35-195 (8) L
DISTRICT VIII_._ZONING PLAN EXAMINERS NOTES
FRONT
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For deportment use)
+M,
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, st reet, city, and State ZIP code Tel. No.
Owner or (eolct,; a ROHS ���t/�-` 716/ t V`. Q t 0 (Q � ✓"�
Lessee
Builder's
2 Sctl A License No.
Contractor
s. u w� sL
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 s authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sign r of appl'cant 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
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number B
pP 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 19 /3 c:,-_
Building I Fire Grading
Permit Fee $ .DD Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee
TI
CITY OF NORTHAMPTON
�+ e$ MASSACHUSETTS
� e
�' OFFICE of the INSPECTOR of BUILDINGS
"r
a Page Plot ` 'JS--�-�-- APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
-/3 . ZONING
(• AT (LOCATION)— �`) r I j/.
+ P DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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
1 D 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 ❑ Church, other religious
number of units- - - - .-� 20 Industrial
3 Alteration (See 2 above) 14 ❑ Transient hotel, motel, ��
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (il multifamily residential, of units ------- - -. 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 L❑ Hospital, institutional
Part D, 13) p /� ❑
16� Carport /? 24 Office, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other - Specify 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
� 28 ❑ Tanks, towers
6 Privatb.(individual, orporation,
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
L e-7 processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, O 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 %
30 ❑ Masonry (wall bearing) 40 ❑ Public or private company
48. Number of stories................
31 Wood frame 41 7 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 X] 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 LJ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 �J No 53. Number of bedrooms..............
38 rco.,
39 L Other - Spcci/y Will there be an elevators Full..........
54. Number of
46 l r� Yes 47 X No bathrooms Partial........
.� A
De artment of Building Inspections ZD
21�Main Street BUILDING :-)- '
MIL Northampton, Ma. 01060 PERMIT a
35 - 195 VALIDATION
DATE July 8_ 19 82 PERMIT NO. 114
APPLICANT Robert W Diam__an_A_ ADDRESS 1197 Rurta Pj t Road
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO NPw ronstrurtion (1_) STORY ra DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (P OPOSED USE)
ZONING
AT (LOCATION) 1182 Rurts Pit Road DISTRICT SR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS 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: AttarhPd carport x 741
AREA OR ESTIMATED COST $ ma.On FEEMIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Robez - 6l it+u*nnttc1 - BUILDIN DEP .
ADDRESS 11A7 R+irtc Rot RA Northampton, NA. 011160 BY
WHITE - FILE COPY GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY
�...,�..,..��. �.._�,:..,w�,�,,,,.,
.�• r.a
�.�
7r t,- •- _ __ _
. ..: • w _
Department,.of Building Inspection.,3 BUILDING ~
Northamptou, 'Ma. 01060 PERMIT Q
. 35 - 195 VALIDATION
DATE Jul a 19 82 PERMIT NO. - 114
APPLICANT Rcybert W, D1 EK And ADDRESS 1182 Runt t Pi t- Rnntl
(NO.) (STREET) (CONTR•S LICENSE)
NUMBER OF
PERMIT TO ser r_0njZt'r1.ir_f'4nn (_,_) STORY ca ooseo uSE) DWELLING UNITS ,
(TYPE OF IMPROVEMENT) NO. (�
AT (LOCATION) 1182 r u ZONING
f 4' ��,.}' RA�1C� .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: '
VOLUME ESTI TED COST S L n.no�� rrr_FEEMIT 10-00
" (CUBIC/SQUARE FEET)
OWNER Rohs-t Id- ni9maxIIA BUILDIN DEPT.
ADDRESS BY
WHITE= FILE COPY . GREEN - FIELV COPY CANARY APPLICANT COPY PINK '- ASSESSQRS COPY