32A-266 (3) ZONING •
FRONT DISTRICT
r
SIDE r SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. y o.
Owner or
Lessee
L.
Bui lder's
�. Jt'� C' ��,y �)/�%c�'r �' .� r o y. 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
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started Y Approved BY Notes
BUILDING
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Obtained
ned Number By
Obtained Y PP
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
Permit number
FOR DEPARTMENT USE ONLY
Building.
Permit issued lq Use Group
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Approved by:
Plan Review Fee $
T
o CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page �� Plot t e . APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, 1V, and IX. O
ZONING f' ,L
I• AT (LOCATION) `�-. •� � _�-" -F "` � '�G � DISTRICTS/-�Jtt
-/�--
LOCATION NO.) (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 Resi'ential Nonresidential
2 Addition(1/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 lSee 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 waits in building in 15�
Part D, 13) Garage 23 Hospital, institutional
` .c `i "'�
6 Moving (relocation)
16 Carport 24 Office, bank, professional
�
17 Other — Specify 25 Public ut'il'ity
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
]
Xnonprofit 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
/- rocessing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, l/. l 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.).............
>j
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
........
30 Masonry (wall bearing) 4040-,X- 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 Qn exte�tor y /
32 Structural steel dimensions
33 C� Reinforced concrete H. TYPE OF WATER SUPPLY
r— 50. Total land area, s ft.
34 f� Other — Specii�- 42 Public or private company q' """""'
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRRRCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .....................
351 Gas Will there be central air 52. Outdoors...........
e- .......
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45vNo
�- 53. Number of bedrooms......�.......
38 J Coal
— S ccr Will there be an elevator
39I � Other 1 1"y Full..../.`.....
54. Number of
46 ! Yes 47 No bathrooms
_ Partial.. ...
hereby .certify that the eproposed work is authorized by the ;owner of record
and I have been authorized by the owner to make this applicdt'ioh 'as his
authorized agent.
SIGNATURE OF AGENT
rr
ADDRESS
(NUMBER) (STREET) (CITY)
f
APPROVED BY TITLE
i
DATE 19
04/
DEPT. FILE COPY
'DEPARTMENT OF BUILDING INSPECTIONS BUILDING
ZO
212 VAIN STREET
NORTHPTON, MA. 01060 PERMIT
AM VALIDATION
32A - 266
DATE S Ptember- 14-19 80 PERMIT NO. 4$2
APPLICANT Donald Si r C1ii4mette ADDRESS ay
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ( ) STORY DWELLING UNITS
(T ". h. .-ENT) N (PROP SE E)
ZONING
AT (LOCATION) Butler R1 roe DISTRICT 11R_r _
(NO.) (STREET)
o. BETWEEN AND
b (CROSS STREET) (CROSS STREET)
W
LOT
SUBDIVISION m SUBDIVISION T BLOCK SIZE
a
U BUILDING IS TO BE 70 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
W
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
R
° REMARKS; ConV@rt existing storage garage to single-family dwelling
Wood frame, gas heat, public sewage disposal and water supply,
3 bedrooms, 1 full and 1 partial bath.
AREA VOLUME URIC/ ESTIMATED COST � 90.000 FEE MIT 30.00
SQUARE FEET) �,
OWNER Donald F 01,4matte
BUILD G D�
ADDRESS Spruce Carmery.._.Ashfield., Ma. BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)