29-114 (2) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
REAR YARD
IX. SITE OR PLOT
.•.■.1MH.•M.O�H���H�\f•RN.O.s.OM.tl. .I----q---p--j-p�. .............a uiia:iiiiiiii:iiii:::ii::::i:::i::ii::::
: •::::s:N:::::: :: ::: :: :HUn $ •::11•N: •:\:.r :::::N::.:::::Ni::::i:::::::::::::::::::::i.:::
1/lNN.S.N■H.H.HU■1N■...4■■...•....••.N....■.■.R.■.a..H.■■.■■■■.
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tNH N.MO as •.HN Ha �li■/{NSNfs$•r!\ou H:I�N.\ .rlti u•N.H■ sf�•.NHU:no: .•H..••M.MruN.NU.
.NH■:•fHON.NNS.:.•...111 a mo se 1.beame U•\ •:NS: SNru1.NNM NrfrrSaH•HNi:NHlrN.HN•lN.oNHH N■aHM_............. .■.■.■.H■N■•
::: :�
a""* :1+ :• ••::$:` ;$:... !:!:$$ ::a .•:•:$$N••••a:f.a:UUH
Nat'•:$mamma.: ;:as:::::: ::aaa:Naa::•� t1/:• :R atNHN■ .::::..:::me a p • af•N:•.ff..• N•t:f;.!•H i:.• .HN •f •N.a' 1{{11i/•t\H•/1tf.lai..\N.:•H•.•\t/.HNHH1•..NH.■r.:,.�
.H. so NH.M.HI.1N4.•,a., HN■. R•••a::r..r:NH.:•tHf$/■N.:::•t{a.....RH•N•H.R•N•..•.1■,1\1.Hf..NN.Ha•aHRN.N\.f•a■-mm�$:$$ss!$ .::::a$ :;:$::•�s`s: =S;s:s••HUI .l:::$.a::S:::$S:=a:fii$$:$•.la:i:�a$�"aa $$is$$$::::::::::a$•:?: :S:as:::::aa:S::•a:::::::::
. • •. N • • ■t•• •.fN .. ■ls HHHf•N • a. •RNN.$;:isisi:::$:$$:••::::::::::::::uia::aa::i$•ia:a:a::::::s:u:::::a::$ •aa•■■N.Ntr:::a:aa:damaged.S■iii:aa.•.!■■:4:.a••saH::.f:riiM$$�i:•N :.•Nla •HN'SS.:..S`•.R�•N■ mama aN...N a nnu ...■
;..1$• ■;;.M. •; .:$$ N�a• .Y_•.i • *a:��.tr i■�piN.�auunc
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::::afR:•::�$::a
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���� • .p :a'''$$$:..■$N.r.•r. •ff 1t 1HOHN•• .H. f•s4M.HHHNH..HNHNrr.rN.M.■NH.NI4RH.MRNN.,..HM.N.
mama;; $�all�ayyauar.••.a.: ta $s S a'airiuis; f•_ ;gf�;.-. :$ $: :: :::ANI:aa�a M •�fq�$::aa:::p:aa::a:o:: aa:::a:::::a::�a::::::::: :::�mama::
.•.;.N.it••.•••• $••mars sN.:•;;.•11:.••.f+$•.r ff�..•fa..�.•.;•a-1l:■SN..ff:a:.:a:::4t: .:::$:.1-3 all ......ss::sa:::S:::::::::::N::::::H::::::::::::.....:::HUH
all•:iiiaiaNpft••�a!•l••_.�i�lr.aai_a:L•:a•::1!�$�•;.•a n:09000660900:::fN;:•:•a ••N:::::::a�aaan �s�N:a�:::a:$I'•I:a:::::aa::•s:::s:::s:::::::::HH0.::::: •
,1•!! s:■N $$$:::$:: Balls$: s.11mum :mamas : • $ :$� • f:M mama:::: : • : a::::::mama::\:::: :a:::as:::s::s al:s::::a:1.::: :::::::::::::::
■..ii 11�.1 + S : !'! :: ! is!':' "`: : !•alt:q: :: :
ri::::. N:Nq.;;•9a;:::$ ••;:•a!$$.'.�•f"•$N�•::'ia$ipp$s$i •N��+�y�'a$`$$rifsi$$ss;ga■ai•N=:a::a:::::::a::::::aaa:aa:a:::s:::a:a::::::::::a::a:::::::::
:s:$ aH:.�':s::$:a a: :$an!.. $! a„:.:s::::s $l1.::sa l:.Ma:$:.$: :aSa.■:s::::::: {:f •HNN•H•NNHHHN.N aH.NN.MNI•MN•MN..f•M N1N•0.069 NNq1af///ppprrr . .i �� 1. �. p . •.•5...1.■..•/.•HHf44..•...i■N•NH.M■.afr4,.Nl.R..•.■.ra1••■
\ � .'• N:��!Hassa gas::a••$ $•N•a W:.;.Na.aN.•N•:NtaN1•:'••.�N�a:$:aaa$•N .H\ :_a a-n;aaiaa::a:aa Saala a::a:s::::Sal:aaa::::a:::mama::a:aa:\::a:::.a::
�N..:.1� 1..i NN •.; ••�a.;.ll•11•a.■,I::•s a:$$s•H.s:,i::$s•.::..s••M:Hl ::ls::iN' s::::aN:::::a::s:a�•s:as a:::s:.:f:a::::::::::::::::::::::aa::aa:
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a:..$:•1...$ ..\l.M rH.■•$.N■•ss ••f.\•N.::$s :::::::s:::::::::a :: NS•=:a:: :::::::s::s :::::s:::$:$Bans, :::::::::.:::s:::::::::::::::
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$ :la' •� $a :• 1.1; a:r 11u:a�H=•;;a.;';'is$$$a•aa4::a:sa�:S:a:N:::a:a:aa::la:a!l all:la::all::Mal::ls�laa:a:aa:$:sal::a::::a:a:::a:sa:aai••ttr••Y•:a
p• .... f• ri: "as H1Ha•H{•HH.•N...fff...i•.....if r..••i.•.i•.•t..i•.•••••••• 1 N.H.M•t H\•NH HU:aU:s
�•1.••.Nt \ 1N Y.f •�N Np;::::.$rN1.aN.•. •\NN..4aN.•.NH.NH1N r:N.Ht1R••.••H•H•.H.N•a..N•H.Hf•.H • .H.....N.■....N.•r■■a:•aaa
'. N.'•s = ssss„'s, is$ $E$$$"ss e$$$a$$es`$$$a$s's:s$$$=$$$$:$:$$$$$e$�eE$$$:s a99ee$9$e$$::$6$::
'�isf:.a ! fp•�i�f �.s1i .:•r. sa•.::r a••:...........:.... :::::: :::::.:::::::::::::::::::::: ::::::. ::.�:I as :1 009 was N ••:••«M, - a: l ::„$$ $$ $$rs$$ :1iw s;'t's=«$$e$ :$$ s :$ _�: $:e $ $ $$ $$$ s s$$$B:e:$$6$$se$9$ee$e$$9s$$$$$e$E:
iss$a :'$ ..6� 1N:is•a $saas:.s:.::.•.s:.si.: NN$..$•..........:s 11611..::.!..s.:::..H..1.$.....N::$:::::::
i$$$!$ •_:.rr :1::: .:: :l: :s;$$$sa$$$$$$$$11$$11$' :$s $$$$$$s:::s::!$a:s° ;ei;;$•$$$$e'= $$sc':•:$$$ $$$i°$a$ e$$9$$$e$$$e$$9$E$$$$$$$
......rrrr I. $stsala mama. 1111: .•..r.a .i.. .. ..a.t•.: ..s.s....._..:1111:��fli!!!•iirt.{$...s!$:�..;.........s...al.s.s....................... .
�.a.sN aN•• Y..•.N$mesa $.::.:•■�N■::.•:N NtN•....NH./1 NN•i..•N ..•f1r■.1.HH H •1 .H1t/H H.O H.H.•N.rON.a■■■4N■.Nr1:1
$si"$ss$$$$$$ a$s$°'n $:Ni :all •i9��$11$11 s la�'$�$$s$$$„l$$$'s$$s$81111$$$$E$$ra=e$$$$eel::$es$$$e$$$$$$$$$ l$s$$$ $:::::::::::::::::::::
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Ir1$ ::fy■�::•i�;a! ;:N $sn:$l;s:.i:..$.ri$.;;$•pN.+;mall$;;$!$�_�o$a as•:.S$:a0.0n asls$:a::::::::added ::a$:still::S::::::•.s::::::a::::::::::•a::$:'
$Hr.ssf• $ \$$$$:.:s$:ai:.:.H: : __ : :::•.ia••NH•:N.•a:f:l::Ni..NN/:.a.a.■\iHssa\ill;..•;i.•MtfH•HH•t•.\H.HHUH
:. • .N.. • ..• ft\ .t.Nr14.H t\■.•• • .N.i•.N,HHt...f..Hr.H ..• •....1•,N•4....M..N..N.fH
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! $$s$� sas tie ==s s'$$$sWas a•$s $ • s �! :a s : a .s...............t.............
: a • •. .; . :sss:•;s.,: :as: s Ss ;r,•:g:: l$$ $:•$: ::;$::a$$:$:$$$$$$$$$ 'sss.4....$::S$$:S::ssg$s$e$sse9$e$$$$$:$$:u:
ssse�s$:.;z $1111$.. ss$assm$•s$: ,z:=s€? :::$$$$ = z=E° $g3iss;�::$s:s; ,1111$$$$$g�'$::°$$$::a::::::::::::::::a::::s:E$s$+
• • N• •Ni •. • \. , • r,f.•.lr•...••r M•. •\N1•H Hu.NaM ■ Mows HN/\..HN.Nt/N•Ha H■HNO.■/•N.
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$$: r��11NN1111r� $$ 3N� s sr $i $ ::a magma : $$$ss$Z!$ \•: a s;$ $a a mama $l:=:i:aa•$ $;;$;z$$..;H:::::;
+ $sasH $s$$$$:a! : $NN $•l$�'1111a�$:!O NHNH N.•.' • • : tu:NH:•HS NN • • • H..• •NH..HrllH:iNHHHN.+
... ; $. .. .. $11$11$$$°$_! . $ $$ $l ' $$ .•a" aN........lr\•..a1..a•. 4+
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AM
NOTES and Data — (For department use)
Or 1
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
f 060 z;4-
Lessee
Builder's
1, 070 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.
Signature of applicant Address Application date
{
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obttai ed 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
Building1 FOR DEPARTMENT USE ONLY
Permit number __ 1
Building Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ 1� � = Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ �'
Plan Review Fee $ ,
TITLE
CITY OF NORTHAMPTON
�• �+� MASSACHUSETTS
$ e OFFICE of the INSPECTOR of ILDINGS
Page Plot l B APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, lll, IV, and IX. O
ZONING
I• AT (LOCATION) I DISTRICT
LOCATION (N0.) (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
1 ❑ New building Reside fiat Nonresidential
2 Addition(1 residential, enter number
❑ f 12 One family 18 ❑ Amusement, recreations)
od new housing units added, if any,
rz Part D, 13) 13 Two or more family — Enter 19❑ 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 ❑ Wrecking (1f multifamily residential, of units ——————— — 22 �� Service station, repair garage
enter number of units in building in 15 L❑ Garage 23 Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 � Foundation only 17 ❑� Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. O7nonprofit RSHIP 27❑ Stores, mercantile
8 Private (individual, corporation, f 28 ❑ Tanks, towers
institution, etc.) 29❑ Other — .Specify
9 D 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 is
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 /Mzz
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories of floo.area, ..
31 ❑ Wood frame 41 Private (septic tank, etc.) 49. Total square feet n floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 VPublic or private company 50. Total land area, sq. 4t. ..........
q6� � 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 D Gas Will there be central air 52. Outdoors........................
ditioning?
36 L❑ .I con L. RESIDENTIAL BUILDINGS ONLY
37 electricity 44 Yes 451f No 53. Number of bedrooms..............
38 ❑ Coal
39 n Other — Specify Will there be an elevators Full..........
54. Number of
46 Yes 47!' /I No bathrooms Partial.......
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