28-018 (5) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD
SIDE • .
REAR YARD
NOTES
IX. SITE OR •
loom
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants .�
Name Mailing address — Number, stmt, city, and State ZIP code Teel. 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
m ke this application as .his authorized agent and we agree to conform to all applicable lows of this jurisdiction.
Si n lure of applicant Address Application date
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
9 Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ae )ate
Permit or Approval Check ObDtat ed Number By Permit or Approval Check Obtai ed 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 1986
Building / Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occu oad
appr a by: �/�'�
Drain Tile $
Plan Review Fee $
TITLE
'"t a 6� CITY OF NORTHAMPTON
�"� �� MASSACHUSETTS
"' OFFICE of the INSPECTOR of BUILDINGS
� Page Plot Zz APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) (i",� � i DISTRICT_
LOCATION (NO.) (STOEE T)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 ❑ New building Residential Nonresidential
2 Addition(if residential, enter number 12 JZ One family 18 ❑ Amusement, recreational
of neru housing units added, if any,
in Part D, 13) 13 Two or more fomily — Enter 19 ❑ Church, other religious
number of units— — — — -� 20 �� 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 ——————— — -- 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 — Specify �/t/Q� 25 ❑ Public utility
7 L] 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•,•,•,•,,•,,•,,, 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 $ 'Y6. e
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❑❑ Masonry (wall bearing) 40 0 Public or private company 48. Number of stories................
31 ZWood frame 41 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. ...........
4�Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 E Gas Will ere be central air 52. Outdoors........................
36 Oil conditi ng?
_ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 r� No
D --- . 53. Number of bedrooms..............
38 ❑ Coal
39 �� Other — Specify Will the be an levctor? Full.........
54. Number of
46 11 Yes 47 ❑ No bathrooms
Partial.......
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
j.
FIELD COPY
DEPARTMIT OF BUILDING 11IMCT ONS
212 MAIN STRUT BUILDING
4 WRTHAmnm v MA, 01060
PERMIT
28 - 18
DATE Nevember do 1980 PERMIT NO. 660
APPLICANT Josapb VA me l s ADDRESS 203 Sylvester Rd,
(NO.) (STREET) (CONTR'S LICENSE)
1,, NUMBER OF
For W 1
PERMIT TO E a. .nYp ( ) STORY od_bUrnin stove DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING
AT (LOCATION) r R d DISTRICT
(NO.) (ST
rn BETWEEN AND
ip (CROSS STREET) (CROSS STREET)
rn
LOT
a SUBDIVIS7ON L T_ BLOCK SIZE
m
U BUILDING FT®ROU FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O 0 TO TYPE USE BASEMENT WALLS OR FOUNDATION
(TYPE)
f
0 REMARKS: Timatmi l tale�et hurnin$ nye in axia.t,'ng chimIIey --
AREA OR $56,00 FEEMIT 10,00
VOLUME ESTIMATED COST .
(CUBIC/SQUARE FEET) j
OWNER .Iospeb W. Vaznis BU P !
ADDRESS 203 Sylvester Rd,x NorthmMton, Ma, 01060 BY
mow
At li
) hereby certify that the proposed work is authorized by the;ownfier or record
and I have been authorized by the owner to make this application as hjs-
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) ($TREET) (CITY!)
,. , • .-
APPROVED BY TITLE
DATE 19
i
ye ,
I
_
DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS Zo
312 MAIN STREET Bt11LDlIGajo.
NORTHAMPTON MA, 01060
28 - 18 PERMIT VALIDATION
DATE November 4. 19 RO PERMIT NO. 660
APPLICANT jeseph :, voyal s ADDRESS 201 Sylvester Rd,
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ( A) STORY For Wood-burning QtOV@ DWELLING UNITS
OF IMPROVEMENT) N0. (PROPOSED USE)
AT (LOCATION) 703 tP ZONING r Road DISTRICT RR
(N0.) (STREET)
r BETWEEN AND
T
(CROSS STREET) (CROSS STREET)
L LOT
a SUBDIVISION LOT BLOCK SIZE
E
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I
Ir (TYPE)
O
L- REMARKS: �*+��8�1—TeTOOd—burniel�st03je in ex{gfiin&chimney.
AREA OR $ $56,00 FEE 10,00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER JoSPeh W. vaznts
ADDRESS 203 STty�ater Rd hamnton- Ma, 01060 ev
(Affidavit on reverse side of application to be completed by authorized agent o owner)