07-004 (5) DEPT. OF BUILDING INSPECTIONS BUILDING h ^`
Northampton,en oioso PERMIT 3° /` `) ci C" `
7 _ 4 vA L IDA TI ON
DATE March 27, IQ fh PErkaowner
.o. 107
APPLICANT Neil Kelley ADDRESS 716 OT arms RKo
1E0.1 UTREETI I CONTR S LICESR1
PERMIT t0
Addition/New Building 1 sTO1Y One Family Dwelling
DWELLING UNITS
(TYPE Of IMPROVE In NU SQ. IPROPORD VISI
AT (LOCATION/ 516 North Farms Road ZZONING BR
(NO.1 ISTREETI
BETWEEN AND
(010.11(010.11STREETI (CRONE SVREETI
LOT
SllBDIYISION LOT BLOCK SIZE
GARAGE
New IS TO BE 28 FT. WIDE ST 30 ET. LONG BY KT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Pt
REMARKS: permit for the construction of a detached garage and also for the addition of an
enclosed mudroan
Mudroan Addition $ q
VOLUME 840 sci. ft. Garage/156 so. ft. ESTIMATED COST 6,000nf�.04 EEMIT W
.J
52.00
(CORIC/5OUME FEET) $ G
OWNER Same as Applicant
.00REss Same as Applicant's gy ILO of Pr' /a ,/�`
Q i�l'.
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P y''P
NCIY.::, CITY OF NORTHAMPTON
MASSACHUSETTS
rt
I OFFICE of the INSPECTOR of BUILDINGS
Page 7 Plot V APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. 0
/ L
AT (LOCATION) J��b 1.41/0(14/ rQ/fM$ Pel DISTRICT'ZONING F_��
LOCATION NO.1 (STREET)
OF BETWEEN AND
BUILDING (CROSS sTREETI (CROSS STREETI
LOT
SUBDIVISION LOT BLOCK SIZE
an
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 'H
a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For••Wrecking•' mast recent use m
m
ti
I VI New building Residential Nonresidential
21,2:) Addition(I/ residential, enter number 121k One family 101 I Amusement, recreational
of new housing units added, i/any, 13 Two or more - Enter 19Church, other religious
Part D. 13] familyLi
number o/ units— — — — —• 201 1 Industrial
31 I Alteration (See 2 above) 14 n Transient hotel, motel,
4 f Repair, replacement or dormitory — Enter number 21 Parking garage
5 I Wrecking (I/multifamily residential. 0/ units _ y 221 Service stotion, repair garage
enter number of units in building in 15J Garage 23 1 1 Hospital, institutional
Part D, 13)
6 L Moving relocation) le Li Carport 24 I Office, bank, prdusi anal
T Foundation only 171 1 Other — Specify 251 I Public utility
261 I School, library, other educational
B. OWNERSHIP 27 11 Stores, mercantile
8.1ed Private (individual, corporation, 2B Li Tanks, towers
nonprofit institution, etc.) 291 I Other — Specify
9 n 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 s 45/004 school, secondary school, college, parochial school, parking garage for
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
b. Plumbing
c.Heating, air conditioning
d.Other(elevator, etc ) /
11. TOTAL COST OF IMPROVEMENT $ 600
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
4830 n Masonry (wall bearing) 40 r1 Public or private company Number of stories
31 )r)ra' Wood Irame 41 Private(septic rano, arc.)
49. Total square feet of floor area, / 56,tu12t4TYRJ
32 structural steel all (loon, based on aaeriar O cls
n dimensions C y0 96k�(r'.
33 Li Reinforced steel
H. TYPE OF WATER SUPPLY ✓ /I�'
341 I Other — Specify 42 I 1 Public or private company Total land area, sq. ft.
431X11 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES /ldri
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed Z
35 C Gas Will there be central air 52. Outdoors
36 n OH conditioning'
L. RESIDENTIAL BUILDINGS ONLY
37 r Electricity 44 L I Yes 4571 No 53. Number of bedrooms
38 E Coal
39,H Other— Specify Will there be an elevator' { Full
54. Number of
46 ❑ Yes 47 A No bathrooms
Perri
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — NumbPr, street. cin, and Slate ZIP code Tel. No.
own., or Nell Ke l/Q. 9" f cr/A� ray-tins /k/ ver•/. N Sacoy6
Leasee
Bw Nets
2. L,cease No.
Contractor �� y r
J.
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
t"•'�,C:l % /_J*`;ra,lf- /:;<'; r;{fr ' r+/•ria ,'q' . 3�7-0�6
DSO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check
Plan Review FeeDote Stta Plans edBy Date Plans By Note
Approved
BUILDING •
$
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
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 FOR DEPARTMENT USE ONLY
Permit number -
Building. @Use Group
Permit issued rnate_h. 19 e'L e
Building Fire Grading
Permit Fee $ ,C)CLive Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile a n� n
Plan Review Fee $
TITLE
NOTES and Data — (For deportment use)
0g,30 i�z. t Le
/2 x'3 (/toe e...t,r/C
J�"�....... j-z.. p
1
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
•
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
,
:u
1 w r.
in"...... _
..... .:sss...........N-
1•..:
.................s '1 ....1
I
... 1
s
C ' _ . : _.
:a::
r .
...... .u... "......'.. . ..............non ..........
..... I . . . . . . . . . . . . . . . . .
LI t :tt .
...."...ms i
:mu us
::s::'..... C
iff it..... ...
:a
iL s1 OM:s••••1•••1•s ,
= s sttassss I :
I s s:.ttss:. '
is s
Iiu i:L:mssa.is:a:::t t=1 1 I 1 s:'.
Mn.. /V
::!suss.:::::tt:s n :•••. _ : I I : 1 u
e! illunm:ais: 9 - !•a.iiia a! 1.. s Ti : rsa s
�:° .. .` ' as•• s•tts sig i•w. •tt:11...s ss h 1„..s..... tty1 H
131/33s.1.lyil4.i..ry.. ii: ila5.. .waY•t:::t::::u6.". nu. -
--
5• . •.. '• '•g ss:Csls:s u
I F PIP dip.N�sti