35-129 (6) ZONING •
DISTRICT
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NOTES
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NOTES and Data — (For department use)
ee
IV. IDENTIFICATION — To be completed by all applicants i
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
Builder'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.
Signs re of applican � Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dote
Permit or Approval Check Obtained 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 FOR DEPARTMENT USE ONLY
Permit number co
Bul[ding. Use Group
Permit issued 9 19 .212_
Building TTY Fire Grading
Permit Fee $ ,/ 1 1,d
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TIT
CITY OF NORTHAMPTON
�` '� MASSACHUSETTS
r r
$ OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT y
LOCATION INO•) (STR ET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK . SIZE
to
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
1 ❑ New building Reside tial Nonresidential
2 Addition(I residential, enter number
❑ f 12 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 ❑ Transient hotel, motel, 21 ❑� Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
_----__ - 22 ❑ Service station, repair garage
5 ❑ Wrecking (If multifamily residential, of units --)--
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 ❑ Office, bank, professional ID 6 ❑ Moving (relocation)
17 < Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP � �- N�a� e°='L,-- g 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, - a 28 ❑ Tanks, towers
nonprofit institution, etc.) �( (G7( (� s�7 � 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 BU LDING — 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 Wood frame 411�d 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 E] 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 MECHANICAL
35 Gas Will ere be central air 52. Outdoors........................
36 1 Oil conditi ing? L. RESIDENTIAL BUILDINGS ONLY
37 CJ Electricity 44 ❑ Ye 45 [7 No 53. Number of bedrooms..............
38 ❑ Coal
39 El Other - Specify Will ther e an elevator? m Full..........
54. Number of
46 1 Yes 47 ❑ No bathrooms
Partial.......
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
4 k - f° f
4 ; a t.,:
le
1
DEPARTNOIT OF HUILDIN INSPECTIONS FIELD COPY
212 NAM STREET BUILDING
TEA , MA, 01060 PERMIT
35 - 129
DATE CIc tnlhor 9. 1980 PERMIT NO. 618
APPLICANT Carnlyn F- Cibb ADDRESS *19( *DAttf ell nrj!re
(NO.) (STREET) (CONTR'S LICENSE) {
PERMIT TO (�{Mn� �tWM (1—_) STORY For od '"3"�- St,OY@ NUMBER OF
'+i + V _ 54?' DWELLING UNITS j.
{TYPE OF MPROVEMENT) NO. CPR POSED U E)
ZONING t
AT (LOCATION) 34 O*Damall Drive DISTRICT SR
(N0.) (STREET)
rn BETWEEN AND '
10 (CROSS STREET) (CROSS STREET)
rn
LOT
a SUBDIVISION LOT BLOCK SIZE
m
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
i
0
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
0
I+- REMARKS:
i
ildrCiC� {
AREA OR PERMIT
i1d
VOLUME ESTIMATED COST 575.00[';��� FEE $
(CUBIC/SQUARE FEET) I.
OWNER William W & Carolyn F. Gibb. Jr. /�1
BUILD f DEFT.
i 1
ADDRESS 39 O'Donnell 01060 BY " X-