36-225 (8) VHLZONING PLAN EXAMINERS NOTES P_
DISTRICT
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SIDE YARD SIDE YARD
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IV. IDENTIFICATION — To be completed by all applicants '
Name Mailing address — Number, street, city, an(i .State ZIP code Tel. No.
AlQI2Y FAMI../e WV X�4 MC -f0A1 tzA. C#4X7Z�ie4b A Z � z G
Owner or
Lessee
2. P�uc�? s�� <s%r'� r ��c�. ���x �� �� + �`f�1 pro 6 r Lg«�se No. S s�3
Contractor
<y
3. C—eglc Y 'T,
v
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 ap li ation cos his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature of p I ant 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
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obttaineed Number By Permit or Approval Chec Obttaitneed 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
II. VALIDATION
Building _ �'� FOR DEPARTMENT USE ONLY
Permit number
Bui(ding• Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ S•
Live Loading
Certificate of Occupancy $ Occupancy Load
Approv y:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g+ g MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
L a � ,/-
Page 3 Plot � _2 T APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX. C)
• AT (LOCATION) � ",� ��" 4, '•"�z D�STR CTf 4
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET) / l
LOT
SUBDIVISION t i r-gt'ZoC) LOT Z BLOCK SIZE
iA
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 Residen ial Nonresidential
2 ❑ Addition(If residential, enter number 12 EOne 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 ransent hotel, mote ,
❑ T i h l l 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If 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 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNESHIP 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,,,,,,,,,,,,,,,, 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 Is /Za CC7C>�
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 ❑ P lic or private company 48• Number of stories............... �7^
31 [:Z4�Vtood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ..................... --cro
33 ❑ Reinforced concrete H. TYPE OAF WATER SUPPLY
34 ❑ Other — Specify 42 Public or private company 50. Total land area, sq. 4t. ........... 5C1
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........................
37 ❑ conditioning? L. RESIDENTIAL BUILDINGS ONLY
u EE'lectricity 44❑ Yes 45 [�40 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full.......... ^
� 54. Number of
46 ❑ Yes 47[0 No bathrooms
Partial.......
a QEPT. OF BUILDING INSPECTIONS BUILDING z° �` << (�
212 Main Street oa �� ��
Northampton, MA 01060 PERMIT <a
77-2,4' VALIDATION
DATE May 8, 19 85 PERMIT NO. 242
APPLICANT Gary J. Hartwell ADDRESS P.0- Box 94 Nnrthamntpn 039.141
(NO.) (STREET) (CONTR'S LICENSE)
OF
New Building ne Family Dwelling DWELLR
PERMIT TO g (_) STORY
LING NUMBER 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
25' Waterberry Lane ZONING
AT (LOCATION) CT
(NO.) (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:REMARKS: L Permit for the construction of a single fami 1 g dwelling wi t'h 1'1-70 f]Hors
no garage
AREA OR 2000 S . ft. PERMIT
VOLUME q ESTIMATED COST .� 120,000.nn FEE $ gor, $(L_
(CUBIC/SOUARE FEET)
OWNER Henry Fairlie
ADDRESS -P.0. Box 164 Munson Rd. , Ch es fi el d a r�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pQP