36-143 (7) YIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
ti
IV. IDENTIFICATION — To be completed by all applicants v 4
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
O(o(.
'a' � ru�c-e l�q
Lessee /` C L
[. Vc��SdN •�� a0s-ke- S+. " [c�� L Builder's
icense No.
Contractor
Boa 901
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.
Signat of applic t `! _ 01 Applica ion d to
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 Obtained 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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued G' - 19
Building
Fire Grading
� 1
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
CITY OF NORTHAMPTON
�•;� �+► Y MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
,V, Page Plot 4 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT —7�Ac2pplicant to complete all items in sections: I, 11, Ill, IV, and IX. o
ZONING
1• AT (LOCATION) -' � '/ ./ (-'1�`- ��._1G /`�°� DISTRICT 3^
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D -a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(l/ residential, enter number 12n 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,
21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
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) 16 ❑ Carport 24❑� Office, bank, professional
6 C� Moving (relocation) p
17 Other - Specify 25❑ Public utility
7 ❑ Foundation only ❑ f f 26❑J School, library, other educational
B. OWNERSHIP T 27❑ Stores, mercantile
8I 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.
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 Is
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 71 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 - .Specify 42�M, 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 ...... -:7011.Z.)......
35 ❑ Gas Will there be central air 52. Outdoors...........:. ........
36 Oil conditioning?
r L. RESIDENTIAL BUILDINGS�VLY
3� Electricity 44 ❑ Yes 45, I No 53. Number of bedrooms.....
.✓
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? Full..
54. Number of
46 ❑ Yes 47'F7111 No bathrooms
Partial......
.,_.. ..+-mss, .. ,_. ~-.<�. -,�,� - ,��,�„>�,�. �.r...�,,�.�.-�.,
.�.
'�S
_IApaxtment of Buildi.»g laspect na
212 Rain it'reet 1# s. BUILDING 0a
PERMIT /�.
A{ a
36 14
�' 3 VALIDATION
DATE QrtAl'ar 20, 19 82 PERMIT NO.
APPLICANT g =Y T AlheXtaag ADDRESS 8 23'1°r'+nkmi Aa C4 zyl 7, Fla.
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ��tF328t�0tt (_L) 'STORY �UZ 11iiLP1 DWELLING UNITS �-
(TYPE OF IMPROVEMENT) NO. ? (P OPOSED USE)
ZONING
AT (LOCATION) UvaLotleggida C4,rvkle DISTRICTIO '
(NO.) ( fTRE ET)
AND
BETWEEN (CROSS STREET) (GROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS? Addition of lullkb*&4
AREA OR , 2 PERMIT Q 10.00
VOLUME ESTIMATED COST • �P
(CUBIC/SQUARE FEET)
OWNER HnUgrd T_ Alb4prtscAn BUILD G ^ ! F {.
ADDRESS BY
WHITE FILE COPY GREEN ^ FIELD- COPY CANARY APPLICANT CO Y • PINK' - ASSESSORS COPY
AL
9
Departmer„t oaf 'wilding Inspections
212 Main Street BUILDING o- �/� o)
Northampton, Ma, 060 PERMIT
36 - 143 VALIDATION
DATE n - Aber 209 19 82 PERMIT NO. 597
APPLICANT Howard T Allhertson ADDRESS 308 Rzookside Cl-rcles, Floe
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Al terat'll STORY (PROPO�ulkttead DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 3AR Brookside Circle OISTRICTI�A
(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:
AREA OR $ 200.00 F
ESTIMATED COST EEMIT 10-00
VOLUME
(CUBIC/SQUARE FEET)
OWNER HAUard T Albertson BUILDI G D
ADDRESS 308 Rrook-gue C11= p Florgncel MA. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT CO PINK - ASSESSORS COPY