29-248 (5) VIII. ZONING PLAN EXAMINERS NOTES .
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
,..
IV. IDENTIFICATION — To be completed by all applicants
j�`Naamme/ /� g Mailing a`d�drresss�— Number, street, city, and State ZIP code Tel. No.
1.Owner or C/!/�`i�GYV ARoNA/ /46 E i.tJA/ !OA/ �` ? .V ','.
Lessee d / 96
Builder's
2. License No.
Contractor
3. S.4n/
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 ofure of// t Address Application dote
C/^, Al et- h/670A/ see#4a
' ,Clae e.vcE frla 0/06'0 Sir
DO NOT WRITE BELOW THIS 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 y pp 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
number ��� FOR DEPARTMENT USE ONLY
Permit
Bui[ding
Permit issued cc.. . � 19, Use Group
Building �//�� Fire Grading
DOPermit Fee $ ID.
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved b _
Drain Tile
Plan Review Fee $
TITLE
CITY, OF NORTHAMPTON
MASSACHUSETTS
-11.t At 4.1"=„. ,i::1:.1
"42:
,,, 4) ; OFFICE of the INSPECTOR of BUILDINGS
' Page 7 Plot Z lS7.
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, Ill, IV, and IX. 0
I. AT (LOCATION) ZONING
71'& DISTRICT(
LOCATION (NO.) (STREE I
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
(2
II. TYPE AND COST OF BUILDING - Alf applicants complete,Parts A - D -I
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 a New building Re 'de tial Nonresidential
2 :1 Addition(If residential, enter number 12 One family 18 Li Amusement, recreational
'of new housing units added, if any,
in Part 1), 13) 13 LL Two or more family - Enter 19 L_ I Church, other religious
number of units- - - - -0- 20 L u Industrial
3 I I Alteration (See 2 above)
14 Transient motel,hotel,y - 21 L Parking garage
4 Li Repair, replacement
or dormitory Enter number
5 I I Wrecking (II multifamily residential, of units - -.).• 22 [7 J Service station, repair garage
enter number of units in building in 15 L_1 Garage 23 L 1 Hospital, institutional
Past D, 13)
16 111 Carport 24 L_1 Office, bank, professional
6 r-i Moving (relocation) C
17 C Public utility
] Other - Specify 25 �
7 pl Foundation only 26 { ii1 School, library, other educational
B. OWNERSHIP _ - 27 j_ f Stores, mercantile
28 L 8 L, Private (individual, corporation, -j Tanks, towers
nonprofit institution, etc.) 29 I 1 Other - Speci/ti
9 f1 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 j a r school, secondary school, college, parochial school, parking garage for
1 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 prop sed use.
in the above cost j
a. Electrical t"1 () t ` IA (1 d lux. t ti
b. Plumbing - 1`XC COLA (0i��SC o ,It �::..«" ,
c. Heating, air conditioning - ��
&/ 14 .
d. Other (elevator, etc.) '�►
11. TOTAL COST OF IMPROVEMENT SjitYYD —
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 V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL 1 J. DIMENSIONS
30 L M• asonry (wall bearing) [ I private company
48. Number of stories
40 Public or nvate cum an
31 W• ood frame 41 ii ii Private (septic tank, etc.) 49. Total square feet of floor area
L_J all floors, bused on exterior
32 L∎ Structural steel - dimensions -_-
33 L I Reinforced concrete H. TYPE OF WATER SUPPLY
42 i Public or private cornpa"y 5C. Total land area, sq. ft.
34 O• ther - Spe ci/y .-
43 I,. 1 Private (well, cistern K. NUMBER OF OFF-STREET
PARKING SPACES
— - 51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 l I Gas Will there be central air 52. Outdoors
36 I 1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 L f Electricity 44 1 Yes 45 ` No 53. Number of bedrooms
38 LH Coal
39 Ll Other - Speci/y Will there be an elevator° Full
54. Number of
46 1 1 Yes 47 11L I No bathrooms Partial
.r';
INIMIIIIIIIII•111111111111•1k
411410! BUILDING INSPECTION BUILDING D° li I 'C�(�
lirr
_t.4 212 Main Street 0.1
PERMIT__ Northampton, MA 01060 PERMI
29 - 448 VALIDATION
DATE Dec• 14, 19 88 PERMIT NO. 777
APPLICANT (:_ Macnn Marnnn ADDRESS 18 Ellington Rd. , Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Nell Bu —
ildinQZAdditiom ) STORY NUMBER OF
. OnP Family DWELLING UNITS.
( YP F IMPROV ENT) NO. (PROPOSED USE)
Fl l ingtnn Rnad, Florence ZONING CT URb
AT (LOCATION) 1
(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)
permit for the construction of a new shed 10' X 16' also for the addition of a 6' X 8'
REMARKS:
porch area onto front of existing dwelling
Shed 2,000.00
PERMIT
AREA OR VOLUME 160 sq. ft./6' X8' porch ESTIMATED COST $ FEE $ 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant BuIL,e,&,....,c re , 4 /...„,,14.4.7.4tr/ P-' '`-..
ADDRESS Same as Applicant's BY
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p `,/i,p