34-003 (9) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of th INSPECTOR of BUILDINGS
Page 13 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
�^ ZONING
I• AT (LOCATION) �� e 1 { DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN IiCJ�� 7 „' 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 nets housing units added, if any,
in Part D, E3) 13 Two or more family - Enter 19 n Church, other religious
3 Alteration (See 2 above)
number of units- - - - 20 Industrial
�
14 C Transient hotel, motel, -
4 Repair, replacement or dormitory - Enter number 21 ` ) Parking garage
5 ❑ Wrecking (If multifamily residential, of units ------- - -- 22 (_� Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 24 Office, bank, professional
16 Cl Carport �_� P
6 � -� Moving (relocation)
7 Foundation only 17 r J Other - Spe,-ify �� 25 �� Public utility
C-� C
26 School, library, other educational
B. OWNERSHIP 27
� Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
9 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,,,,,,,,,,,,,,,, $ school, secondary school, college, parochial school, parking garage for
department store, rental office building, office building at industrial plant.
7o 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 $
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
- 48. Number of stories................
30 Ll Masonry (wall bearing) 40 - i Public or private company
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
-1
all floors, based on exterior
32 Structural steel dimensions .....................
33 1 Reinforced concrete H. TYPE OF WATER SUPPLY
- -
34 I _ � Other - Speci/� 42 � � 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 i Other - Specify 'Will there be an elevators Full..........
54. fJumber of
46 '� Yes 47 ID No bathrooms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No,
1.
Owner or
Lessee
/�`^ O, f , ,^ L� Builder's
2, IVCI� ��u �GLt�(ti �CG�J l 'S� V"� � Lacense 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 his authorize gent and we agree to conform to all applicable laws of this jurisdiction.
Signat e f app nt Address �— Application date
c�-Q
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started BY Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obta Date ned Number By Permit or Approval Check O Dated 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 I I I OTHER
VII. VALIDATION
Building DEPARTMENT USE ONLY
Permit number
Building !g4 Use Group
Permit issued 19 lQ7
Building O Fire Grading
Permit Fee l
$ � Live Loading
Certificate of Occupancy $ ! Occupancy Load
Approved by-
Drain ��"'^"� f} � •
Tile $ tj
Plan Review Fee $ Qr
TITLE
DEPT. QF BUILDING INSPECTIONS BUILaINV G� Z'
! 212 Main Street $d
Northampton, MA 01060 PERMIT
34 - 3 pp VALIDATION
DATE A1,g))-,t. 30, 19 ��' 8 PERMIT NO. 560
APPLICANT A.awChambers ADDRESS 267 TilrkP oily po;)d Owner
(NO.) (9T ET) (CONTR'S LICENSE)
InXXXGround Pool XXXR One Family NUMBER OF
PERMIT TO (`) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
267 Turkey Hill Road ZONING RK
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 installation of an inground pool
AREA OR 7
800 sq. ft. ESTIMATED COST ,000.00 FE
10,00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
BU I LDy�j�� l
ADDRESS Saem as Applicant's BY jf
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PRIP