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35-168 (5) Vill. ZONING PLAN EXAMINERS NOTES DISTRICT IX. 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V�y� 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 DO 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 Is OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtai ed Number By Permit or Approval Check Obtta t 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 t I OTHER II. VALIDATION Building ( I FOR DEPARTMENT USE ONLY N� Permit number Bui Iding. Use Group Permit issued �� 19 _ Building Fire Grading Permit Fee $ la°UJ Live Loading Certificate of Occupancy $ Occupancy Load rev d by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �• MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page Plot DB APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, I1, 111, IV, and IX. O 2 7G !� ZONING I• AT (LOCATION) 133 / _ DISTRICT fZ` LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK __SIZE Vt 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(IJ residential, enter number 12 One family 18 �_� Amusement, recreational of new housing units added, if an), '��il in Part D, 13) 13 Two or more family — Enter 19 Church, other religious number of units— — — — --3P. 20 Industrial 3 y�Alteration (See 2 above) 14 l l t h i Transent hotel, mote , ❑ 21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (I/multifamily residential, of units ——————— — •-a 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 ❑ 6 ❑ Moving (relocation) Carport 24�_� Office, bank, professional 7 ❑ Foundation only 17 ❑ Other — Specify 25�_� Public utility 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,,,•,••,,,,,,,,, a 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 $ 30 0U 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 ❑ Other — Specify 42 F-1 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 [_j Electricity 44 Yes 4 D ❑ 5 -- No 53. Number of bedrooms.............. 36 ❑ Coal 39 Other — .Specify Will there be an elevators Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial....... DEPT.,OF BUILDING INSPECTIONS BUILDING Z° L 212 Main Street Northampton, MA 01060 PERMIT <a 35 - 168 VALIDATION DATE June 21, 85 P RM T NO. 347 APPLICANT John Carver ADDRESS u�lt EOad OWer (N0.) (STREET) (CONTR•S LICENSE) PERMIT TO Alteration (,) STORY One Family DWELLING UNITS (TYPE Of IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 1339 BurtS Pit Road ZONING DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Dormer r r� DorIS TO BE 24 FT. WIDE BY 7 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS. Permit for the installation of a new dormer AREA OR VOLUME ESTIMATED COST .$ 31 ^'"0 FEE MIT 12.00 (CUBIC/SQUARE FEET) �n OWNER John & Charlotte Carver BUILD) G ADDRESS llr By i �V� WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASS SORS COPY p041 P