35-231 (3) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
°a '.� f ��kY✓ D K � - t
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
2. 7 l L C=, /r / Bui Ider's
Contractor ` �l License No.
C
6 3`3
3.
Architect or G o 5r-
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 applicat'on as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sign ure of applican Address/' J Application date
l 7 l/ tiw G�GD G-C/ �-
00 NOT WRITE B dL OW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started Y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
royal Check Date Date
Permit or A
pp 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
VII. VALIDATION
Building
Permit number <c� FOR DEPARTMENT USE ONLY
Building Use Group
Permit issued lq
Building eI' � Fire Grading
Permit Fee (X1-,J
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved
Drain Tile $
Plan Review Fee $
TITLE
. a CITY OF NORTHAMPTON
�• MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,ur Page T Plot �3 � APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) �� �Iri r DIISTR CT,
LOCATION �+ (NO.) (STREET)
OF BETWEEN V / r &4 f0 AND
BUILDING �j[` �(Cj1RO�SS STREET) j{� (CROSS STREET)
SUBDIVISION./rJA//_rt �.� W COQ S LOT�BLOCK LOT
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
-�
New building R�ential 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,
4 ❑ Repair, replacement 21 C� Parking garage
f or dormitory — Enter number
5 ❑ Wrecking (It multifamily residential, of units ——————— — -� 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional
Part D, 13)
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
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,,,,,,,,,•,,,,,, S��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 .....................
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 a// others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 L] Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories................
444. Wood frame 411+;� Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, base&j pn e riot
32❑ Structural steel dimensions .. 1lj.`... .13ul t
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY V
34 ❑ Other — Specify 4@11i�� 50. Total land area, sq. ft. ...........Public or private company f
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........................
•� 7.� Oil conditioning?
�7-r! L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45I{� No 53. Number of bedrooms..............
38 ❑ Coo I
39❑ Other — .Spcci/y Will there be an elevator? Full
54. Number of
46 ❑ Yes 47 0 N bathrooms
Partial..
CITY OF NORT1117%. ." PT07" , MASS.
June 19, 19 85
THE BOARD OF PUBLIC '--t'ORKS
The undersigned respectfully_ petition your honorable body for
of
permission to install a driveway at lot #8 Bayberry Lane in "Tinkham
Woods", off of Westhampton Road. Twenty-four (24) maximum width at
the Street line. Gutter drainage not to be disturbed. Driveway surface
to be paved if the grade of the proposed driveway exceeds 3% or more.
By:
65 White Loaf Road
r -7_-7_7.66_
Inspected by:
THE B07',1111)
Voted that petit ion he 7ranted .
Acting e�c Works
.. ., ..... .«. ..::.,,,,.. ..w,.,...��,�„...p+,g<:�" ��-iMwP'*:!'.'P�:wT A,ni"^^ LTm.:A+.-w.._ vwM^<'e'<.em �+°e�M^�:- +rt-Y" ... _.. �. +.n2va..eR-..
,. _ .�.
i
'A
a DEPT. OF BUILDING INSPECTIONS BUILDING o° ��`�� (y
212 Main Street �t'
Northampton, MA 01060 PERMIT <a
35 - 231 f VALIDATION
DATE July 17, 1g 86 PERMIT NO. 393
APPLICANT Ben & Ray Construction ADDRESS Va e VMew Cir. pring le 08$5
(NO.) (STREET) (CONTR'S LICENSE)
New Building Single Family Dwelling UMBER OF
PERMIT TO g (_) STORY g y g DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
Lot #8 Bay Berry Lane DOSTR CT SR
(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 for the construction of a new single INNIK family dwelling with 2 floors.
with attached garage
AREA OR 2976 Sd ft ESTIMATED COST $ 145,000.00 PERMIT $ 852.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
as pp lean s 8Y1D
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pQ-1p
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