35-174 (5) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT
SIDE - r SIDE YARD
REAR YARD
NOTES i i� .J./L. 1l �. r.i•..r _s /L�/.a�rr�
IX. SITE OR .
For Applicant .r•
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ill, • llla ..••• Nr!!�N•tN■Nr.laawl:llMrrr�ll•NN • xr is aN.R::pN Nr...HN..N•R#`iiflNHt■!H1 .N• NraNltaxa/fxH\N■NHH.11
tHN.lri ■: lN•1l••aff l pl1Nw•lHNll.•1,•la•NI'llnSIN ".lawt N■N•f■lH�lNlH#Rrx.rlff■al.fa•Hll•lux•■NrfurH■ •axHr aHN■rHtwas...
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a e � seee .e$a:s^sly$ » : eslsse:......:
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NOTES and Data — (For department use)
xs,/r 9
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State., -u- ZhP code Tel. No.
1. a� /( / �' ✓ .
Owner or
Lessee 1 / �.�✓IJa ."j'�J?L'
1� P ° r•/ :,.' Builder's .�
L. i r''" .( /"!"t' . /., �' Pt (� ( /� / r License No. ✓ t'
Contractor
3.
Architect or-
Engineer
,I hereb cer fy that the posed work is authorized by the owner of record and that I have been authorized by the owner to
mak this, yEa" is authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Si ture of nt 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 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 e a d Number By Permit or Approval Check Obtt 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 OTHER
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Bul lding- Use Group
Permit issued 19
Building ` Fire Grading
Permit Fee $ `�'
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
E
CITY OF NORTHAMPTON
�• MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
, t Page S �`r Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
J /J ZONING
• AT (LOCATION) J / �� C /,A �/ r' / DISTRICT�Sg
LOCATION (NO.) (STREETI -
0 F BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —f
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
M
11,X New building Resi ential Nonresidential
2 ❑ Addition(!/ residential, enter number 1 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) 1q ansenoe , motel,
❑ Tr it hotel, tl 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
❑ ------- — 22 ❑ Service station, repair garage
5 Wrecking (If multifamily residential, ,�j of units --f P 9 9
enter number of units in building in 15 VCI Garage 23 ❑ Hospital, institutional
Part D, ]3) 16"��"❑��Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) p
7 ❑ Foundation only 17 ❑ Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 Private (individual, corporation, Specify
Other — S
nonprofit institution, etc.) 29 ❑ p fy
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 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
31 ❑� 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 / TT)
32 ❑ Structural steel dimensions ...� .3. 9?,
��(
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 [::] Other — Specify 42 F—] 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 there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 C Electricity 44 N o i
❑ Yes 45 53. Number of bedrooms..............
38 ❑ Coal
39 n Other — .Specify Will there be an elevator? Full..........
54. Number of
46 �� Yes 47 ❑ No bathrooms
Partial......
Building Inspections Office q q ,
212 Main Street BUILDING �Q
cn
T o�
Northampton, Mai; 4,t#60 - PFRMI l a
35 174 VALIDATION
DATE April 20, t9 83 PERMIT NO. 175
APPLICANT American Pioneer Bldg. Inc. ADDRESS 467 Burts Pit Road 022699
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
garage accessory (_) STORY DWELLING UNITS
- PERMIT TO g TS -'
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
30 Pine Valley Road
ZONING
AT CT SR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 28 FT. WIDE BY 32 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION •Oncr S�F1f1C
(TYPE)
REMARKS: Permit to build .garage ---
AREA OR 896 sq. ft. ESTIMATED COST . 4,480.00 PERMIT s 44.00
VOLUME
(CUBIC/SQUARE FEET)
Geraldine Colley
OWNER BUIL NG PT.
Pine Valley Road By
ADDRESS
WHITE - FILE COPY . GREEN ^ FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY