28-012 (3) ZONING
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NOTES and Data — (For department use)
17, 1,
j
a
C
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
2. Builder's
4 G��G L�Gfj C' d License No.
Contractor � Y 9'6.2;2-
3.
Architect or U,
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 applicant Address Application dote
— K7
00 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Dote Number B
Obtained y pp 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 ??�} Z FOR DEPARTMENT USE ONLY
Permit number 3 l J
Building -� Use Group
Permit issued 19
Building a Fire Grading
Permit Fee $ �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: ^
Drain Tile $ !�►n
Plan Review Fee $ G :Gcb
TITLE
CITY OF NORTHAMPTON
�. .$ ♦ MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
�, Page Plot f, APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
y� 9r/tl /d ZONING
�/G
I• AT (LOCATION) -//-.(r DISTRICT
LOCATION IN 0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A - D A
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
in Part D, 13)
number of units- - - - 20 L❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -i 22 ❑ Service station, repair garage
enter number of units in building in 15 Garage 23 F-1 Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
17 her - Specify W
�� s
6 ❑ Moving (relocation) -5/_6If�C�r 25 Public utility
7 �❑ Foundation only _ 26 L School, library, other educational
B. OWNERSHIP 5N 26
27 L Stores, mercantile
8 Private (individual, corporation, 28
Tanks, towers
❑
nonprofit institution, etc.) 29 L❑ Other - Specify
—
nonprofit
❑ 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....................... jj , r / ^ r
vf,
b. Plumbing .....................
c. Heating, air conditioning.......... ^
d. Other (elevator, etc.)............. /}
11. TOTAL COST OF IMPROVEMENT $ 7
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
48. Number of stories.........
30❑ Masonry (wall bearing) 40 Public or private company
31 (PWood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, r
all floors, based on exterior
32 ❑ Structural steel dimensions .................. G
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ..........
34 ❑ Other - Specify 42 ❑ Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
conditioning?
36 ❑ Oil _ L. RESIDENTIAL BUILDINGS ONLY
37 C� Electricity 44 [—] Yes 45 L/No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify I1 Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 Na bathrooms
Partial.......
a DEPT. OF BUDDING INSPECTIONS BUILDING z°-
212 Main Street oa
Northampton, MA 01060 PERMIT
L8 - 12 VALIDATION
DATE June 22, 87 PERMIT NO. 393
APPLICANT ADDRESS Y
Bernard Blakesley ��ter Road Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Demolition/New Bui ld�ng ) STORY 2 Car Garage DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
272 Sylvester Road ZONING RR
AT (LOCATION) Y DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 30 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the demolition of existing garage and 2 stoda e sheds attached. Also to
re ui a new etached 2 car garage. Informed Building Dept. no active hook-ups in
structures dE?molishing C
AREA VOLUME new 720 sq. ft. garage ESTIMATED COST � 5,920.00 FEEMlT 24.00
(CUBIC/SQUARE FEET)
e
OWNER Same as Applicant
ADDRESS
Same as Applicant's BYILD
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY pjNT"P