36-201 (2) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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MINNIE-
NOTES and Data — (For department use)
a
S
W -
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t
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Owner or
Lessee
v
2. /V LBcens r e 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.
Signature of gpp1 nt f Address Applica ion dote
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started Y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Ch Date umber B
Obtained Y Pp eck Number Y
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 ' - 19_
Building O0 Fire Grading
Permit Fee $ /�.
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ ♦-,I�•
Plan Review Fee $ fie/
TITLE
CITY OF NORTHAMPTON
�, r 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. 0
ZONING
I• AT (LOCATION) DISTRICT
LOCATION �i� !(NCO') (STREET) ���TT
OF BETWEEN i/�;1� '" ` AND (CROSS STREET)
BUILDING (CROSS STREET)
/ LOT
SUBDIVISION 4 "' /;2� )�? LOT e�# BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use M
1 E New building Residential Nonresidential
'!!IWAddition(If residential, enter number 120 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
314 Alteration (See 2 above) 14 Transient hotel, motel,
21 El Parking garage
4 E Repair, replacement or dormitory — Enter number
5 E Wrecking (If multifamily residential,
of units ——————— — —� 22 L� 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
�
60 Moving (relocation) 25 Public utility
/
17S Other - Specify(�✓��G lC
7 E Foundation only 26 School, library, other educational
B. OWNERSHIP ) ifs Z^' y 27 0 Stores, mercantile
28 Tanks, towers
8 Private (individual, corporation,
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
t processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, I 'P 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 —rI
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 /
✓ft 48. Number of stories..............
30� Masonry (wall bearing) 40 � Public or private tampon
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 N Wood frame all floors, based on exterior
32 Structural steel dimensions ..................... ft
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land ores, sq. 4t. ...........
34 Other — Specify 42 D Public or private company
1
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET e
PARKING SPACES V-
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL q`1
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.............. n
38 Cool
39 n Other — Specify Will there be an elevotor� Full.......... f t
— 54. Number of
46 � Yes 47 f— No bathrooms
' Partial........
DEFT. OF BUILDING INSPECTIONS BUILDING Z° /
212 Main Street o`< / ' c
Northampton, MA 01060 PERMIT <a
36 - 201 VALIDATION
DATE December 8, 19 87 PERMIT NO. 808
APPLICANT Richard Dec ADDRESS 135 Deerfield Dr. , Florence 042575
(140.) (STREET) ICONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration (_) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
AT (LOCATION) __ 39 Winterberry Lane ZONING SR
(NO.) (STREET)
BETWEEN AND
ICROSS STREET) (CROSS STREET)
SUBDIVISION LOT BLOCK SIO E
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 to enclose breezway
AREA OR PERMIT
.
�
VOLUME ESTIMATED COST $_ ��000_00 FEE 12.00
1 (CUBIC/SQUARE FEET)
OWNER Aarn.I3 Harh.er --y
ADDRESS IQ WintArbPrr)TLaue BBYILDIN D PT
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P'iNfi P