17C-022 (5) ' Vill. ZONING PLAN EXAMINERS NOTES
USE
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SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, anrf State ZIP code l. No.
Owner or
of
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.
Signat e f a Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or Approval I Check Date Number B
PP Obtained y pp Obtained 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
Bul Iding- �4 Use Group
Permit issued „V 4 19��
Building Fire Grading
Permit Fee $ //. Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITL
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
'"' Page y '' Plot -�-- APPLICATION FOR
INSPECTOR //
(`7 C, ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
-
I• AT (LOCATION) /_ -e A� / f / ❑TR CT r
LOCATION O•) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 14KLOne 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, ❑
4 ❑ Repair, replacement 21 ❑ Parking garage
P P 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 C Moving (relocation)
17V Other — Specify 25 ❑ Public utility
7 ❑li Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
84KPrivate (individual, corporation, y
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
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 DOS
III. SELECTED CHARACTERISTICS OF WILDING — 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,KPublic or private company 48. Number of stories...�A....
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 .......................
Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
37 C_j Electricity 44 ❑ Yes 45� No L. RESIDENTIAL BUILDINGS ONLY
53. Number of bedrooms..............
38 ❑ Coal
39 Other — .Specify Will there be an elevator
Full..........
54. Number of
46 C� Yes 47�No bathrooms Partial
Department of Building Inspections
212 lain Street BUILDING oo
Northampton, Ma. 01060 PERMIT aa�
13C f 22 VALIDATION
DATE June 8, 19 81 PERMIT NO. 273
APPLICANT Lee E Christenson ADDRESS 13 Bardwell Street
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO New construction ( 2 STORY In-ground DOOl DWELLING UNITS 1 _
(TYPE OF IMPROVEMENT) N0. (PROPOS D USE)
ZONING
AT (LOCATION)
13 Bardwell D STR ICT URB
(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: Install in ground swimming pool 20' X 32'
AREA OR PERMIT
n
VOLUME ESTIMATED COST $ nn FEE 1n n()
(CUBIC/SQUARE FEET)
OWNER TPP E. Christensnn BUILDIN D T
ADDRESS 1 Bardwel I Sty Nnrthamn tnn Ma- 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT C INK - ASSESSORS COPY
.r{
Strait BUILDIN
Department oI la 1dS Ins actions .
212 A14 G o ° � 3.
or s 01060 � PERMIT a a
22 '' VALIDATION
t'7 DATE June $0, 19 at PERMIT NO. 273
APPL16ANT Lee E Christoa s fi ADDRESS 13 B$rdwell Street
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO NOW CQUAtrUCtiOn ( 2 1 TORY In-gra=d "l DWELLING UNITS 1
`(TYPE OF IMPROVEMENT) NO. & (PROPOSED USE)
ZONING
AT (LOCATION)
13 B d DISTRICT B
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
4FT.BUILDING IS TO BE FT. WIDE BY LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP_ BASEMENT WAe`ILS OR FOUNDATION
" (TYPE)
REMARKS: Install in-ground swi gm o"I 261 X 310
V
to
AREA OR PERMIT
VOLUME ESTIMATED COST . 30000 FEE .�„ �(�•��(�
(CUBIC/SQUARE FEET) r
OWNER BUILDI D
ADDRESS Bardwe l Bt Northl i` t'a1 MA 01060 BY
§MfHITE - FILE COPY GREEN ^ FIELD� COPY CANARY ^ APPLICANT C< M PINK ASSESSORS COPY
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