35-122 (3) 01 0
VIII. ZONING PLAN EXAMINERS NOTES
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REAR YARD
r
NOTES
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NOTES and Data — (For department use)
s,
1 ..
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee rt
Bui Ider's
L.
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 d to
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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rovaI Check Date Number B Permit or Approval Check Date Number B
pp Obtained y pp Obtained 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
II. VALIDATION
Building _ FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued `�d 19 �J
Building 7— Fire Grading
a
Permit Fee $ ,� !✓ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITL
1
C1TY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page _ Plot � y
APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
i ' ZONING
AT (LOCATION) = DISTRICT
LOCATION (NO.) (STRE T)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D -i
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 New building R sid ntial Nonresidential
2 F-1 Addition(If residential, enter number 12One family
Y 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 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, ]3)
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 Foundation only
17 Other — Specify 25 ❑ Public utility
❑
�/��� � e 26 � School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
Ei x 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,,,,,,,,,,,,,,,, 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 $ Gf s:❑❑�
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 �- Number of stories../...........
❑ Y ( 9) ❑ p v company
31 Wood frame 41 ❑ Privat ( eptic to etc.) 49. Total square feet of floor area,
all floors, base a rior
32 Structural steel dimensions .. . ......
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 ❑ Public or priv a company
50. Total land area, sq. ft. ...........
43 ❑ Private , cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Ye 45 ❑ No 53. Number of bedrooms..............
38 �❑ Coal
39 Other — 3 " Will there be an levator" Full..........
54. Number of
46 D 47 ❑ No bathrooms Partial........
Department of Building Inspections +� '
212 Main Street BUILDING
Northampton, Ma. 01060 0°
PERMIT
35 - 122
VALIDATION
DATE September 17, 19 8''82 PERMIT NO. 452
APPLICANT Ralean T- Hall ADDRESS_ 25 Drewsen Drive
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ] STORY Tnn1 Shed DWELLING UNITS PTw PAd PROVEMENT) 1 _
NO. (PROPOSED USE)
ZONING SR
AT (LOCATION) 25 Drewsen Drive 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. Mgtal_nrP fah stnr ge shed 100 X 151
AREA OR PERMIT
VOLUME ESTIMATED COST $ Qfl(1 (1!1 FEE 10.(IQ
(CUBIC/SQUARE FEET)
OWNER $gl can T- Hal 1 BUILD) G D�T.
ADDRESS 25 flrpW--Pn Driv. Nnrthamp nn, Ma- 01060 BY /c-°4
- i
WHITE - FILE COPY - GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY
_._. . � __ _� _._ ,_ _q.r._�.__ .� .. , �.�_ ._.. � _ _ _.� �.
,,
.-
N�
ep rtr dent of Building Inspections
Z12 Maim Street
-Hot; toot . 01060 BUILDING D
u PERMIT Qa
35 122
VALIDATION
DATE September 17, 19 82 PERMIT NO. 452
APPLICANT Ralelt T, Hall ADDRESS I'.5 Brewsen 1)
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO��� NUMBER OF _
$R (1_) STORY TA[it O' a DWELLING UNITS
(TYPE OF I PROVEMENT) NO (PROPOSED USE)
ZONING
AT (LOCATION) 25 Li vsP-n Drlya - - - DISTRICT Sk
(N .) (STREET) -
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
F
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: M6 tal !ra f Ah M'a're �hftd in# X 150
AREA OR PERMIT
VOLUME ESTIMATED COST $ .0•00 ,FEE $ . 10 04)
(CUBIC/SQUARE FEET) f
OWNER
11
OWNER mall f# /Y
� BUILD( G D T. �•
ADDRESS 75 'T rayeam �l1 '�— i�C— t y [9[�_ a 01060 BY rotll
WHITE -` FILE COPY GREEN FIELV COPY • CANAR - APPLICANT COPY PINK ^ ASSESSORS COPY