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SpN• .. N g.eaaaap ammo\ . N.t"... ..� sass: . a::;.•..oaf//ra/emossaa p a$a$.$ .s:am ii$sa$snsssasssss�I sea owman :s::s:sHHOMs:::s::s:s:: as i sa aaaaaia . .. . S N H.•.N.............a../.se...■a■■ri $ $i$$$s'�$$$ �a $. . .° as �" N. ;.'�a,'a ams$sss'.a�.•�sa-$mss a$$$B$$$�H"UHH's:4seems$ �tili =CiS�ti:=$ � _ - -- - - - :l::SSa t;sSS�:a=lai;:$l�:=.:-- ::::::e::;e;;::;; NOTES and Data — (For department use) J.i-/-// 1,we 1 -:- 1-2,4,IdIll '/ 132v C I T Y O F N O R T H A "! F T O C , M A S S. June 19, 19 85 THE BGARD OF FU3LIC ;O'ORKS The un(lersi.,ned respectfully petition your honorable body for permission to install a driveway at lot #MW Ladyslipper Lane in "Tinkham Woods", off of Westhampton Road. Twenty-four (24) maximum width at the Street line. Gutter drainage not to be disturbed. Driveway surface to be paved if the grade of the proposed driveway exceeds 3% or more. By: - Lawrence u e e 65 White Loaf Road Southampton 527-7766 Inspected By: THE BOARD G= Voted thrit petition he :;ranter', . Acting D Yrector 0 f ub. c Works IV. IDENTIFICATION — To be completed by all applicants Name /� / Mailing address Number, stmt, city, and Statr ZIP code STel. No. Owner or /✓� ( 1 II- 0 W Ld7 essee 3 / Builde.'s D�j 37 1, L tens e N o. 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 i f , Ze 00 NOT WRITE EL0 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 Dote Permit or Approval Check Obtained Number By Permit or Approval Chec Date 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 II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building. Permit issued L�C1 � 1q��j Use Grasp Building Fire Grading Permit Fee $ �� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS 3 OFFICE of the INSPECTOR of BUILDINGS Page � � * Plot ❑ APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT/—j�Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING (• AT (LOCATION) � X/- �+�- � �(7 ✓/II L• DISTRICT 5�< LOCATION (NO.) (STREET) OF BETWEEN ()J-lo r( �- AND BUILDING 1 (CROSS STREET) / (CROSS STREET) LOT SUBDIVISION / ;1�3�'J ��fJj� LOT ` `3 BLOCK SIZE to II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use to 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 ❑ Industrial 3 Alteration (See 2 above) 14 l l t h i Transent hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ 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) 6 ❑ Moving (relocation) 16 Carport 24 ❑ Office, bank, professional 7 ❑ Foundation only 17❑ Other - Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 6 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other - Specify 9 L❑ 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,,,,,,,,,,,,,,,, 5 Q 00 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..................... �(1t1r b. Plumbing ..................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 3 l �0 U III. SELECTED CHARACTERISTICS OF BUI DING — 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 �1 30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories............... r� 31 [7X Wood frame 41 ® Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... L 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 ® Public or private company 50. Total land area, sq. ft. ........... b 31OL? 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES -y F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... i 35 ❑ Gas Will there be central air 52. Outdoors........................ conditioning? 36 � Oil L. RESIDENTIAL BUILDINGS ONLY 37 �❑ Electricity 44 ❑ Yes 45 ,K] No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... 54. 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