36-266 (3) VIII. ZONING PLAN EXAMINERS NOTES
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
t a 3jq
DEPT. OF BUILDING INSPECTIONS BUILDING
212 Main Street
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
(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:
AREA OR PERMIT
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) ,y
OWNER BUIL115ING DEPT.
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
1. 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
MEMBERSIREADY TO LATH). FINAL INSPECTION HAS BEEN MADE.
3. FINAL INSPECTION BEFORE
OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMB NG INSP TION APPROVALS ELECTRICAL INSPECTION APPROVALS
� t
i� n
OTHER 2 Z
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'iNiBN P
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
J,�_� 6-) A( sib-ars.T
Owner Or 1 /
Lessee // e r�4 ej ) �j p�
2.
Oh'&-j— �S'�Z I+J J J`' V\'cR (�2V� �0' Builder's SPY—/Zzy
j'O License No.
Contractor
0106c X1`70
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
F ke t plication as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
re applicont Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtai ed Number By Permit or Approval Check Obttatned 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 MC)Ll�T 19 _
Bui Iding �b `
Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
%I
ITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
Page Plots-' - APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in`sections: 1, 11, 111, IV, and IX. O
• Z PV C-0 � t 1 �"� 1
ZONING
AT (LOCATION) �� jr`�'l.� � �Rir///lll ��, �_� #� ` DISTRICT
LOCATION ="%�� Tea (STREET) r�MI � rte`
OF BETWEEN ' AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
I.I. 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 4 New building Residen I Nonresidential
2 ❑ Addition(IJ 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 Transient hotel, motel,
21 C_] Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- — 22 L� Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 C] Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 �] Moving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNER IP 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
10. Cost of improvement,,,,,,,,,,,,,,,,
�1 processing plant, machine shop, laundry building at hospital, elementary
rY '�, 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 s
a. Electrical..................... �J
b. Plumbing .....................
c. Heating, air conditioning.......... 0
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $���� L)
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❑ M sonry (wall bearing) 40 ❑ Public or private company 48. Number of stories............... r_
31 V Wood frame 41 Private (septic tank, etc.) 49. Total square Feet of floor area,
all floors, based on exterior J's 32 ❑ Structural steel dimensions ..................... J
33 ❑ Reinforced concrete H. TYPE 000 WATER SUPPLY
34 ❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... y2t 1 /4�(Yq
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES 2
51. Enclosed ....................... ti/
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 �as Will there be central air 52. Outdoors........................ Z/
conditioning?
36E] Oil L. RESIDENTIAL BUILDINGS ONLY '
37 �❑ Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 C] Other — Specify Wi II there be an elevator? Full..........
54. Number of
46 Yes 47 bathrooms
Partial.......
a DEPT. OF BUILDING INSPECTIONS BUILDING 'a .4 -)212 Main Street
Northampton, MA 01060 PERMIT
36 - 266 VALIDATION
DATE XDoggg_ 45 ' ery i ce ender TRd°.' 91 bt9tt3
APPLICANT Oliver Iselin ADDRESS
(NO.) (STREET) (CONT R'S LICENSE)
PERMIT TO New Building (_) STORY One Family/Garage DWELLRNG OF UNITS +1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
Lot#21/House #223 Maple Ridge Rd. DIISTR 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 SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permi t for the construction of a new single family dwelling/2 floors/garage
VOLUME 3800 sq ft• ESTIMATED COST 0 000 00 FEEMI 1057.00
(CUBIC/SQUARE FEET)
OWNER Rohert & Judy Steinberg BUIL ING DEPT.
ADDRESS _ 63 Bay! Rd. . Hadley. Mass. 01035 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pINT IIP