36-012 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
' IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
O J r ar E S 010610 y- Sly
Owner or
Lessee So N S
Builder's
2. License No.
Contractor
3.
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.
Signat re of applicant Address Applications date
OW4 M `✓��
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Date
Permit or Approval Check Obtta}ed 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 FOR DEPARTMENT USE ONLY
Permit number _Building Use Group
Permit issued 19�$
Building _ s„^ , Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ ccuponcy Load
Approved b
Drain Tile $ f
Plan Review Fee $
f
TITLE
• CITY OF NORTHAMPTON
�. .� MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
t
Page -3 Plot Z APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to co/ �m{.plete all items in sections: 1, 11, III,, IV, and IX. 0
I• AT (LOCATION) SI / R r E L D ST ZONING URA
DISTRICT
LOCATION (NO.) D c 1 J(�SJTREET)
OF BETWEEN )-2288 )r &I-EN DR , AND P"ER/-,�.-.,F�D DR,
BUILDING (CR055 5 BEET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
in Part D, 13)
number of units- - - - ► 20❑ Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 C� parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 F__1 Wrecking (If multifamily residential, of units ------- - --30. 22 L� Service station, repair garage
enter number of units in building in 15 C_j Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 L� Office, bank, professional
6 ❑ Moving (relocation) Y
17 X Other - Specify K 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 L� 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................ oC) 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..................... F6�t1,//k�i�
b. Plumbing .....................
c. Heating, air conditioning.......... f
d. Other (elevator, etc.)............. //��
11. TOTAL COST OF IMPROVEMENT Is V0
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..............
49. Total square feet Floor area,
31 ® Wood frame 41 ❑ Private (septic tank, etc.)
all floors, based on exterior
32 ❑ Structural steel
dimensions ..`...... SrF
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34F-1 Other - Specify 42 ❑ Public or private company 50. Total land ores, 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 r� Electricity 44 Yes 45 ! No
u [_-] . 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevators Full.........
- 54. Number of
46 ❑ Yes 47 D No bathrooms
Partial......
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
212 Main Street 04 , � • (, �
Northampton, MA 01060 PERMIT
36 - 12 VALIDATION
July 25, 88 454
APPLICANT Norman & Barbara bars ADDRESS '� P` ielEc�"�� "O s
(N0.) (STREET) (CONTR'S LICENSE)
Addition Deck NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Summer field treet ZONING URA
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)
REMARKS: permit for deck 8' X 16' will be 30' feet from rear lot line
AREA VOLUME 128 sq. ft. ESTIMATED COST $ 400.00 F EMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Norman & Barbara Parsons
7 Summerfield St. Florence 9UILDING DE
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • 'PINK - AS ESS RS COPY pjNT P