35-141 (4) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE • . •
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .Number, strut, city, and State `ZIP code Tel No.
. G fG 6 0 Owner or or
NT;t�4C,4410� Z707 &"nrC� e6�' :3 C-10 - -
Lessee
r
Builder's
2. License No.
Contractor
3. (f`�
Architect or iA
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.
Sign re of applicant 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
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued ESL lq_ _
Building ` Fire Grading
Permit Fee $ l d --
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 � r APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
(� t� ZONING C .
I, / DISTRICN
AT (LOCATION)
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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 Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
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
4E] 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 Moving (relocation)
17 � Other – SpeciJy 25 Public utility
7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 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.
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 Is I ��
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 /`1'd X'
48. Number of stories................ s
30❑ Masonry (wall bearing) 40 � Public or private company
31 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 X'
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central Z 52. Outdoors........................
36 Oil con Toning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes
❑ 53. Number of bedrooms..... ....
38 �� Coal
39 Other – Specify Will there b an elevator? Full.. ..
�—� 54. Number of
46 es 47 �D No bathrooms
Portio4f'....
DepartrlEnt of buildim inspections
212 Main_ Street BUILDING ""° 1
Nor thar pto;;x=,.:—fia s. 01060 O<
v PERMIT xa
35 - 3 441 VALIDATION
DATE June 6, 19 PERMIT NO. 271 -
APPLICANT Joseph 'atrishon ADDRESS_, 4t7 ?'E'St['C)O[E TPYY— NIA
(NO.) (STREET) (CONTk'S LICENSE)
NUMBER OF
PERMIT TO Addition (_) STORY OnP Farnil DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PROPOSE y USE)
ZONING
AT (LOCATION) 47 Westwood a — DISTRICT ,R
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
1.4 14
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 build a one hedroow addition
AREA OR 196 square feet 1,500.00 PERMIT $ 1.01.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
Joseph Matrishon / ` `-
OWNER BUILD oR f
ADDRESS Westwood Terrace gy _
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - /ASESSORS COPY