29-091 ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
' i d
IV. IDENTIFICATION — To be completed by all applicants E�
Name Mailing address — Number, street, city, and State ZIP code Tel No.R
Owner or '
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.
L ature 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 By Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Permit or Approval Check Obtained Number By Permit or Approval Check Obttat^d 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
II. VALIDATION
Building DEPARTMENT USE ONLY
Permit number
Bui Iding. Use Group
Permit issued 19 _
Building Fire Grading
Permit Fee $ __ /4_ /Id Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee
ITL
o CITY OF NORTHAMPTON
9" MASSACHUSETTS
B �
�b a` OFFICE of the INSPECTOR of BUILDINGS
'at Page cZ9 Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I. AT (LOCATION) � Q. A 124 112-� ,A4?,l D S T R C
LOCATION (N0.) (STREET)
OF BETWEEN 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(1/ 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 n Industrial
3K Alteration (See 2 above) _
14 Transient hotel, motel, 21 Parking garage
4 n Repair, replacement or dormitory — Enter number
5 n_ 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)
7 �� Foundation only 17 � Other — Specify ��t.0-�� 25 � Public utility
26 E] School, library, other educational
B. OWNERSHIP obdx` ' �t= / 27 Stores, mercantile
8 Private (individual, corporation, a 28 Tanks, towers
nonprofit institution, etc.) 29 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,,,,,,,,,,,,,,,, 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.)............. t�
11. TOTAL COST OF IMPROVEMENT $ cXt
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
30 Masonry (wall bearing) 40 Public or private company 48. Number of stories..............
31 Wood frame 41 D Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 �� Reinforced concrete H. TYPE,OF WATER SUPPLY
34 Ell Other — SpeciJy 42 {J Public or private company 50. Total land area, sq. ft. ..........
43 F7] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
' 51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYP OF MECHANICA
35 Gas Will th e be central 52. Outdoors.......................
36 ` Oil conditio ng. L. RESIDENTIAL BUILDINGS ONLY
37 ` _ Electricity 44 L...� Yes 45 ��', No 53. Number of bedrooms..............
38 ` Coal
39 'L� Other — .1'pr iJy Will t re be an e valor° Full..........
54. Number of
4 Yes 4 �� No bathrooms
Partial......
MT I I i 4
#
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29 91
VALIDATION
t
-DATE a 1 261, 1g9 81 PERMIT NO. 241
APPLICANT suk A. ett ADDRESS , _ 38 fS>C erWzs$d Drive
- IWO (STREET) (CONTA'S LICENSE)
PERMIT TO AL $"IE313 NUMBER OF
(�) STORY_ G @1C� � DWELLING UNITS _
(TY 'OF IMPROVEMENT) NO pR O QEED USE)
AT (LOCATION) byteryped bri4)" ZONING
DISTRICT
(NO.). ( TREET) ,ks� p
BETWEEN : a A
(CROSS STREET) (CROSS STREET) -
LOT
SUBDIVISION 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)
AEMARKSe Awl-o" = oda "L�,� " eAnort to fam karaggs 2q*r 12• X ' owete
slab b�ind ptaga for attov lo►tslll sl di*4 glass ' b(tk *f A
AREA VOLUME LSfIMATEO COST $-2 WO FEEMIT
(CUBIC/SQUARE FEET)
BUILDING E
ADDRES f ^
OWNER
BY ` f
WHITE' -J ILE COPY . GREEN - FIELN COPY CANARY - APPLICANT COPY • PINK; - ASSESSORS COPY
.. .t.. .. ,... ,, ���._
t
��
•. �'
a
F
Department of Building Inspections
212 Matn Street BUILDING D 00
rthampton, Ma. 01060 PERMIT Q
29 91 VALIDATION
DATE May 26, (9 81 PERMIT NO. 241
APPLICANT Ru.-an A Emmett ADDRESS 38 BrienZood Drive
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO Al t rati nn STORY rara>?e DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. PROPOSED USE)
ZONING URA
AT (LOCATION) 38 Brierwood Drive - 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: Enclose an existin& 12' X 0' carport to form Qarage. hour 12' X 12' concrete`
slab behind garage for patio, install sliding glass door on back of house.
AREA OR PERMIT
VOLUME ESTIMATED COST $_?}Qnn FEE $ 10-00
(CUBIC/SQUARE FEET)
OWNER DPni S L & Susan 4 Emmett BUILDING EP
ADDRESS 1A Rri Prw-nnd- Dri ve,_Nnrthamnton, Ma_ 01060 er
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY