05-033 (3) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use) •
(P Ct 139
/,�
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1. � *":�+ + ♦` t'� `
Owner or \ .._ -'�.`t.;'. ..\ \ •.i O\O�V "`�
Lessee
Builder's
2. C. CS t `�1 License No.
Contractor
�s
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 date
1
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
Permit or Approval Check Obta t ed Number By Permit or Approval Check Obtta 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
A. VALIDATION
Building + FOR DEPARTMENT USE ONLY
Permit number
Building. / ��' Use Group
Permit issued 19 as
Building / ;2, / ��
Fire Grading
Permit Fee $ (Q �f Live Loading
Certificate of Occupancy $ Occupancy Load
Appro by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g+ .� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
t Page S� Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, I1, 111, IV, and IX. O
ZONING
(• AT (LOCATION) �u�\ ��, 'CJ4a OISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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
M
1 ® New building Residential 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 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --> 20 ❑ Industrial
3 ❑ Alteration (See 2 above) 14 E] Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
—__---- 22 Service station, repair garage
5 ❑ Wrecking (11 multi/amily residential, of units — —� P 9 9
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 F-1 Car Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) p
17❑ Other — Specify 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 ® Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
9 0 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 of 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 E
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................ V
31 Wood frame 41 X 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 — Speci/y 42 5�j Public or private company
50. Total land area, sq. ft. ...........
43 ❑ 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?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 [� Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator
54. Number of Full.......... a
46 C—] Yes 47 SLNo bathrooms Partial........
4:
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$ effirt of tht '31noptrtor of ?Anilbings W
212 Main Street•Municipal Building
Northampton, Mass. 01060
a
#271
CERTIFXCATE F OC
UPANCY
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5
Page No. Plot 66
Building (Name) SIAI TL, EXILY D. .111KIVAITACHED CAMGE Address 359 Auciu'sxm Road
Owner Jeff Bouchvay Address 40 F Arar:y Drive
Applicant Kevin C. Netto Address 63 Union Street
Use: 1st Residential Occupancy
Residential Occupancy
3rd Occupancy
4th Occupancy
Zone District RR
Required Inspections:
New Building X Existing Building
1
Elevator^ Electrical
Plumbing Fire / A, f
Building Other
Inspector of B61110 gs
DEPT. OF BUILDING INSPECTIONS BUILDING ZO /^ �
212 Main Street
Northampton, MA 010660 PERMIT
05 Jd63S
DV VALIDATION
DATE ✓May 20, 1 85 PERMIT NO. 271
APPLICANT Kevin C. Netto ADDRESS 6nioo reet
(N0.) (STREET) (CONTR•S LICENSE)
New Building One Family UMBER OF 1
PERMIT TO 1_I STORY y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Audubon Road ZONING RR
AT (LOCATION) DISTRICT
(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 the construction of a new one family home with 12 floors and an attached
garage
AREA OR VOLUME 1,764 sq. ft. ESTIMATED COST $ 92 700.00 PERMIT $ 624.00
(CI131C/SQUARE FEET)
OWNER Jeff Boudway <
ADDRESS 40 FaIRway Drive, Northampton' BYILDIN
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pop