12C-089 (4) VIII. ZONING PLAN-EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE 'D
REAR YARD
NOTES
IX. SITE OR PLOT PLAN For
•----- ----------------------------------------Applicant--- ----------
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee •• J (/�`/�'P ,
- ° Bui Ider'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
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re wired Check Plan Review Date Plans By Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obta ned Number By Permit or Approval Check Obtat�d 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
II. VALIDATION
Building ,: FOR DEPARTMENT USE ONLY
Permit number
Bui Iding. Use Group
Permit issued 1j
Fire Grading
Building
Permit Fee $ ,A al!�;, Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,VT Page � Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11,,^111, IV, and IX. O
r /J _
ZONING C �' `T-
AT (LOCATION)
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 Residential Nonresidential
2 ❑ Addition(if residential, enter number 1 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
hotel, l
3 ❑ Alteration (.See 2 above) 14 Transient ote , mote ,
❑ 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 23 Hospital, institutional
Part D, 13) ❑
6 ❑ Moving (relocation) 16 Carport 24 �❑ Office, bank, professional
17 E] Other — Specify _ ? )' " ' 25 ❑ Public utility
7 El Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP t 1)9 X q 27 ❑ Stores, mercantile
B Private (individual, corporation, 28 ❑ Tanks, towers
p ) 29 El Other — .Specify
nonprofit institution, etc.
9 ❑ 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.
7'o 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 $4 7o� GtU
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 ❑ Masonry (wall bearing) 40�Public or private company 48. Number of stories................
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 Public or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
353<�Gas Will t re be central air 52. Outdoors........................
36 C Oil ccnditio g?
_ _ L. RESIDENTIAL BUILDINGS ONLY
45 No
Yes 37 Electricity 44 Y
❑ -- 53. Number of bedrooms.............. J
38 ❑ Coal
39 Other — Spr,cify Will t re be an ele tor? Full..........
54. Number of
46 C_� Yes 47 No bathrooms
Partial........
DeTiartment of Building; Inspectior..s
2ii Main Street
BUILDING zo
Igor tb p € t ? f a r'� I f}. (V
89
PERMIT a
VALIDATION
DATE May 17s V$,-82-- "PERMIT NO. 195
APPLICANT 20-408 -T�• 0fC83:Cjk ADDRESS 19 R4r-k Drives
(NO.) (STREET) (CONTN'S LICENSE)
NUMBER OF
PERMIT TO ( _) „STORY A13O S DWELLING UNITS �
TYPE OF P OVEMENT) N0. (PROPOSE�USE)
1Q sk Dr4y ZONING U
AT (LOCATION) �aJ.n - !� 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: p 9
241 X; 4* � ,
AREA OR
VOLUME ESTIMATED COST $ 1728„80 FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER a,m� rjan Of1CacPw4IR '"
BUILDING D
ADDRESS
19 Rick briyer RI-cl"9�'�ence� �4• I,}1 60 BY
WHITE - FILE COPY . GREEN - FIELD' COPY ■ CANARY APPLICANT COPY PINK - ASSESSORS COPY
r
Department of Building Inspections
212 Main Street ZD
Diortt> pton, Ma. 01060 BUILDING O a /
12C - 89
PERMIT �a
' VALIDATION
DATE May 17- 19 A2 PERMIT NO. 195
APPLICANT Roee�m,aZy r•. Qfcarcik ADDRESS_ 19 Rick Drive
INO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
o n DWELLING UNITS 1
PERMIT TO (�_) STORY Abo�re�ronnd 001 -
TYPE F PROVEMENT) N0. (PROPOS�USE)
ZONING to
AT (LOCATION) �9 Risk Drive 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: Tinst'Al l Ation Af Ahnvp ground swimmingu nel 2 minimum of 4' ft fence
24' X 4•
AREA OR $
VOLUME ESTIMATED COST $ 1728.00 FEEMIT 10•00
(CUBIC/SQUARE FEET)
I-)
OWNER G3--n Of--zc4k BUILDING D T.T.P
ADDRESS —� C s s� V®f—�1A�OSC4TX, 01060 BY
y J
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - ASSESSORS COPY