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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)
!1
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — Number, street, city, and .State ZIP code Tel. No.
MIX L)E� la / �Pi?. err�"2 �z-tJ . 010 t z
owner or
Lessee
ry� �d ' !-`�� Builder's �
2 i4
4=1J -T /v t7�I License No.
Contractor
A// J
3. — i SI
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 t 's application as his authori ed agent and we agree to conform to all applicable laws of this jurisdiction.
SiWuo lica Address Application We
P� .B6x
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
Date Permit or Approval Check obtained Number By Permit or Approval Chec Obttat De Number By
BdlLER 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
Bui Iding Use Group
Permit issued -CI,4� 19_
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Appr by:
Drain Tile $ L
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
OFFICE of z INSPECTOR of BUILDINGS
t
Page_ , Plot 77" 2-14 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING c�
1• AT (LOCATION) DISTRICT*
LOCATION (NO.) STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2❑ Addition(lf 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 ransient hotel, mote ,
❑ T h l l 21 Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 ❑J Wrecking (I/multifamily residential, of units ------- - -� 22 ❑ Service station, repair garage
enter number of units in building in 15 Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑
6 �j Moving (relocation) Carport 24❑ Office, bank, professional
7 ❑ Foundation only 17 ❑ Other - Specify 25 ❑ Public utility
G)-1 Y 26 ❑ School, library, other educational
B. OWNERSHIP d —� K_ Ay`� 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, (1> - Vj 28 ❑ Tanks, towers
nonprofit institution, etc.) 7j 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
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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
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 elevators Full..........
- 54. Number of
46 ❑ Yes 47 D No bathrooms
Partial.......
a bEPT. OF BUILDING INSPECTIONS BUILDING z0
a 212 Main Street 0`
Northampton, MA 01060 PERMIT <a
,e-- 77.U-A- VALIDATION
.3�__> DATE
July 17, 1 9 85 PERMIT NO. 424a
APPLICANT Pro�ressivle Structures ADDRESS P•0• Bo—x+Northampton
(NO.) (STREET) (CONTR'S LICENSE)
New Building Garage NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
24 Winterberry Lane ZONING SR
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 22 FT. WIDE BY 22 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
r (TYPE)
REMARKS: Permit for the construction OL a new garage _
AREA OR 484 sq. f t. ESTIMATED COST .� 5,000.00 PERMIT T� 24.20
VOLUME
(CUBIC/SQUARE FEET)
OWNER Henry Fairlie
ADDRESS
P.O. x Munson oa , ester ie , Masi LD "
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY I PINK - ASSESSORS COPY PJNT' NP
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