �o:O 0
Live Loading
Certificate of Occupancy $ Occupancy Load
A pro v d y:
Drain Tile $ T1
Plan Review Fee $
TITLE
I
Q3 CITY OF NORTHAMPTON
144 31
MASSACHUSETTS
r +
OFFICE of INSPECTOR of BUILDINGS
Page Plot 97, APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applipant to complete all items in sections: 1, 11, lll, IV, and IX. O
Imo//} ,///� ZONIN
AT (LOCATION) `s 'W DISTRICT
LOCATION (NO.) (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 —f
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 K 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— — — — --> 20 ❑ Industrial
3 Alteration (See 2 above) 14 l
t
l
t
h
i
Transent 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 L❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — Specify 25 L❑ Public utility
,s2 26 ❑ School, library, other educational
B. OWNERSHIP 1� _ �' ---� 27 ❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
p ) 29 ❑ Other — Specify
nonprofit institution, etc.
9 L❑ 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.
7'o 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 3r "
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..............
31 U 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 ❑ 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 MECHANIC L
35 ❑ Gas ill there be centra air 52. Outdoors........................
36 ❑ Oil c ditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ e 45 ❑'i No 53. Number of bedrooms..............
38 Coal
39 L Other — Specify Will the be an elevator? Full........
54. Number of
46 Yes 47 ❑ No bathrooms
Partial.......
Department of B}ild'lcZg Inspections
212 Main Street
0106.0 BUILDING
Nor tharnpton,��'2.�:' '-
PERMIT
29 - 92
VALIDATION
DATE June 13 —19 83 PERMIT NO. 279
APPLICANT TJi ll :are E-,tPrgnn ADDRESS 200 North Elm Street 012183
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Bow Window (�) STORY One F fli^,i 1 7�w 1 i n, NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED E _
AT (LOCATION) 46 Rri Prwond Drive ZONING
DISTRICT URA
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) ACROSS 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: per-mit to install a bow window
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1 Sin.Q_(; FEE
(CUBIC/SQUARE FEET)
OWNER Clarence Chickening
ADDRESS 46 Brierwood Drive BUILD G
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - A ESSORS COPY