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29-464 (3) fir w V111. ZONING PLAN EXAMINERS NOTES DISTRICT 12,x. r ' USE �1 � '� 4. FRONT YARD V '—v SIDE YARD ` {,I SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 1 m i w "-�a��r-- i F _ ° kl; #c7 t -m A ,�:. 17 t.. Y ?-R r § i a I+ �n #�`" f a .. ice}' .„. g.. Al r -(§ F t 2 k w t t" k i ar i 41"1� : � m p � k k mgt #§ ,+ Y x a= :q2, t { �3 tj _ r t .. a s f 4 {- € -t -r d r t a a R 1 t g { ". " �" m g IL g + pm 4.z4+ a 1, = ? 77,77 a k-#- -€#' �{ -+ d:c�- { a k t ' T Ti tb �� # s tt:t7I t.#¢ a ° �-� T s x g t.,_.,�a.0 a § .A p' a- "". � s ,I 3 . fi f q +e { r 4 - ' t m t` P if � � " r ».� ""�.a .<.;-_P Mg 1� r t 1� o-...,. m�r� f�d.'»_'��.+��q.m.�§ s * g �1��."� � +-i-t. +"t'.'r1-� � .-s° �i.--+g-r gr• ? � .. - ,. $ - '#' -d +- #- r "F T i' L t g m� r, T-� } �+t ��- $' F t� , ^Yj ;- F Y a 4 t } # tYT P #{-,Y § a m•%�',.a ¢.# $ }.., -S-t.....a'., F: b-. � -,! ', am. .+ a� ;� �. '�4 i g t4� §s ��_a � �' x � C a � ` ­4" -:- -t- � �.r "° M r 1i" ,t. '' „� t '#�^r ^r k:, g..S t - ,. t �+ �,m '@� e -F .- 4 �y - y F m +' +?tm l' t *zr T," !" + .a aft.. +a g .; tn r-r - x m r^r :�a .* »a c.. �«• s..+ t ....� ��.m ,.} $pI r 4 a t .' #�s z m'r +^ �. -t -6 . rt m �°} xt.. t# a" i s i r r- 'P4 4j rg =+ S D } `,q P y"q°, -;1g.?;.io-.�r�s a s.1rd_-¢rS-.;. „zf t r:-;-a th q.'.r.ygi.°.-'i-�-m..y•2+t.,.y,..1.,.v g� z ....I �-�- f 2_aat x-+ } + .y. d [�iH `.; °4+t �4d« } } ;.'s y.'{{. 1#'T"#e -%-^-f$I -�-t t m• t tri b^sbt t r -t r f.-} a a.R,r �r t r�. Tt BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IMIL)ENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. O / . Owner or It Lessee Builder's 2. License No. Contractor 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 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans By Notes 9 Fee Started y Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B pp rova Obtained y pp 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 VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued ' 19y Fire Grading Building Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Appro ed by: Drain Tile Plan Review Fee TITLE .aP- NOTES and Data — (For department use) ' CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) ` DISTRICT" LOCATION IN 0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. 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 C1 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 Transient hotel, motel, 4 ❑ Repair, replacement or dormitory — Enter number 21 ❑ Parking garage 5 F-1 Wrecking (If 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) 17❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP G .� "`"""' 27 ❑ Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) � 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or vvvv 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,,,,•,••••,..... G to e 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 1$��111. SELECTED 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 NPublic or private company 48• Number of stories................ g� 31 ® Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, ®y all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE 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 i there be central air 52. Outdoors........................ 36 Oil condi Wing? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ Yes No 53. Number of bedrooms........ 38❑ Coal 39❑ Other — Specify Will there b n elevator? Full.......... 54. Number of 46 Yes 47 ❑ No bathrooms Partial....... Y: i Y� k 4 a TAC r3{ tt'7 77 Ar k h 3 C E RT t F 14;'A T,9 mu" 4 x RAVE It„ i" i UP ? � DATE !9 PEiM17 NS � ty �yy..yy i ka TFG{T*il tr0 k "s LlcENSE) NUMBER OF,. A ix»IT Tz � ( � STCAY DwELLIN(3 LWTS BYE MT ...�.:, NQ. t-- . A �A t+Stf1 f..; PQNTh lc S RiC7 �&Cy 04 NAIL (sTes€7) a AND 8T*rETI x ° U1WtS i LQ� E BGK _1E i m "�� p B/IL,Q(NG ji T� i FT WTP OY a FT LPN 85t FT. IN Htl IW, ANG SNAW:CW41i4ORM�1 IM"SfIRUCTJON �fx , USE GROt P aSASEMENTi",WALLS`DR Fb''NDAT`ION " ' } °6WffY C ` AOZA R 1IDLU�. ? OWNER .�� Tp BE C+D..; oil ADDRESS S R a CAT E � a� 1 hereby certify that the.,proposed work is authorized by the owner of re and I have been authorized by the owner to make this application as authorized agent. SIGNATURE OF AGENT l ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 r r . DEPT. FILE COPY DEPARTMENT OF BLDG, INSPECTIONS ;e 212 MAIN STREET BUILDING O 2*7" <, CIA. 01060 PERMIT VALIDATION CODE # 79 DATE Se-pt:,( GO, 19 79 PERMIT NO. 478 APPLICANT Eugene .Staszko ADDRESS 31 Crestview Dry'' (NO.) (STREET) (CONTR'S LICENSE) D NUMBER OF A PERMIT TO Shad wood Stave ( I ) STORY storage - woo(i stove DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 32 q; 1+3t ZONING URA (LOCATION) Crestview Dr i' DISTRICT (NO.) (STREET) a . BETWEEN AND (CROSS STREET) (CROSS STREET) (L LOT m SUBDIVISION LOT BLOCK SIZE U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION r 0 Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) IY REMARKS: 1211 IC 12' atcwr"1gs sthad--in5ta1l wood-burning Move AREA OR X00 FEEMIT 10- 0 VOLUME ESTIMATED COST $ 660;00 (CUBIC/SQUARE FEET) OWNER Eugene Staszko ADDRESS 31 Crestview Drive, M+t©nZ BU IN T (Affidavit on reverse side of application to be completed by authorized agent of owner) Wow-