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35-201 (5) ZONING • DISTRICT SIDE YARD SIDE YARD IX. 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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 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes 4 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS ate ate 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 II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued �.4i/°�("( �C 19 Jr Building f 11 Fire Grading Permit Fee $ f�`� l Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �+ MASSACHUSETTS r � OFFICE of the INSPECTOR of BUILDINGS t Page L� Plot— APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all item��,s' in sections: 1, 11, 111, IV, and IX. o (• AT (LOCATION) � �1 � ?���`'� � DIOSTR CT LOCATION (NO.) (STREET) OF BETWEEN �(�� AND BUILDING / (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vs 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(/f 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 number of units- - - - 20❑J Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 C� Parkin 4❑ Repair, replacement g garage P P or dormitory — Enter number 5 ❑ Wrecking (11 multifamily residential, of units ——————— — -� 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑� Hospital, institutional P D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving ng (relocation) P 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,,,,,,,,,,,,,,,, $ C, 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 .................... 1 c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT 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 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 ❑l 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 ❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. 38 ❑� Coal 39 ❑ Other — .Specify Will there be an elevator? Full.......... 54. Number of 46 [_� Yes 47 ❑],No bathrooms Partial........ a DEPT. OF BUILDING INSPECTIONS BUILDING ~ + ✓� 212 Main Street 7a ` Northampton, MA 01060 PERMIT XZZ%XXXXAZX 35 - 201 VALIDATION April 20, p 219 DATE 19 88 PER IT, NO. APPLICANT Teddy Bear Pools ADDRESS 4t• , 7hicopee (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Ind Pool (_) STORY One Family NUMBER OF _y DWELLING UNITS AE IMPROVEMENT) NO. (PROPOSED USE) t_3OQ 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) permit for the installation of an inground pool with a 41 fence surrounding it and a SE REMARKS: AREA OR ESTIMATED COST $ 6,000-00 FEEMIT $ 10.00 VOLUME (CUBIC/SQUARE FEET) OWNER David Cloutier e� ur $ 1 Road BUILDIN�p�P . A/•B►"'� ADDRESS BY WHITE - FILE COPY . GREEN - FIELD COPY a CANARY ^ APPLICANT COPY a PINK - ASSESSORS COPY p1 P