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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
/'- ` r 7/( t 1. '1 (,
Owner or
Lessee
/ Y _ A / Builder's
L. _. I l 't�.`^° '- License No. t j
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.
Signature of Opp I''Cant Address Application date
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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained y
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 rl Use Group
Permit issued . ' 19C_
Building � ,�� Fire Grading
�/Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ l�� !,� r���"���,
Plan Review Fee $ C
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
• a
OFFICE of the INSPECTOR of BUILDINGS
t
Page �3 Plot � 2 ��` APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
• AT (LOCATION) ` , �' t i � � i i DISTRICT—
LOCATION (NO.) (STREET)
OF BETWEEN ( s d i i c. i AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION lkl� tf �- ��� I)'` , LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 ...New building Residential Nonresidential
2 ❑ Addition(It residential, enter number 12 jg One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Past D, 13) 13 ❑ Two or more family — Enter 19 ❑J Church, other religious
number of units— — — — -� 20 ❑ Industrial
3 F-1 Alteration (See 2 above) 14 Transient hotel, motel,
4 F:] Repair, dormitory Repair, replacement ❑ y — Enter number �� Parking garage
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)
17 ❑ Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 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,,,,,,,,,,,,,,,, �`^ t 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 $
111. 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 .J;�j 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. ........... R
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
351�Gas Will there be central air 52. Outdoors........................
conditioning?
36 ❑ Oil 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 Yes 47 No bathrooms
Partial....... i`II
DEPT. OF BUILDING INSPECTIONS
212 Main Street BUILDING
Northampton, MA 01060 PERMIT
JOB WEATHER CARD
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) DISTRICT
(N0.) �a (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:
AREA OR PERMIT
VOLUME ESTIMATED COST .$ FEE $
(CUBIC/SQUARE FEET)
OWNER BUILDING
ADDRESS BY
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP-
. PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED
FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR
ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND
I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
B ILDING INSPECT APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
I ` -9 7 FF f 1 1
U 0
OTHERC 2 2
/ 7
7
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD
INSPECTOR HAS APPROVED THE VARIOUS CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE OR WRITTEN NOTIFICATION.
PERMIT IS ISSUED AS NOTED ABOVE. P 1.1 II P
DEPT. OF.BUILDING INSPECTIONS BUILDING
212 Main Street Oa
` Northampton, MA 01060 PERMIT
36 - 89 - 90-5 VALIDATION
DATE March 18, )g 88 PERMIT NO. 135
APPLICANT Neil Homstead ADDRESS 407T5 Farms Roa ore 031249
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF +1
PERMIT TO NPw RI I i 1 ri i nn (_) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEM NT) NO. (PROPOSED USE)
AT (LOCATION) i of #5 Maple Ridge Road ZONING
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROP! 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: normi% fnr a zinnia family dwP11ing/2 floors/no garage/permit for the foundation already
taken out 11/19/87
AREA OR 1900 sq. ft. ESTfMATED COST $ 90.000.00 PERMIT $ 551 .20
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant, �+s'
ADDRESS Same as pp scan s BYy
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY rixf` P