38B-229 (5) -VilL ZONING PLAN EXAMINERS NOTES
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SIDE YARD SIDE YARD
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or '
Lessee
Builder's
2. License No.
Contractor
3. { C @� / �O►V
Architect or
Engineer 9V Or
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 Appli ation date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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 FOR DEPARTMENT USE ONLY
Permit number
Bui(ding. _'S' 19 Z Use Group
Permit issued
Building Fire Grading
Permit Fee � .• ��
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ed by:
Drain Tile $
Plan Review Fee $ �!
TITLE
CITY OF NORTHAMPTON
�� .� MASSACHUSETTS
r
yy "" OFFICE of the INSPECTOR of BUILDINGS
'"'
a Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete a// items in sections: 1, 11, 111, IV, and IX. ^ O
I �/1'J e�.� A �.r / O A ZONING
AT (LOCATION) WS �'�`V��+ ZONIN Cr�'I
LOCATION IN (STREET)
OF BETWEEN " AND /
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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>One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — 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 El Moving (relocation) p
17❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ 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
,e processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•,,,,,,•,•,,,,,, / 5-0(i 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;Roo
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 ® 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 .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
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 j
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 'r
35 ® Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 �j Electricity 44 D es Y 45 W No
53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full.......... 2
54. Number of
46 [_1 Yes 47 V No bathrooms Partial........
a1? ./ rv -
E rfi. �a „.
Vv IDAT10
�s
PER IT,
APPLICA D
x" (NO 1444. T) (CONTWnNS
IPERMIT hlt ( 1LtL6i'�t ( Y DWELLIN UNITiSith
(TYP QF'.fMPIROVEMENT) N0. fP POSER LSE1 '
.., ZONING
AT (LO ON)' DiSTRIG7
" .(NO. (#TREET) x
t'BETWEt� AND(CROSS,STREET) (CR S STREET)
SUSt#i ?AN SLOT STOCK `
BUILoilNC' TO BE_�,�FT. WFpE BY FT. LONG 8Y - FT. IN NIGHT AND fiNALL"CONFORM Iq CONSTRUCT{ON
,
TO 1
TYPE USE GROUP SEMEA#T WALLS O(# FOUNDATION
lT #
REMARK
b 'i > x al to',VA teb , to*
t ty
AREA IR
VOLUME EST T T
yT•+ 1CU81C/SQUARE FEE j F... w.w..
OWNER fi� lAllia dood
BUI
ADORE .k BY
1+IH 1 FILE '�",,Y'• -GREEN F E D COPY • CANARY APPLICANT COPY • P1 N S£SSORS COPY
DEPARTMENT OF BUILDING INSPECTIONS
212 MAIN STREET BUILDING Z_ , .,� ���'
NORTHAMPTON, 94A. 01060 O<
PERMIT
38B - 229
VALIDATION
DATE FPhrnal:y 5i 19 82 PERMIT NO. 43
APPLICANT ■Rt.ephen nemgki ADDRESS 65 Fairview Ave.
(N0.) (STREET) (CONTR'S LICENSE)
- PERMIT TO NUMBER OF
Alteration (�) STORY Residence DWELLING UNITS �
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
FA 7 A-yPnit ZONING 1788
AT (LOCATION) _ 6.5 .�.T�C'w a DISTRICT
(NO.) (STREET)
BETWEEN South AND Fort Bill
(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: -Add mud room, re-o3ratis orrh araa to breakfast nook, chAn&P II= ntry tT a bath-
new bay window in living room, renovate kitchen, new foundation under existing
2 story porch.
AREA OR
VOLUME ESTIMATED COST $ 7 FEEMIT $ 32_00
(CUBIC/SQUARE FEET)
OWNER Stephen Demski BUI
ADDRESS 6S Fairview Ave., Northampton,Mme. 01060 BY
WHITE - FILE COPY GREEN - FIELD COPY n CANARY - APPLICANT COPY • PINK - ' SESSORS COPY