06-005 (3) ZONING
DISTRICT
IX. SITE OR
------- ------------------------------------------- ----------------------...------------------.._------...................
................................
$:$CC:$$$:::C$:D•.::::$$$:$:::::::L'.0::CC:::::$:$:$0$$C�$$:!$:$$$:CC$�$$::$:$$$$"$$:$ $$$$$$$$$$$$$e$6C:$$e:6:'ic:e�::'::::�:::::::::::::::::::;::::
. . . ............................
assess
.u.o::uN.uNoU0u.....:uN.rNu u:.u.N■ Uu o..Nu..uu....nut■..l..uaal.ro•Na....r\i.....a.rr•a.•Mlia.::.:Ntn::u:r:t•-rN-4.t4•uu..4u:i1t:.uo:4•:.t\4n■:..:4 4::i:o:u:■r:•:..:■-a:=.ua■.o
uN •I0. as n.0, NsoUH . -R :ts■.r•= n !u•::,■:u.■■1:u:t:..s:u.:N:■uNu■s:•:\:tu:Uo\:■:uu:l■:u:Ut:o.:.:::..•..:■1:au:Nn■:uu:a:lo.:t:Uo.:.u:N:UN•:■/�u:Ou■t:uU:\:i:....:ru.:■D..U.:u u:u■:u.■ra.u:■■.:u./:-:■u/■:N.r:...:ra
N. NrNNO- .a u■ it. u UUNHU ..Nu:u:...:■Nou:u.r:■4:•..:u4.a4:.u:u4:u:.uo- uru■:u"r:■.o:o.r o/:N•f:1:t.:■■u•n■.::■■.n
-.oNNnewass u .. n .. nUnuN■ NuU■uu"oa0 . .•" Nr nNNuma=wur a. a 04 --■ N U
:N m : :: :i
NOTES and Data — (For department use)
�z,
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, sheet, city, and State ZIP code Tel. No.
Owner or / i
Lessee ��/�c!/G ( 14Y/ 1J� A/O R 11114 191)1`i
Builder's
2. License No.
Contractor r 0
T
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 nature-of applicant Address Application date
yl f
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Dote Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check D°YC Number By Permit or Approval Chec 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
II. VALIDATION
Building
FOR DEPARTMENT USE ONLY
Permit number __ 1
Building_
Use Group
Permit issued ��,1 ' f ��i 19 _
Building Fire Groding
Permit Fee $ {� Live Loading
Certificate of Occupancy $ Occupancy Load
Appro y:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
wr
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
ZONING
I• AT (LOCATION) � � DISTRICT
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET) C
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
m
-4
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - --o. 20❑ Industrial
3 [Alterotion (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (11 multifamily residential, of units ------- - -i 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) y�,q)
17 FLI Other - SpeciJy �^' -"`"" 25❑ Public utility
7 ❑ Foundation only
�w- 26 ❑ School, library, other educational
B. OWNERSHIP - ' "G� 27❑ Stores, mercantile
8 Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution,etc.) CSC' 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................ L`O v� 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 1V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /
30 Masonry (wall bearing) 40 Public or private company 49• Number u stories...... area, ...
31 ❑ Wood frame 41 Private (septic tank, etc.) 49. Total square feat n floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPJE 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................ 'Q
36 Oil conditioning?
_ �_•',� L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 i'�f No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - .Specify Will there be an elevator? Full..........
54. Number of
46 [-] Yes 47 �o bathrooms
- Partial........
a DEPT. OF BUILDING INSPECTIONS BUILDING 'z
+ ! 212 Main Street 0`
Nortaon, MA 01060 PERMIT <a
h mpt
6 5 VALIDATION
��ULi1L, DATE March 1 +9ay8-- 1e T(TATl NO 94
008292
APPLICANT Tom 11dS ADDRESS
(N0.) (STREET) (C ONTR'S LICENSE)
Alteration Exter4r Door NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
574 Haydenville Road ZONING CT SR
AT (LOCATION)
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
DOOR I 1
IS TO BE n J FT. WIDE BY 102 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the installaitimn of an exterior door for an additional access to work area
AREA OR 902 sq. ft. ESTIMATED COST $ 340.00 FEEMIT $ 0.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Tom & John Childs & Michael Wade
ay envi e oa , ort ton, ass. 60;0YILD
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p-Nf P
ww