28-020 (3) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name qq Mailing address — Number, street, rtiv, and State ZIP code Tel. No.
1. ,..`. ,VwAs �t ,'�
Owner or C)Lo" • " ��
Lessee
�p Builder's
2• �G'/`0r`t�— 1 U� S 6^" Ss . 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
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signet a of applicont Address Application date
.. :La 44-4, ter; l�1 f3 IS
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plops Review Required Check Plan Review Date Plans BY Date Plans B Notes
Fee Started Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
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 N b
Obtained Y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
+J—
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
Bui Iding. ?
Permit issued _ 3t 19 use Group
Building Fire Grading
Permit Fee $ �d • oU
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr d by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
!Y T
Page °�r1 Plot Zd APPLI CATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT//���'— Applicant to complete all items in sections: I, 11, Ill, IV, and IX. C ZONING
I• AT (LOCATION)
�"/ DISTRICT
LOCATION IN 0.) REETI
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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
1 F-� New building Residential Nonresidential
2 Addition(1/ residential, enter number 120 One family 18 D Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 130 Two or more family — Enter 19 Ej Church, other religious
number of units— — — — --0- 20 Industrial
3 Alteration (See 2 above)
14 D Transient hotel, motel,
❑ Repair, replacement y 21 Parking garage
4
or dormitory — Enter number
5 ❑ Wrecking (If multi family 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 F—] Carport 24 Office, bank, professional
6 ❑ Moving (relocation) F-1 25 Public utility
17 Other — SpeciJy
7 F--] Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 F-1 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 0 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................ S .SV CDC)� 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 I e of existing building is bein changed, enter proposed use.
in the above cost 0+��
a. Electrical..................... r
b. Plumbing ..................... l l� 25 �O tl
c. Heating, air conditioning......... /
d. Other(elevator, etc.)............ _
11. TOTAL COST OF IMPROVEMENT s 5v o tj` r
III. SELECTED CHARACTERISTICS OF BUILDING — For neJ 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...............
49. Total square feet of floor area,
31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior
32 F-1 Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 D Public or private company 50. Total land ores, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n Yes 45 I No 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an elevators 54. Number of Full..........
46 n Yes 47 O No bathrooms Partial........
�, . .__r _ .. .,. a�
a, .. , .
,�
DEPT. OF BUILDING INSPECTIONS BUILDING Z° { ��i� • C
212 Main Street o<
IL
Northampton, MA 01060 PERMIT a
29 - 20 VALIDATION
DATE October 3, 19 85 PERMIT NO. 584
APPLICANT Florence Pools ADDRESS o�l
(NO.) ISTREET) (CONTR'S LICENSE)OF
PERMIT TO Addition (_) STORY IngroLlTld Pool DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 29 Hickory Drive D STR CT(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
POOL
X� IS TO BE 18 FT. WIDE BY 36 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. permit for the installation of an inground pool with a 4' fence with locking gate
AREA OR 648 sq. ft. ESTIMATED COST $ 5,000.00 PER FEE
� 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER
Thomas J. Lippie, Sr.
Zc ory rive, Norttiampton, Mass. Q1U Sul �f�Aff
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PINT NP