23D-130 (6) DEPT. FILE COPY
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Cityy of Northampton BUILDING oa
Massachusetts
Office of the Inspector of Buildings PERMIT
VALIDATION
DATE �v 19X PERMIT� NO. �S1
APPLICANT CO ()DRESS ole. "4 �•
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(T' ^, � a �PEE OF IMPROVEMENT) NO.. � (PRRROOPOSED USE) /��f�
AT (LOCATION) � "• �— .y�"(P—"' , C� DZ ISTRN ICT �,es
(NO.) (STREET)
orn BETWEEN AND
'D (CROSS STREET) (CROSS STREET)
rn
LOT
a SUBDIVISION LOT BLOCK SIZE
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O tJ `BUILDING IS TO BE v FT. WIDE BY 7!42 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
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z TO TYPE _ USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
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0
a REMARKS:
4 .9'
AREA OR VOLUME ESTIMATED COST $ U O FEEMIT �LD
(CUBIC/SQUARE FEET)
OWNER 94'
BUILD IN P
ADDRESS !_ BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work is authorized by the owner of record
and ! have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
For ALL buildings within Fire District and for other buildings costing $10,000.00 or more, plans
and specifications must be submitted to th9 Inspector of Buildings for examination and approval.
If building is to be moved give details relative to proposed location as for a new building.
23 0-/3 0 --- u 28
Application for Permit to Build
Northampton, Mass., ..A `'?-10 19 _
To the Inspector of Buildings:-
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications.- /
1. Owner's name ireed ..»..1'✓:. a /ii
2. Owner's address ...i.'.... 1.l1.d.L6 !?/.... v --- .»»....».»»..»..
3. Architect's name ..II--....--.»....»....». .......................
4. Builder's name Gt e e-s". .CI 1--a.V..f.W7G e--
5. Builder's address / " °"/e- " ',-0(312
6. Location of Building. Street No. ...1U.-»/!..�'.✓.i/.�, :.a.j'✓....A v
Ce
S�:CI...
7. Is this a removal or new building ... .r(4%1 ...
8. If removal, from where
9. What is the purpose of building .as,...9 2:U1.::P
10. Material of building 1144.Q:..`'[J
11. If a dwelling, for how many families Number of rooms -- --�
12. Is there to be a store in the building »....».
13. Size of building, No. of feet front ..a ;No. of feet deep .12 ; No. of stories .....1..........
14. Size of ell, No. of feet front - ; No. of feet deep ; No. of feet high
15. Size of Lot• v Feet Wide ,�.�t::............ Feet Deep
16. How near the-line of street
17. How near the line adjoining lot. Right ; Left ; Rear ...........-----.......
18. Nearest building is / feet in a direction
19. Material of the floor .. .(. G4.f Q,» .....»....»......»....»................ .............»....»...._.»....».»....... ....». .........................»....»
20. Size of timbers, 1st ; 2nd ; 3rd ; 4th ; 5th
21. No. of feet span ; Distance on centers
22. Will the building be erected on solid or filled land ..`r6.61
23. What is the material of foundation...C1` LV2...».......»....». c-�......»...._....».............».. / .; Footing .. c°!/'.
24. Will the roof be flat or pitched .,P.1.t,. .f/ ; Covering 1 . ..::„:........:......1.:....»........:»....::.:
25. Heat; steam, hot water, furnace, stoves ; Power oil burner
26. Fireplace ; Insulation
27. How many sinks ; Toilets ; Lavatories ..».....; Bathtubs.....»..; Showers ; Settubs
28. City Service; Water Sewer ; Road Surface ; Sidewalk
29. Is lot on accepted street ........ ....»....».�„
30. Estimated cost (must be filled out) .. e.
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. This building will conform tothe requirements of the law.
Signature of applicant .. . ..Qdkte.Iv. fj�r,
No `sl
REMARKS
s..vrrlit,...4 I .... awl I l<- 7 rnyeeT Lot •3V
APPLICATION • -
oning Ordinance Section 10.;-: j ''ecciv r-c': File Yo. Ilan File
•
,vner Fes. - 91- �y'* Applic:,�t .
ldress // Address '•
'
elephone - Telephone .
•
his section is to be filled out in accordance ;:i.th the "Table of Dimensional and
ensity Re ;ulatione:. (Z.Q. ARTICLE VI) -----1
Dning Use Lot Front Depth . Setbac?;s Maisi.B1d. Min. Op.
istrict Area 'Width Front Side , Per Cover. • Space
ast Existing E1 O
U2a r
resent Proposed % v
ark the appropriate box to indicate the use of the parcel:
I-1 Non-Conforming Lot and/or Structure. Specify. __ ___
I<j Residential PK1 Single Family Unit IP'ulti-Family
•
j Duplex I lOthei
[__j Business .
F -1 Industrial •
[__-_] Instituti or"l
I 1 Subdivision Regulr I I F.U.D.
I I Clust'r 1 Other.
I Subdivision with "A1:prov. l-Not_Pea;iirc:i"--'.tar.� ap:
[ ! Planning ?ioard Approval:
I IZoning Board Approval (Special Permit 10.9: Variance)
! City Council (Special Exception S. 1C.1O'
atershed Protection District ()verity: (Z.O. Sect. _..IV)
Yes 1-7 No
arking Space Requirements: (Z.o. ,Sect. `',l) - Required Proposed
oading Space Requirements: (Z.C'. rect. 8.2) Required Proposed
igns: (Z.O. Art. VII) _ - I ! Yes I No
'nvironmental Performance Standards: ( Z.O, Art. X1I) I !Yes ElNo
1
•
'lot Plan I�gi Yes 1 I No Site Plan ® Yes O.No
S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date O
A MN Ptin r-g MN NM MI MC NM NM MI MN MI MI NM MI MI MI NM NM OM MI MO MI NM NM MN MB MN NM MI MO OM MI MN MO MI NM MN INII
This section for OFFICIAL use only:
I !Approval as presented:
(—]i•2odifications necessary for approval:
I IReturn: (More information needed)
I ) Denial: Reasons: _
1' . ath4eA7467/'Axi) CrXcl7(-0
Signature of Applicant Date Signature of Admin. Off cer Date
PLOT, PLAN •
In accordance with Article XI of th4 Zoning Ordinance, an application for a
Zoning Permit muat include a Plot Plan. The following characteristics of the
parcel must be shown.
1. Dimensions of the lot. .
2. Locations And size of all buildings.
3. verge finished grade of all structures existing and _proposed.
4, Use of all buildings existing and proposed.
5. Set Backs as indicated on the enclosed plan.
Abutters Name
Lot No. •
Lot SG=tO Ft.
Rear Yard
Abuttors Abuttors
Nam e Name
Lot No.
Lot. . No.
- -
If this is a t. Sideyard. P> House 4 Sideyard If this is a
corner lot, write corner lot, write
in the name of the
in the name of the other street.
other street.
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41 -9
Set Back 2
+ a
'
Lot I Ft.
RPM % Leo
flans of Street
Indicate location of garage or accessory buildingsC7 with a dashed line.
Indicate location of Sewer hook-up
List all past plans, applications, permits, variances etc. and corresponding dates that
hive been processed by this office.
I certify that the enclosed a ication and plot plan are complete and correct. /
AvoLgr,A40,41.414At..,- -1. \faz
Signature of Ownqr / Date
PageNo. Lot No.
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