07-012 (12) DEPT- OFAUILDINO INSPECTIONS BUILDING ;,r.,14
212 Main Street
}:,--i Northampton, MA 01060 PERMIT 3 //a ,
/" r ��
7 - 11 VAUDATON
DATE September 25, 14 86 PERMIT NO. 561
APPLICANT Neil Homstead ADDRESS 408 North Farms Road 031249
INP.( OTREETI ICONTR's L,CEx$EI
PERM IT TO Addition ( I STORY One FAmlly Dwell inq OWELLRI$G VNIT5
I TYPE Of IM•RPYEMENTI NO. (PROPOSED DAV
AT (LOCATION)
408 North Farms Road ZONING
DISTRICT RR
/NOT (RTNEEL
BETWEEN AND
I CRWE 'TREAT( ICROSs STREET(
LOT
SUBDIVISION LOT BLOCK -SIZE.
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Inn)
REMARKS, permit for the addition of extra living spare onto pxisting single family dwelling
AREA OR PEp MIT
VOLUME 779 sq ft ESTIMATED COST $ '�n On no FEE $ 112 (1Q
(colic/spurn FEET(
OWNER Samp ac Applicant /46449
!BYlL
ADDRESS Camp ac Applicant 's
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P P
—:tit CITY OF NORTHAMPTON
MASSACHUSETTS
�.: :airih OFFICE of the INSPECTOR of BUILDINGS
. ):moo
�,-�",:,,,,,t g 74 Plot 1/
d- > Page APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O
f .
DISTRICT
AT (LOCATION) 40aUQ/?4H i'F1 X177 S 1� ZONING DISTRICTI &
LOCATION (NO.) (STREET)
OF BETWEEN CC
>V A,n.(': (4-9 4 AND ..IC)ECI>L) £-i Ni—
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -1
A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"wrecking" most recent use to
m
1 n N• ew building
Residential Nonresidential
2R Addition(If residential, enter number 12 tg One family 1B I 1 Amusement, recreational
of new housing units added, i/any, 13 1 Two or more Jamil — Enter 19 El Church, other rel)
in Part D, 13) Y genua
number of units— — — — y 20 Industrial
3 Alteration (See 2 above) L
4 rl R• epair, replacement 141 Transientor dormitory
tel. Enter number 21 �� Parking ng garage
5 Li Wrecking (If multifamily residential, of units — y 22 El Service station, repair garage
enter number of units in building in is U Garage 23 LJ Hospital, institutional
Part D, 13)
6 Moving (relocation) 16 Li Carport 241 1 Office, bank, professional
7 Foundotion only 17l 1 Other — Specify 25 I Public utility
26 Li School, library, other educational
B. OWNERSHIP 27 [J Stores, mercantile
B corporation,(individual, cot tion, 28 Li Tanks, moven
nonprofit institution, etc.) 291 1 Other — Specify
9 I I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
10. Cost of 2 processing plant, machine shop, laundry building at hospital,elementary
improvement g & O school, secondary school, college, parochial school, parking garage
deportment 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 7®U
b. Plumb' g
c. Heating, eir conditioning / 300
d. Other(elevator, etc.)
11. TOTAL COST OF IMPROVEMENT s30,000
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part 1, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS a
30 r1 Masonry(wall bearing) 40 Li Public or private company48. Number of a
l Tota
31� Wood frame 410 Private (septic tank, etc.) 49. sfeetfloor area,
32 I Structural steel
all floors, basedonn exterior 7 7 q
dimensions
331 I Reinforced concrete H. TYPE OF WATER SUPPLY
341 I Other — Specify 42Sti Public or private company 50. Total land o eo, sq. ft.
431 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL SI. Enclosed
35g: Gas Will /here be central ah 52. Outdoors
MI I Oil conditioning'
L. RESIDENTIAL BUILDINGS ONLY
37 ri E• lectricity 44 Li Yes 45St No 53. Number of bedrooms
381 1 Coal
39 1 Other — Speri/y Will there be an elevators { Full
54. Number of
46 n, Yes 47 KJ No bathrooms
P ti or
-ol
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - ,Number, street, city, and Stare ZIP code Tel. No.
o.. e n
nE,� rkexn tem,CY Noia.5 -b 4o8 oz. news Fri mfovo s-gq-o4rk-
Lessee rL-ore'e1AiCL MA- 0 / 066
z. ()a14`)hasfltb 40& No.PD( rat inns kr) Lrilcuenldseer.L. s-94.64s 5'
Contractor FL Oe jJrf GUI , 0 40C, O3/z49
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 applica Address Application date
1/ed 7 K, e/ ide ann." at. q-z3 .gc:
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
ate Plans Review Required Check Plan Feeview DeStatedns By DApe oprPlaveds By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dote
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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 St( DEPARTMENT USE ONLY
Permit number
Buildingp/� use Group
Permit issued • aS ) 19CN J
Building Fire Grading
Permit Fee $ 1�C�` '�� Live Loading
Occupancy Load
Certificate of Occupancy $
Approved by: ///y����
Drain Tile $ & .i n 9
Plan Review Fee $ ""`""'""`""""'""'"'"'""`""'illF
TITLE
N
NOTES and Data — (For department use)
USE
FRONT YARD
SIDE YARD
SIDE YARD
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