36-189 (12) 4
House
breezeway
76' Garage
F,, 24
Pr d
Leach F i P,I d�--, 000se A— 4'
4(y
(Approx)
back Fence
I '.? bar r roperty Line
4j5'
5'
Brook.
ZONING •
f
1
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name _Mailing address — Number, stmt, city, and State ZIP code Te1. No.
Owner or L St (0
�' ` '� 4vf �7
o/obe
Lessee Sher Ste �L
r
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.
Sig t re of applica Address Application date
S�(, /-3, fs
DO 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 i FOR DEPARTMENT USE ONLY
Permit number c 1
Building Use Group
Permit issued 19
Building // Fire Grading
Permit Fee $ t�1 [� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $ V
TITLE
' CITY OF NORTHAMPTON
�. .e MASSACHUSETTS
e OFFICE of the INSPECTOR of BUI DINGS
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — fA�pplic�a�nt to complete all items in sections: 1, 11, 111, IV, and IX. C)
I• AT (LOCATION) r] /t /3-m 7+ /`t ! �AALI ZONING e S
DISTRICT t )_�
LOCATION (NO.) (STREET) Q
OF BETWEEN F/CrtJVLP— 024D&C$ AND kVAKJ --
BUILDING (CROSS STREET) (CROSS STREET)
LOT IA rX a M
SUBDIVISION LOT BLOCK SIZE
Vr
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 ❑ tjew building Re id ntial 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- - - - -� 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 Parkin
4 ❑ Repair, replacement g garage
or dormitory - Enter number
5 ❑ Wrecking (If multi family residential, of units ------- - -i 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 ff4-15ther - Specify too C, 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNS HIP 27❑ Stores, mercantile
8 Private (individual, corporation, (l (1 28❑ Tanks, towers
nonprofit institution, etc.) 4L 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................ Q• 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 ❑ 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 [-1 Yes 47 D No bathrooms Partial........
i p VNIcilne I .�ueul juud 5u awes 55dbuuv
a3NM0
lIW33d QQ�QQQ 5 ,�' 1s00 031vW1153 (1334 3vvnos/3lan3) 3wn10A
QQ Q�, a0 V3av
DIPS 5UINDOI JIas P gl.Tm aaua-4
17 p Xq papunoaans aq off. loo ulwwims punoa Ut U2 JO UOIIPIIE?;SU1 aU; AOJ IIwaa csHavw3a
.4nnNa 3sn 3d Al 01
r+ '
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY PINT IIP
PERMIT TO MR, WELLING UNITS
(TYPE OF IMPROVEMENT) N0, Ip (PROPOSED USE)
AT (LOCATION) 846 Bums Fez I}" 'Road ZONING CT
(NO,) (STREET) DISTR
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)
oer:;IIIt ''or the insta .l.s�."I`,iul Of an i.ngn-t}i�nd ;win-i—Inj� p,:),u to be Stlt"rou, Ced by
REMARKS: �'
fanCe `rlitli a Self '.ock rt i1 7 c v
AREA OR h 3 C+
VOLUME 360 Sqd i L. ESTIMATED COST .$ `� •' PER 3t3.t?(.k
(CUBIC/SQUARE FEET)
OWNER rimp as Appl ieants �
ADDRESS -s'ame as F1.}.P1 i cant}S BUILDING
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS JOY riNr'sliF
DEPT. OF 8WLDING INSPECTIONS BUILDING z° '
212 Main Street $d .
Northampton, MA 01060 PERMIT
36 - 89 VALIDATION
^� ,�^^(( 'r DATE. 1Q 9 �' PFIR�`,Q(I NO.
APPLICANT Doul " `" Sharon �?��`%�� ADDRESS �� tt r s PI �' ���° ��-
INO.) (STREET) (CONTR'S LICENSE)
PERMIT TO r1C�1 G!f(1(� Pi�O (_I STORY '�e Cli(�iiV DWELLING OF
UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
f AT (LOCATION) 3 4 G Bums Pit Road DISTRICT )
(ND.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
j
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: `ar�oii�. -For ,�"1P. InStc�. .lcat,It�Y of an inJ+i^C and swi ii'ui ng pr of to be surroL ided by a ;
C Le
fen^e with a self !"OCkzn-I {_G
AREA OR n�) ° PERMIT
I
7l L. ESTIMATED COST FEE ) �
VOLUME 800 SQ.
(CUBIC/SQUARE FEET) nn
owNERdITlP as Applicants '�C+�✓'a, A
� � + BUILDING 'rC+�y
ADDRESS BY _
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY APPLICANT COPY • PINK - ASSESSORS C PY PINT XP
i