29-520 (2) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
cJ0 3( [S-.
oc,4 x ,;c)
C/
.71 �
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
' vsri E'� .0. O �s r l 27 2
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
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
Avin-a 60as> ,6(iZ' z4; sflac .,
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved �Y Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
I
OTHER $
I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dote Dote
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 ' f FOR DEPARTMENT USE ONLY
Permit number "'--('
Building Us'e Group
Permit issued _�` �� ��- 19
Building Fitie Grading
Permit Fee $ Li✓(e Loading
Certificate of Occupancy $ Oc uponcy Load
Approved by:
Drain Tile
Plan Review Fee $
TI LE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
d OFFICE of t INSPECTOR of BUIL INGS
Page e Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, 1V, and 1X. o
ZONING
AT (LOCATION)_ � / TA B / DISTRICT
LOCATION INC.) STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vt
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(1 residential, enter number
f 12 One family 18 E] 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- - - - --)P. 20 n Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
21 Parking garage
4� Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (it multifamily residential, of units ------- - --� 22 ❑ Service station, repair garage
enter number of units in building in 15 Garage ,��D 23 n Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professions!
60 Moving (relocation)
17 Other - Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8X Private(individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
9 D 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 Is
111. 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 Public or private company 48. Number of stories..............
Total square feet of floor area,
31 Wood frame 41 Private (septic tank, etc.) 49. all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — .Specify 42>C 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 Yes 45R No
- - 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator? Full..........
46 r 54. Number of
l � Yes 47 1k No bathrooms
Partial........
DEPT. OF bUILDING INSPECTIONS BUILDING ° `r
212 Main Street 0< 4
Northampton, MA 01060 PERMIT
28 - 33-19 VALIDATION
DATE January 5, Ig 87 PERMIT NO. 4
APPLICANT A. Austin Weidhaas ADDRESS P.O. Box 615, Easthampton 042622
(NQ.1 (STREET) (CONTR•S LICENSE)
PERMIT TO New Building (_) STORY Single Famil Y Dwelling NUMBER Of +1
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Lot #19 Tara Circle ZONING URA
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:permit for the construction of a new single family dwelling with 2 floors
AREA OR E
VOLUME 1728 sq. ft._ ESTIMATED COST � PERMIT $ 506.00
(CUBIC/SQUARE FEET) ,
OWNER Same a,; Applicant - - '. "-4 BUI PT �
ADDRESS Same as Annllcant'S BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - SSESSORS COPY PINTS P