17A-219 (4) LMZONING PLAN EXAMINERS NOTES
FRONT YARD
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NOTES and Data — (For department use)
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I
6
IV. IDENTIFICATION — To be completed by all applicants . . , ,,
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1.
Owner or �--
Lessee � t / _( �J
Builder's
2. Gd 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 to conform to all applicable laws of this jurisdiction.
Signature of applica t Address Application date
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 Check Date Number B
Obtained Y pp Obtained 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
Building / Fire Grading
Permit Fee $ !Q
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
B. MASSACHUSETTS
3 OFFICE of the NSPECTOR of BUILDINGS
Page T
. Plot 9 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant�to complete all items/iin sections: 1, 11, 111, IV, and IX. O
•
AT (LOCATION) (0 AA,�k �.e/✓�>� ���� DISTRICT
LOCATION _ I IN0.) /n/ �(//�� (STREETI
OF BETWEEN f t "\ 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. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Residential 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— — — — --> 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 Transient hotel, motel �� Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑J 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) 24 ❑ Office, bank, professional
Carport
6 ❑ Moving (relocation) 25 ❑ Public utility
71 Other — Specify
7 ❑ Foundation only ° /.� 26 ❑ School, library, other educational
B. OWNERSHIP p�E� I 1` CX`C/�° (7Yt�4�tCX 27 ❑l Stores, mercantile
8 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.
a.a. the above cost �' ❑
Electrical.....................
b. Plumbing ......................
c. Heating, air conditioning..........
d. Other (elevator, etc.)............. ,�RR
11. TOTAL COST OF IMPROVEMENT 1 t��V
III. SELECTED CHARACTERISTICS OF B ILDING — 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 — Specify 42 ❑J 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 I. TYPE OF MECHANICAL
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..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? 54. Number of Full..........
❑
46 Yes 47 No bathrooms
Partial......
a DEPT. OF BUILDING INSPECTIONS BUILDING z° {
,� 212 Main Street Da /
-P, Northampton, MA 01060 PERMIT <
17A - 219 VALIDATION
DATE May 27 19 88 PERMIT No. 312
APPLICANT Teddy Bear Pools ADDRESS 164 or-Waple Street
Richard Venne towned (NO.) (STREET) (CONTR'S LICENSE)OF
PERMIT TO (_) STORY
Addition Pool DWELLRING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSEO USE)
164 North Maple Street Florence ZONING URB
AT (LOCATION) DISTRICT
(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 to install above ground pool 241 in diameter.
AREA OR ESTIMATED COST $ 3,000.00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Richard Venne
BUILDING DEPT.
ADDRESS 164 North Maple Street BY •
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pINT P
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