05-029 (2) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
t
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No,
1 13J c sto kJ-1 1 �A
Owner or S 2` V SDOV\ Ce f.,
Lessee
.} n 1 Builder's
2. CJTI S{rA �, Y Y I- , L✓` Y License No
Contractor )
AAA a t 0 4
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.
Signatu e f applicant Zd.,dress Application date
PS
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 Is
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained 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 ��
Building �
�f 01L A,_) 1 9 use Group
Permit issued ,�,
Building Fire Grading
Permit Fee $ 3C
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
�t Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. 0
^f /, ZONING
I• AT (LOCATION) ` v V so 40A DISTRICT
LOCATION (NO') ��jj (STREET)
� K
OF BETWEEN QC�eIye I' CI AND {K1F�L �•( tZ� .
BUILDING (CROSS STREET) CR)55 STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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
1 D New building Residential Nonresidential
2 F-1 Addition(If residential, enter number 12,p Sne 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, 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 units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport
24 Office, bank, professional
�
6 Moving (relocation) Public utility
17 � Other — Specify 25 � y
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 n Tanks, towers
nonprofit institution, etc.) 29 E-1 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,,,•,........... U ()0 school, secondary school, college, parochial school, parking garage for.
department store, rental office building, office building at industrial plant.
To be irstalled but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical..................... ��•�.,✓—�� �/�_�_ 6'I /^��
b. Plumbing ....................... _ C
c. Heating, air conditioning.......... _
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT I$
III. SELECTED CHARACTERISTICS OF BUIL ING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to W.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 D Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories...............
31 Wood frame 41 n 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 F-1 Public or private company 50. Total land area, sq. Ft. ..........
43 D Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 C) Electricity 44 r Yes 45 No
�__� . 53. Number of bedrooms..............
38 Coal
39 n Other — Specify Will there be an elevators Full..........
-- 54. Number of
46 Yes 47 J No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS z°
BUILDING
212 Main Street 0
Northampton, MA 01060 PERMIT
5 29 p pp VALIDATION
DATE Apri 1 28, 9 8o F�p 1,A T U A 252
APPLICANT Hoogstraten Builders, Inc. ADDRESS e —co at fiRt� .
(NO.) (STREET) (CONTR'S LICENSE)R OF
PERMIT TO Alteration (_) STORY One Family OWEBLL NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 240 Audubon Road ZOS IN CT RR
(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. permit for interior alterations to existing kitchen and dining room
AREA
VOLUME ESTIMATED COST $ 20,000.00 FEEMIT .� 80.00
(CUBIC/SQUARE FEET)
OWNER Bruce Stockwell & Syndney Flum r'� 4. ,j
ADDRESS 240 Audubon Road BY1L01 e y �
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY a PINK - ASSESSORS COPY I,00P