36-097 (5) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
NOTES USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No' - i
Owner or / /{//r
Bui Ider's
L.
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
this applicatio s his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sig atur of a plicant Address Appli ation date
Ili 8,64� � 977 &yk-
t
/ P
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtta ned Number By Permit or Approval Check 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- Use Group
Permit issued �� ,� _, � 19
Building Fire Grading
Permit Fee $ ,//J_ 15V Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
t
Plan Review Fee $
LE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page 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) DISTRICT
LOCATION "°') (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CR(TSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
f/r
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 IXI Addition(lf residential, enter number 12One family 18 ❑ Amusement, recreational
J� of neu, bousing units added, if any, F—'
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, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It multifamily residential, of units ——————— — -- 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 — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only
26 L❑ School, library, other educational
B. OWNERSHIP �� 27 ❑ Stores, mercantile
if ❑8 �Private (individual, corporation, � ,, / 28 Tanks, towers n
nonprofit institution, etc.) I� / �LCL— 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
t--�.� y� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement„�t�rQQ... (/�• 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. Elertricol.......................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ ( uK/•
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 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 ❑ Other — SpeciJy 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 1. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
ditioning
con ?
36 ❑ Oil _ L. RESIDENTIAL BUILDINGS ONLY
37 C 1 Electricity 44 I Yes 45 —� No \
53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify _ Will there be an elevator? Full.......... Q
/- 54. Number of
46 C1 Yes 47 X No bathrooms
Partial....... ((if
hereby.certify that the proposed work is authorized by the owner of -redcoed
and I have been authorized by the owner to make this application as his
authorized agent. - _
SIGNATURE i AGEKT `
ADDRESS v '
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19 1
1
DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY
ZID
n-
212 ,PAIN- STREET BUILDING VL
�4 - THAMPTONs MA. 01060 PERMIT
VALIDATION
36 - 97
DATE September 230 19 M PERMIT NO. 506
APPLICANT SAnd a RuSRP]I ADDRESS 997 Hurts P3 t Rd_
(NO.) - (STREET) (CONTR'S LICENSE)
- �� NUMBER OF
PERMIT TO Solar �:n1 1 W[!
t r (,�_} STORY S,jlar_Cn11ec_tpr DWELLING UNITS(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 997 Burts Pit Road DISTRICT
(NO.) (STREET)
a BETWEEN AND Florence Road
�O (CROSS STREET) (CROSS STREET)
a
LOT
IL SUBDIVISION LOT BLOCK SIZE
a Addition 15' X 10'�/a,X 10'
p M=XX IS TO BE F4. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
g (TYPE)
O
LL REMARKS: Icanstr'11cf- walk-In raplar collector.
AREA OR ESTIMATED COST FEEMIT $ 10•OQ
VOLUME
(CUBIC/SQUARE FEET)
OWNER P. Da elio & S. Russell - BU IL NG T.
ADDRESS 997 Aurtc Bit Edop N'toin. 0 Mao 01060 BY
(Affidavit on reverse side of application to be completed by out agent of owner)