05-048 (8) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
r
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Pori,W1,11
Owner or
Lessee /�/] {��� ��1 �t �^
2. �. 'G(�4C�AQ/�f1y (/�/Q�(,G. 6 Q� Builder's
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 dote
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Dote 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 Obta
Date ned Number By Permit or Approval Check ObtDa t ed 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 FOR DEPARTMENT USE ONLY
Permit number
Building. -- I
Use Group
Permit issued - .k-'fr 19
Building � /` 'J Fire Grading
Permit Fee ( (�
-tee Live Loading
Certificate of Occupancy $ Occupancy Load
Aby: `
Drain Tile $ 7"�,
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• �»� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
,�, Page Plot Y9- APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING PV R
I• AT (LOCATION) (fgifAs�• .t,y(Y�'V �I.d(, DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
11. 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(It residential, enter number 12 ❑ 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
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4F—] Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It multifamily residential, J
units ------- — --� 22 ❑ Service station, repair garage
enter number of units in building in 15 �aroge 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — SpeciJy 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 ❑ Private(individual, corporation, 26 ❑ 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,,,,,,,,,,,,,,,, (J Q Cd 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. 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 F Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
❑ 3
32 Structural steel dimensions ......
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY YY
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
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 Electricity 44 [__] Yes 45 1-1 No 53. Number of bedrooms..............
38 n Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
p a DEPT.0F BUILDING INSPECTIONS BUILDING °-
► 212 Main Street Oa $41.60
Northampton, MA 01060 PERMIT
I IL
5 - 48 VALIDATION
DATE April 29� 19_95 PERMIT NO. 215
APPLICANT D.A. Williams ADDRESS 81 Water Street. Leeds 014612
(NO.) (STREET) (CONTR'S LICENSE)OF
New Building_) STORY G9rq P DWELLRING UNITS
PERMIT TO Y
(TYPE OF IMPROVEMENT) N0. PROPOSED USE)
ZONING RR
AT (LOCATION) Audubm Road DISTRICT
(N OF.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 32 FT. WIDE BY 26 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: pPrwit for the crost- flop of a t46wg&r-age -- -AREA OR 832 sq. ft. ESTIMATED COST � 10 000.00 FEEMIT $ 41.60
VOLUME
(CUBIC/SQUARE FEET)
OWNER
Dr. John Parsons BUIL
ADDRESS Audll n Road, Leeds, Mss. 01053 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY - PINK - ASSESSORS COPY I, P