36-228 (5) ZONING NOTES
DISTRICT SIC
FRONT YARD
SIDE YARD SI� Il
DE YARD
REAR YARD
AU
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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 — \'umber, street, city, and State ZIP code Tel. No.
Owner or Vv��{� -�, 0.�,,T��
Lessee
Builder's
2' License No.
Contractor
3.
Architect or
Engineer
I here 6 erti fy he proposed work is authorized by the owner of record and that I have been authorized by the owner to
ma a this a pli i s his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Si ature o an 7 Address Applicotio d
Lle" Adt� IU �0106 L
6/ 00 NOT WRITE BELOW THIS L 41E
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Plans
Fee Started y Approved BY Notes
BUILDING
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova l Check Date Date
pp Obtained Number By Permit or Approval Check Obtained 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
Permit number FOR DEPARTMENT USE ONLY
c�
Bui Iding Use Group
Permit issued 19 _
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro d by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• •g MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
t Page Plot �� � APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANNT - Applicant to complete all items in sections:
J1, 11, 111, IV, and IX. O
• AT (LOCATION) r 4'��/{/� ��� � 4r'7 1/6!L ZONING
DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN one & 6// AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
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
1 New building R fdential Nonresidential
2 Addition(if residential, enter number 12 One family 18 E:] Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 Two or more family - Enter 19 �� Church, other religious
number of units- - - - 20 n
3A Alteration (See 2 above) Industrial
14 Transient hotel, motel,
21 Parking garage
4 El Repair, replacement or dormitory — Enter number
5 [71 Wrecking (11 multifamily residential, of units ——————— — -.� 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
Moving (relocation)
6 ��
16 Carport 24 Office, bank, professional
17 �� Other — Specify 25 L� Public utility
7 Foundation only 26 n School, library, other educational
B. OWNERSHIP � t4 l�- 27 L] Stores, mercantile
8 VAPrivate (individual, corporation, y ,_ 28 Tanks, towers
nonprofit institution, etc.) aAl �!t 29 Other — Specify
9 J Public (Federal, State, or � lL� `_
�
local government) TL 1�
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, a-g., food
(' processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement••••••••••••••,• °'" " school, secondary school, college, parochial school, parking garage for,
deportment 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....................... L••
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other(elevator, etc.)............. y�
11. TOTAL COST OF IMPROVEMENT $ ('LL7b
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Part J, for a/1 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 n 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 — Speci fy 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?
37 j Electricity 44 Yes 45 �!' No L. RESIDENTIAL BUILDINGS ONLY
53. Number of bedrooms..............
38 D Coal
39 L r t Other — Speci/y Will there be an elevators Full..........
54. Number of
46 Yes 47 No bathrooms partial........
a DEFT. OF BUILDING INSPECTIONS BUILDING Z°-
+ 212 Main Street $a
Northampton, MA 010p60 PERMIT
36 - 77-28 VALIDATION
DATE June 27 19 RR PERMIT NO. 3�7
APP Walter T Gl^CPCI M_Tl_ ADDRESS 48 w-int(STREE z-ry Lwne -�T+Rmp}�
(NO.) T) ICONTR'S LICENSE)
NUMBER OF
PERMIT TO Al tP'ratinn (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOS D USE)
ZONING CT2
AT (LOCATION) 48 WintPrberry T anP DISTRICT
(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: p-fMli t to qn gT-.n-rP Qro"Jad pool 15' in d1 awatex Y 41 1•,ish
AREA OR $ �ZvL�s^ PERMIT l�.u�
VOLUME ESTIMATED COST n nn FEE
(CUBIC/SQUARE FEET)
OWNER Walter & Teresa Glase BUIL� !
ADDRESS inter rry Lane BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSESSORS COPY p'INT p