36-230 (3) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
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7n 7
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IV. IDENTIFICATION — To be completed by all applicants
Name/ Mailing address.— Number, stmt, city, and State ZIP code Tel. No.
Owner$ e^
In..omw �l Duo
2 Builder's
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 t conform t all ap licable la f this juri dicti n.
Signature plic nt Address a io date
BOUT WRITE BELOW HIS 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
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 f FOR DEPARTMENT USE ONLY
Permit number
Building / Use Group
Permit issued ` 19 _
Bui(ding Fire Grading
Permit Fee $ '�- Live Loading
Certificate of Occupancy $ Occupancy Load
A ed by:
Drain Tile $
Plan Review Fee $
TITLE
-- CITY OF NORTHAMPTON
MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS r'
Page �� Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
I•
ZONING
AT (LOCATION) �lj
DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. 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 XNew building Reside tial Nonresidential
2❑ Addition(If residential, enter number 12)One family 18❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — i 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 ——————— — i 22 Service station, repair garage
enter number of units in building in 15 Garage 23❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 F-1 Moving (relocation) 16 ❑ Carport
17 Other — Specify 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
BPrivate (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•,•••••••....... BA I 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 ..................... Vt/u `
c. Heating, air conditioning......'.... (/VV
d. Other (elevator, etc.).............
r
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
30 asonry (wall bearing) 40ublic or private company 48. Number of stories..............
31 Wood frame 41 XPrivate (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32�j Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42Public 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 ......................
35XGas Will there be central air 52. Outdoors........................
conditioning?
36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45),<No 53. Number of bedrooms..............
38 Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 [__� Yes 47XNo bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS BUILDING z I S
?6 7,
+ 212 Main Street Oa
Northampton, MA 01060 PERMIT
36 - 77-30 VALIDATION
DAT July 14, ,, �Qg866 PE T�q.,c• a376 043446
APPLICANT Maynard Industries, ADDRESS t� r ��
INO.) (STREET) (CONTR•S LICENSE)
New Building Singled DwellinguMBER OF +1
PERMIT TO (_) STORY -DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
Winter berry Lane DIST ZONING SR
RICT
(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: permit for the construction of a new single family dweling with 2 floors and
a garage
VOLUME 2229 sq. ft. ESTIMATED COST $ 117,000.00 FEEMIT $ 707,00
(CUBIC/SQUARE FEET)
OWNER Richard & Carla Dumaine
ADDRESS Shelbigy Crt Apts. #54 , Feeding Hills, Ma BY' '
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I,' 11P
=r s ft
of Worthauipton
9 4 �assacktt�etts -
$ / effirt of tilt )n5ptrtcr of Auilbings
212 Main Street•Municipal Building
Northampton. Mass. 01060
#376
CERTIFICATE OF OCCUPANCY
March 16, 1987
Page No. 36 Plot 77-30
Building (Name) New Simile Family Dwelling/Garage Address 40/Lot #30 Winterberry Lane
Owner Richard & Carla Dumaine Address Shelby Court Apts. #54, ftTfing
Applicant Emile LaLiberte Address 61 Ingham Street, Chicopee
Use: 1st Residential Occupancy
2nd Residential Occupancy
P Y
3rd Occupancy
4th Occupancy
Zone District SR
Required Inspections:
New Building ___X— Existing Building n/
Elevator Electrical
Plumbing r2-, Fire
Building ; { 'Z GAS' Other
Inspector of B Odlngs