36-121 (2) r
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT 1 /
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USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
,. be�� U/uM u iS �/ v/UUG. jr,v� °!�v P )(U6(� �Y 9.23/
Owner or
Lessee
Bui Ider'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.
IS.-gnat,ur of applicant Address Application date
r �
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
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Date
Permit or Approval Check Obtai 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 / Fire Grading
Permit Fee $ ✓�2 0 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
r
Plan Review Fee $ .`
TITL
NOTES and Data — (For department use)
CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
gl, — /:2—/ BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
r
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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
1 ew building Resi ential Nonresidential
2 Addition(If residential, enter number 12One 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– – – – --)w 3 F-1 Alteration (See 2 above) 20 ❑ Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory – Enter number
5 ❑ Wrecking (If multifamily residential, of units ––––––– – 22 E] 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. 0 N RSHIP 27 ❑ Stores, mercantile
BPrivate (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•••••••,•......, 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 A
30 Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories................
31 Is°�l Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet n floor area,
/`_ all floors, based on exterior
32 ❑ Structural steel dimensions �!../.�...
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other – Specify 42 ❑ Public or private company 50. Total land area, sq. 4t. ...........
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? 54. Number of Full..........
46 ❑ Yes 47❑ No bathrooms
Partial.......
I hereby certify that the proposed work is authorized by the ownerfof:re—Cord.
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET.) {CITY).
APPROVED BY TITLE
DATE 19
r �r
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DEPT. FILE COPY
ZO
_. 1a DEPARR"NT OF BUILDING n"sPECTIONs BUILDING a
212 MAIN STREET
NORTHAMPTON. MA. m60 PERMIT VALIDATION
36 - 121
DATE July 26, 1g 7_ PERMIT NO. �3
APPLICANT Robert V$dnais ADDRESS 23 0Ver1nok D".. Fin_
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Acid deck (1—) STORY Sun deck DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) `
r� ZONING
AT (LOCATION) . 23 Overlook Drives Florence. DISTRICT T—
(NO.) (STREET)
a BETWEEN AND
(CROSS STREET) (CROSS STREET).
LOT
a SUBDIVISION LOT BLOCK SIZE
m
a
Deck
pgD
G IS TO BE 12 FT. WIDE BY 19 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
x (TYPE)
It
IL REMARKS: Construct 814'1_ Clank
AREA OR PER MIT
VOLUME ESTIMATED COST $ � .00 FEE 1-.-4(Q
(CUBIC/SQUARE FEET)
OWNER Robert & Wanda Vadnais 11�
BU DING T,
ADDRESS 23 Overtook Dri Ve s Florence B
r
(Affidavit on reverse side of application to be completed by authorized agent of owner)