36-185 (12) ZONING
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
ix. SITE OR PLOT
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IV. IDENTIFICATION — To be completed by all applicants 4 �,
Name Mailing address — Number, stmt, r-ity, and .Stan ZIP code Tel. No.
Owner or
QA ( ��;ra f � gc-oioQy
Lessee N � AAA
2. t� �A✓tt)SOr i f I( j �� Licensee No.
Contractor l J/1t w11�1 I.i/i.
C`(O .7 Z ���o/ •�S3-3 q7(e
tn%t.�tw I�'k,c f �
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 Add ss Application date
TL tli
f 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 Check Date Number B Permit or Approval Check Date Number B
Obtained y pp Nb
Obtained Y
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 _�t�l'�1� �1; Iq
Building Fire Grading
Permit Fee $ '
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. ' MASSACHUSETTS
3 OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. 0
G'O [Z�P�— L� 7 ZONING
I• AT (LOCATION)
1 D I„JK' DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN tit nf, t11� AND
BUILDING r (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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
1 ❑ New building Residential Nonresidential
2 Addition(l/ 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 (I/multifamily residential, f units ——————— — —� 22 Service station, repair garage
enter number of units in building in 15 eGGarage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — Specify 25 E] Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWN RSHIP 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 0 uUC• t 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 $ Q 061 u.
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 of floor area, °r
31 Wood frame 41 El Private (septic tank, etc.) all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 5
34 ❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. .....•..... L>j
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........................
conditioning?
36 Oil L. RESIDENTIAL BUILDINGS ONLY
37 C� Electricity 44 ❑ Yes 451z, No 53. Number of bedrooms..............
38 ❑ Coal
39 VOther — Specify Will there be on elevotor? 54. Number of Full..........
46 ❑ Yes 47gNo bathrooms Partial........
DEPT-. OF ftILDING INSPECTIONS BUILDING Z°- (/0-- (7", )
+ ! 212 Main Street Oa
Northampton, MA 01060 PERMIT
36 - 185 VALIDATION
DATE November 26, �y 84 PERMIT NO. 660
APPLICANT Rainbow Builders, Inc. ADDRESS akr Rte. , Shutesbury 028698
(N0.) (STREET) (CONTR'S LICENSE)
Addition Garage NUMBER OF
PERMIT TO (_) STORY g DWELLING UNITS
(TYPE Of IMPROVEMENT) NO. (PROPOSED USE)
898 Burts Pit Road ZONING SR
AT (LOCATION) DISTRICT
-SR
(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 cosntruction of an attached garage
,$ 10 000.00 FEEMIT $
VOLUME .0
AREA OR 510 sq. ft. ESTIMATED COST 3 .,
(CUBIC/SQUARE FEET) /
OWNER Barbara Dreyer BUI
ADDRESS
898 Burts Pit Road, Northampton BY
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY APPLICANT COPY ■ PINK - A ESSORS COPY pOP