17C-119 (5) ZONING •
DISTRICT
FRONT •
SIDE YARD SIDE YARD
REAR YARD
OTES
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For deportment use)
lid ;rt
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. K. �
Z
1.
Owner or
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.
Signal r of appli t Address Application date
6
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
ate ole
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
II. VALIDATION
Building 3 FOR DEPARTMENT USE ONLY
Permit number o(
Building. Use Group
Permit issued _�� 19 E_
Building Fire Grading
Permit Fee $ f(L. 4-i/� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
T E
CITY OF NORTHAMPTON
4 MASSACHUSETTS
r •
OFFICE of the INSPECTOR of BUILDINNGGS
'"' Page�_ Plot _ref/ APPLICATION FOR
ZONING PERMIT AND
INSPECTOR ZONING
PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
_� X 'l.. ,/ X ZONING �i&Q
AT (LOCATION) D .� /_.," _ DISTRICT
LOCATION (N b.) (STRE
OF BETWEEN -AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT_ BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — Ail applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
1 ❑ Ne, building Resid ntiol 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 n Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - 20 �� Industrial
3 Alteration (See 2 above) 14 l
l
t
h
i
Transent hotel, mote ,
❑ 21 C� Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (11 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 P Car ort 24 ❑ Office, bank, professional
❑
6 ❑ Moving (relocation)
17� Other - Specify 25 L] Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP � o e/o, 27 ❑ Stores, mercantile
8 Pri,,ate (individual, corporation, _
28 ❑ Tanks, towers
nonprofit institution, etc.) -�+t 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. Cos 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 $
III. SELEC1fED CHARACTERISTICS OF 13UILDING — 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 L] Ma::onry (wall bearing) 40 XPublic or private company 48. Number of stories................ C�2 of 31�Wood frame 41 F-1 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33E] Reinforced concrete H. TYPE OF WATER SUPPLY
34n Other - Specify 42XPu6lic or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
_ PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35�J Gas Will there be central air 52. Outdoors........................
36 Oil conditio g?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes �o
- 53. Number of bedrooms.............. ,
38 Coal
39 L l Other - Sp,,cify Will there be an elevators 54. Number of Full.........
_ __
46 � � Yes 47 ] No bathrooms
- ' � Partial........
a
I Hereby certify that the proposed work is authorized by the owner of record
and ! have been authorized by the owner to make this applicbtion.-as his,
authorized agent.
SIGNATURE -OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE.
DATE 19
DEPT. FILE COPY
DEPARTMENT OF BUILDING INSPECTIONS
Z
�o
-412 MAIN STREET BUILDING a a /4•DD��/
NORTHAWTON9 MA, 01060
PERMIT
VALIDATION
17C - 119
DATE January 20, 19_ 1 _ PERMIT NO. 23
APPLICANT ,lamas R- Corbett ADDRESS 24 Sheffield Lane
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Aleraticn (�_) STORY Weed-burning StOVe DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONINGS
AT (LOCATION) 24 Sheffield Lane DISTRICT
(NO.) (STREET)
a BETWEEN AND
w (CROSS STREET) (CROSS STREET)
LOT
B SUBDIVISION LOT BLOCK SIZE
m
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
IY
LL REMARKS: Tiftetalll qH+,, d bi ming atntle inat+rt into existing fireplace
AREA OR PERMIT
VOLUME ESTIMATED COST $ 900 00 FE
(CUBIC/SQUARE FEET)
OWNER ? rw*ett BUILD G PE T.
ADDRESS 7L CAeff;elA Lane Noxthampton� May BY
(Affidavit on reverse side of application to be completed by author( ent of
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
DEPA OF � DIW USPWT S FIELD COPY
212 MAIN STRIS` BUILDING
so►T►x, NA. 01060 PERMIT
:17C - 319
DATE ampn&m 2 ' 19 al +t PERMIT NO. 23
APPLICANT ISM& P. Corbett ADDRESS 24 �ffi*td Lm*
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO STORY W"d-bumAn star* DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. tt (PROPOSED USE)
AT (LOCATION) ffft d ! ZONING CT un
(NO.) (S.T EET)
rn BETWEEN A AND
(C SS TR ET) (CROSS STREET)
LOT
D
IL SUBDIVISION Ac v LOT BLOCK SIZE
4
a
v
0 BUILDING IS TO BE F WIDE BY LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
!O
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
r D:
REMARKS: jktwm iemert lato existing filftlAte
AREA OR PERMIT
VOLUME ESTIMATED COST $ ^FF� _
(CUBIC/SQUARE FEET)
OWNER .�M!!a� F. �ett BUILDING TE ADDRESS 9E, QUi 09#..1A TAwr Ywwfh�tna+_ MA- gy ��