12C-087 (8) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE 'rte •, .
• • PLOT PLAN For Applicant
........................°,----------------------- . ....
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I I 1 0 me 11999M.1 -1----------------
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 W) t::A c% /� �/ ' 4�✓✓fit � �U d� 1 .7L1 .
Lessee
1. ( 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
r� 3- .
%6 7 5 � `
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
9 Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date
Obtained 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 1 FOR DEPARTMENT USE ONLY
Permit number
Bui[ding Use Group
Permit issued 19 —
T Fire Grading
Building l
Permit Fee $ ! �' � Live Loading
Occupancy Load
Certificate of Occupancy $
Approved by:
Drain Tile $ �. •
Plan Review Fee $ W
TITLE
CITY OF NORTHAMPTON
g• MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
LT �
a Page Plot irn APPLICATION FOR
INSPECTOR �`� C, g 7 ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, I1, 111, IV, and IX. O
� f C z< /1 y J-^'r DISTRICT
ZONING
I• AT (LOCATION)
LOCATION (NO.) ( THE T)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET) �r
LOT
SUBDIVISION LOT BLOCK SIZE/GrD�rJ Sys r
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 fomily - Fnter 19 Church, other religious
3 Alteration (See 2 above)
number of units- - - - -� 20 �� Industrial
❑
14 Transient hotel, motel, 21 Parkin ara
4 L] Repair, replacement or dormitory — Enter number J g g ge
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 ❑ Moving (relocation)
17 ❑ Other - Sped/y 25 ❑ Public utility
7 ❑ Foundation only
��// 26 ❑ School, library, other educational
B. OWNERSHIP �V F- -z> 27 L Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
9 L❑ 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 of hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, /door 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 .y- (� j
a. Electrical....................... t= J
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevotor, 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
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories................
31 Wood frame 41 ❑ Private ( ti tank, etc.) 49• Total square feet of floor area,
L t___ all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
Specify 42 ❑ Public or 50. Total land area, sq. ft. ...........
34 Other — p fy private company
43 ❑ Private (well, interAn)( K. NUMBER OF OFF-STREET
61 fV PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 'L❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
/ L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity - 44 Yes 45 No
53. Number of bedrooms..............
38 ❑ Coal
39 ❑_ Other - Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 bathrooms
�( ` Portial........
DEPT. OF BUILDING INSPECTIONS BUILDING Z° l � /
212 Main Street 0
Northampton, MA 01060 PERMIT <a
12C - 87 VALIDATION
DATE 19 PERMI NO. 201 -
APPLICANT James & Anna Shea ADDRESS 7 unse Ave. dmherst s
(NO.) (STREET) (CONTR'S LICENSE)
Tool Shed NUMBER OF
PERMIT TO New Building (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING XX URA
AT (LOCATION) 28 Rick Drive DIISTR CT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY 12 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 tool shed
AREA OR 216 sq. ft. 1 ,000.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE .$
(CUBIC/SQUARE FEET)
OWNER Saime as Annl i rant I S
BUIL J/
ADDRESS Same as Annl i rant l c BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY pjNT p