05-060 (7) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
.1 a
IV. IDENTIFICATION — To be completed by all applicants
Name �A t Mailing address — Number, street, city, and State ZIP ccodde� Tel. No.
1.
Owner or
Lessee 07ZCo
t � ti �1 Builder's 5
1, L '` � License No.
Contractor
Z�6i Y7,75
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.
Si re of lie Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObttaiTned Number By Permit or Approval Check obttaained 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 19 Use Group
Permit issued
Building / r ,—" Fire Grading
Permit Fee $ t k-A ` Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by,
Drain Tile $ �"
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
� 1
,VT Page Plot 4o APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
AT AT (LOCATION) DSTR CTAF'q�,
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
�c.
SUBDIVISIONS�`r�� 1 �`►� LO BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —f
A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m
M
��{{
1 V New building Resid ntial Nonresidential
2 Addition(If residential, enter number 127 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 unit's— — — — —> 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, tel u 21 C� Parking garage
4 � Repair, replacement or dormitory — F.nter 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 ❑
6 � Moving (relocation) Carport 24 � Office, bank, professional
7 Foundation only 17 ❑ Other — Specify 25 Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
89 Private (individual, corporation, 28 ❑ Tanks, towers
777nonprofit institution, etc.) 29 n Other — Specify
9 F-1 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 $ L ��
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�❑,r Masonry (wall bearing) 40 Public or private company 48• Number of stories................
31 �J(I Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area,
i 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. ........... AG
43X Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
�,_f L. RESIDENTIAL BUILDINGS ONLY
37 C1 Electricity 44SI`Xxl Yes 45 -_ No 53. Number of bedrooms..............
38 Coal `�
39 n Other — Specify Will there be an elevator? Full.......... L
54. Number of
46 [_� Yes 47X No bathrooms Partial........
-06
of Northumptan
Offirt of t4t )nsptrtor of Illuilbings
212 Main Street•Municipal Building
Northampton, Mass. 01060
CERTIFICATE OF OCCUPANCY
Page No. a Plot
L/O t7
Building (Name) Sin(!!--x FFxj1V pwpllincjlGarage Address Int 4"" AlIdUDOn R064
Owner AI an E,ran-,&j Address G;raqcn 42c. ,
Applicant Sunclincc Dr2j4.(jn Address P-6, lu MO. LCat-';ax'jt"'Q
Use: 1st Residential Occupancy
2nd Residential Occupancy
3rd Occupancy
4th Occupancy
Zone District RR
Required Inspections:
New Building X Existing Building
Elevator Electrical
Nl�
Plumbing "P-AA Awl Fire
Building Other
Inspector of BWfdIngs
DE'F'T. Of-BUILDING INSPECTIONS BUILDING Z°
e ! 212 Main Street 0< $1,296.00
fL
Northampton, MA 01060 PERMIT
5 — 60 _1170. o VALIDATION
DATE April 22, 86 16$
APPLICANT Sundance Desi g n Assoc. ADDRESS ox ' �or t1Tm pton
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO New Building (_) STORY One Family/2 Car Garagg NUMBER NG UNITS
(TYPE OF IM ROVEMENT) NO. (PROPOSED USE)
Audubon Road ZONING RR
AT (LOCATION) DISTRICT
(NO.) V (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 the construction of a single family dwelling with 2 floors and a
car garage
AREA OR
VOLUME RM 3350 sq. ft. ESTIMATED COST $ 2'50,000.00 FEEMIT $ 11296.00
(CUBIC/SQUARE FEET)
OWNER Alan Branch
Gleason Road Northampton, Mass. 01060 BUILDIN
ADDRESS � p on� BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pap