36-144 ZONING •
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
�. l(o cz�o(-, e- CI s cle- NOc i\-x n c)),o o Sgt- IIH`l
Owner or
Lessee
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.
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
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Obta t ed Number By Permit or Approval Check Obtaltned 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 rb�� 19
Building f Fire Grading
Permit Fee $ �C ,�, (w"-Y Live Loading
Certificate of Occupancy $ /!• ccu ancy Load
Approved y:
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON % �b
�+ MASSACHUSETTS
OFFICE of the INSPECTOR of BU LDINGS
,pt Page t ? Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all citemspin sections: 1, 11, 111, IV, and IX. o
ZING
I• AT (LOCATION) 1/Q V� 0k_51, l� ��f, �,1� DIOSTR CTI
LOCATION (N 0.) (STREET) /�
OF BETWEEN I—Onq \1 E'y\J C I '`C_L.1. AND U(1 Gt V61(k) C� (,L L
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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,
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 C� Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 22 L 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) 0ELI
7 n Foundation only 17 ❑ Other — Speci/y 1� ` 25 Public utility
26 n School, library, other educational
B. OWNERSHIP 27 L._] Stores, mercantile
6 Private (individual, corporation, 28 [-] Tanks, towers
nonprofit institution, etc.) 29 N 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,.,,,,,••....... 500• 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 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 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 L Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 l Yes 45 No
�. J -_. 53. Number of bedrooms..............
38 [ j Coal
39 F 1 Other — Speci/y Will there be an elevators Full..........
54. Number of
46 ( Yes 47 L] No bathrooms Partial.......
DER. OF BUILDING INSPECTIONS BUILDING
212 Main Street a l
Northampton, MA 01060 PERMIT
36 - 144 VALIDATION
DATE August 9. 19 8— PERMIT NO. 505
APPLICANT Y`1 Nark ADDRESS 316 Brookside Clr. Owner
(NO.) (STREET) (CONTR•S LICENSE)
Addition One Family NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(Tr PE OF IMPROVEMENT) NO. (PROPOSED USE)
316 Brookside Cir. ZONING
AT (LOCATION) DISTRICT
1N0.1 (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 addition of a deck 121 X 16'
AREA OR 500.00 PERMIT 10.00
VOLUME 192 sq. ft. ESTIMATED COST FEE /
(CUBIC/SQUARE FEET) i q
OWNER Same as Applicant / Y
BUILDING D P�l�ff �i r//.✓{/J" ,/f
ADDRESS Same as Appl icant 1 s BY ttt
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK "ASSESSORS COPY P}wr P
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. y13 Alterations
a NORTHAMPTON, MASS. y 19� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location l / 6 A, C It r Lot No.
2. Owners name L e116�r d Z F 1,4 M Q— Address / y e t- k C d E
3. Builder's name W O /" /✓ Address
Mass.Construction Supervisor's License No. 0/ Expiration Date — 3 0 9 3
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof ,( < IV,h Zt L 7- g o a l S h n/ L
13. Siding house
14. Estimated cost:- /�6 U 0•
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
�\ Signature of responsible app,ican!
Remarks
U
Date Filed , L File No.
ZONI G __PERMIT.._AP 41CATION (510 . 2 )
1 . Name of applicant: F �� �.�r G E.
Addre C h s
2 . Owner f Propert i L p L4 LE44 I� �
Address o Telephone :
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain : )
4 . Parcel Identification: Zoning Map Sheet# , ( Parcel# 144 ,
Zoning District (s) (include ov rla s)
Street Address
Required
5 . ExisAing Pro nosed by Zoning
Use of Structure/Property
(it project is only interior work, (_bk ' to #4)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front _
- side R L:
- rear
Lot size
Frontage
Floor Area Ratio'
%Open Space (Lot area minus
building and parking)
Parking Spaces -
Loading
Signs
Fill (volume & location)
6 . Narrative Descri on of Proposed Work/Project : (Use additional sheets
if necessary)
1 -
7 . Attached Plans : Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is truett and ccurate to the best of my knowledge .
Date :- \p `-� C Applicant' s Signatu
THIS SECTION FOR 0IFICf U5 ONLY:
Approved as presented/based on information presented
Denied as'presented--Reason:
pecial' Permit and/or Site Plan Required :
ding q ired: _ Variance Required :
gna f Build ' spector DA t
NOTE: Issuance of a zoninfl permit does not relieve an applicnnl's burden to comply with all zoning roquiroments and obtain all required pormlis
from tho Board of Hoalth, Consorvalion Commission, Doparlrnont of Public Works and other applicnblo pormil granting nuthoritios.
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