35-168 (4) V-11I.- ZONING PLAN EXAMINERS NOTES .0
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE . • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or To N Caf�,✓�rZ v2ts ,t- /4i OiQ6C1 SPY 33�
Lessee
Builder's
2. 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 applica tt 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 Dote Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obta t ed Number By Permit or Approval Check ObtaDate
ined 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 023 �J FOR DEPARTMENT USE ONLY
Permit number y
Building � �� � -
T Use Group
Permit issued � 19 0
Building $ j OLD
Fire Grading
Permit Fee �/
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 35' Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT(j— Applicant to to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) 122! ���TS / t 1L rc,tn- _ DISTRICT
Lv
LOCATION N0.) STREET) Aj
7p
OF BETWEEN IS'v..t t�S i 7� AND LCI-iP_t1 IriQR vlt S
BUILDING (CROSS STREET) (CROSS STREET)
LOT 77
SUBDIVISION LOT !d /
,F BLOCK __SIZE 10l3 6
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 Residential Nonresidential
2 ❑�ddition(IJ 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 Church, other religious
ity number of units- - - - ->
3IrsAlteration (See 2 above) 20 ��' Industrial
14 ❑ Transient hotel, motel, 21 C_l Parking garage
4 ❑❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multi family residential, of units ------- - --� 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 F_ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 C� Office, bank, professional
6 ❑ Moving (relocation)
7
17 ❑ Other - Specify CAAftj�L_ 25 � Public utility
❑ Foundation only Y
nn,,,,,, 26 C_ School, library, other educational
B. OWNERSHIP � -to `+�I(.lUSFr/� 27 ❑ Stores, mercantile
8 Private (individual, corporation, /� 28 C—� Tanks, towers
nonprofit institution, etc.) O` � C'� 29 �_I Other - Specify
9 ❑ Public (Federal, State, or y`2 `ncn..� W ask
local government) NLL-Q- -.A) 1,i v
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 $ 12100
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 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 [1] Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, 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 C❑ Yes 45 _, No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator° Full..........
- 54. fJumber of
46 [_] Yes 47 ❑ No bathrooms
Partial.......
DEPT. CS `BiJIi:DING INSPECTIONS BUILDING o° dV
212 Main Street 0
Northampton, MA 01060 PERMIT
35 - 168 VALIDATION
DATE April 29, 19 87 PERMIT NO. 238
APPLICANT John Carver ADDRESS 39 Burts Pit Road Owner
(NO.) (STREET) ICONTR'S LICENSE)
Alteration/Addition STORY One Fami 1 NUMBER of
PERMIT TO (_) y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. IPROPOSED USE)
1339 Burts Pit Road ZONING SR
AT (LOCATION) 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: Permit to change existing deck to an enclosed porch
AREA OUME 384 proposed enclosed porch ESTIMATED COST � 3. 100.00 PERMIT Q. 12.00
(CU81C/SQUARE FEET) '?
OWNER Same as applicant — BUI�(/
ADDRESS Same as Applicant's BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INTSIIP