39-234 (5) ZONING •
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — Number, stmt, city, and State ZIP code Tel. No.
Owner or
Lessee
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.
Signr of applicant Address Application date
_
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate
Permit or Approval Check Obtaained 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 f� FOR DEPARTMENT USE ONLY
Permit number /
Building Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ A0 Live Loading
Certificate of Occupancy $ Occupancy Load
$ Approved by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
t OFFICE of the INSPECTOR of BU LDINGS
Page Plot 23 APPLICATION FOR
INSPECTOR
3(0 ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, It/, IV, and IX. O
ZONING
AT (LOCATION) °� '^� y _ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
to
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 E:] New building Residential Nonresidential
2E] Addition(l/ residential, enter number 12 F_� 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 unit's— — — — 20 Industrial
3� Alteration (See 2 above) 14 Transient hotel, motel,
21 C� 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 P, 16 E] Carport 24 Office, bank, professional
6 � Moving (relocation) p ��
7 Foundation only
17 D Other — Specify '��'� 25 Public utility
�
26 School, library, other educational
B. OWNERSHIP l 27 Stores, mercantile
`
8 Private(individual, corporation, 28 Tanks, towers
��5� ��
nonprofit institution, etc.) 29 Other — Specify
i
9 Public (Federal, State, or rl'
%C / ✓Q n }j^ /Id7� �+ c
local government) a-� Rd'.,,,� (J'
C. COST (Omit cents) Nonresidential — Describe in detail proposed use buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, t-) ) school, secondary school, college, porochial 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 c a�
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part 1, 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 D 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 ores, sq. 4T. ...........
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 l ] oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 C j Electricity 44 Yes 45 rte!' Na
53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 F� Yes 47 LF_] No bathrooms
Partial.......
a DEPT. OF BUILDING INSPECTIONS BUILDING Z° I0' D
! 212 Main Street O<
IL
Northampton, MA 01060 PERMIT
36 - 234 VALIDATION
DATE Feb. 1 19_$2_ PERMIT NO. 67
APPLICANT James F. Boyle ADDRESS 266 WP-,t. Farms Rnad On Fi iP
two.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration - STORY Onp Fam7 V DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSE USE)
ZONING
AT (LOCATION)
4 Diamond Crt DIISTR CT SR
(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: permit to frame 1l, hath 1n haCPmPnt area
AREA OR PERMIT
VOLUME ESTIMATED COST $ ���nn FEE (1 _
(CUBIC/SQUARE FEET)
OWNER James wa-I Q12 BUIL
ADDRESS 24 M ^mnndl C)4 BY AAA
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pwr p NOW