28-020 (2) ZONING •
DISTRICT
FRONT YARD
REAR YARD
i NOTES
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IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, sheet, city, and State ZIP code Tel. No.
L7oAAL o 3. c N!L o s -700 YA�v R D. F.coiPE�uzc, �� O t v v
Owner or
Lessee I
2. (.44RL.E8 Ali /KILL d� Y� f2p (�La (Z£tVC=$(V — LicenserrNo.
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.
Signot a 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
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate ate
Permit or Approval Check Obta ned 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 FOR DEPARTMENT USE ONLY
Permit number
Building ''Use Group
Permit issued 19�
Building Fire Grading
Permit Fee
$ c �+ Live Loading
Certificate of Occupancy $ occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of th INSPECTOR of-4UILDINGS
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) 700 ' `�+�/'� ' `c/ ZONING
DISTRICT(
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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
u 12 Q One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family - Enter 19 n Church, other religious
number of units- - - - -� 20 Industrial
3 ® Alteration (See 2 above)
14 Transient hotel, motel,
4 D Re air, re lacement - 21 C� Parking garage
p p or dormitory - Enter number
5 ❑ Wrecking (I(multifamily residential, of units ------- - -i 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 25 Public utility
7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 )r Private (individual, corporation, 28 n Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
90 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,,,,,,,,,,,,,,,, 2-55
coo 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..................... r
1
b. Plumbing ......................
c. Heating, air conditioning........ o Q t
�\✓ate 'i_
d. Other (elevator, etc.)............. kJ
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUILDING — For new build ngs and additions, complete Par s — 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 E] Public or private company 48. Number of stories.................
31 Wood frame 41 L✓ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel �ensions ..................... �6U
H. TYPE OF WATER SUPPLY
33� Reinforced concrete �
34 Other - Specify 42 Public or private company 50. Total land area's q:'ft: o�
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 D Gas Will there be central air 52. Outdoors........................
36 Oil conditioning" _ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 [—' Yes 45 _V_ No 53. Number of bedrooms..............
38 Coal
39 n Other - Specify Will there be an elevators Full.......... I
54. Number of
46 F] Yes 47 'Llo bathrooms
Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING ZD
! 212 Main Street 04
Northampton, MA 01060 PERMIT
VALIDATION
28 - 20
DATE 19 PERMIT No. 401
APPLICANT Donald J. Childs ADDRESS 700 yNn Owner
(NO.) (STREET) (CONTR•S LICENSE)
Addition One Fami 1 Dwel l in NUMBER of
PERMIT TO (_) STORY y g DWELLING UNITS
(TYPE Of IMPROVEMENT) NO. (PROPOSED USE) C
AT (LOCATION) 700 Ryan Road DIISTR CT JR
(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: space
1032 sq. ft. . Also to add 216 sq. ft. onto existing first floor
VOLUME 1 ,248 sq. ft. added total ESTIMATED COST .$ 25,000•00 PERMIT $ 206.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS Same as Applicant's BYI
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p}NT p