29-529 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
Ir
3S l�
Conditions: Driveway Permit
In lieu of plan approved by City Engineer
I agree to the following added conditions:
1) I will contact the Department of Public Works and have
an inspector check and approve the graded gravel base
prior to paving to insure compliance with slope and
location;
2) I further agree that if in the inspections any of the
permit conditions are not met that I will at no expense
to the City remove and replace the driveway as directed
by the City Engineer.
J
4Z
etitioner
NOTE: The Public Works Department recommends that you provide a
plan showing the proposed driveway with grades and location
in the future to avoid possible expense which you will incur
by not getting approval of actual plans in advance.
i
CITY OF NORTHAMPTON, MASS.
March 26, 19 87
THE BOARD OF PUBLIC WORKS
The undersigned respectfully petiition your honorable body for
Permission to install driveway at lot 23, 13 Gregory Lane
Fifteen (15) foot maximum width at the street line. Gutter drainage not to be
disturbed. All drainage shall be directed off the driveway surface to
adjacent land and not on the existing roadway. Driveway surface to be
paved if the grade of the proposed driveway exceeds 3% or more.
J
By:
. u ette
65 Whiteloaf Road
Proposed Location
Inspected by:
George Andrikidis
Gravel Base Grade
Inspected by:
Final Approval:
THE BOARD OF PUBLIC WORKS
Voted that petition be granted.
Paul 0. Hadsel, Director of Public Works/
City Engineer
(SUBJECT TO ATTACHED CONDITION 1 & 2)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and StateZIP code Tel. No.
owner or
Lessee
Builder's
2. License No.
Contractor
A IL
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.
Signature of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIE RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans y Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER $
I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained 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 OR DEPARTMENT USE ONLY
Permit number _
Building Use Group
Permit issued 19 I
Building
File Grading
Permit Fee $ ��D�• C:�(� Live Loading
Certificate of Occupancy $ occupancy Load
Drain Tile $ Approved by:
Plan Review Fee $
TIC LE
aCITY OF NORTHAMPTON
�. MASSACHUSETTS
$ 1 OFFICE of the INSPECTOR of BUILDINGS
a Page ,. � Plot�� �� _t APPLICATION FOR
Y T
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete a// items in sections: 1, 11, III, IV,
I,
IV, and IX. ' o
ZONING
AT (LOCATION
) Z-0 IL DISTR CT
LOCATION (NO.) '
(STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
11. 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, LVNJ
in Part D, 13) 13 Two or more family - Enter 19 L❑ Church, other religious
number of units- - - - --f 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 Transient hotel, motel,
4 ❑ Repair, replacement 21 ❑ Parking garage
p p 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 22- l 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 ❑ Private (individual, corporation, 28 ❑ Tanks, towers
'CJ 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
oO d processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ �G 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 tz �T(;1(�
a. Electrical..................... J
b. Plumbing ..................... o e d
c. Heating, air conditioning.......... ov o
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
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 1
30 ❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories..............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ..................... 6 T
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY f-^C��
34 ❑ Other - .Specify 42 Public or private company 50. Total land area, 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 D Yes 45 No 53. Number of bedrooms.............. ,
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevators Full..........
54. Number of
46 r 1 Yes 47 i- No bathrooms
` � Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING z D
212 Main Street o4 ,36
Northampton, MA 01060 PERMIT <a
28 - 33-23 VALIDATION
DATE June 1 . 19 87 PERMIT NO. '12a /�
APPLICANT ��Al11PC F RnVIt- ADDRESS 266 WPSt "rms Read +dH Ft h
(NO.) (STREET (CONTR'S LICENSE)
New Building One Family/Garage DWELLRNG UNITS +1
PERMIT TO (_) STORY
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING IID Q
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:
UPSTAIRS
AREA OR 79,000•00 FEE MIT 361 .00
VOLUME 864 $q. ft./308 $q. ft. garage ESTIMATED COST .�
(CUBIC/SQUARE FEET)
OWNER Same as Applicants
ADDRESS
ame as Applicant's BYILDI �
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNT P