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IF
■
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REAR ■
IX. SITE OR •
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and Stag ZIP code Tel. No.
1. P — !9 dYt'�✓�P 61060 S74
owner or
Lessee
/� Builder's
2. ! 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.
Si n ure of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. P AN 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 B Permit or Approval Check Date Number Obtained y pp b By
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 �Q / FOR DEPARTMENT USE ONLY
Permit number (�
Building Use gaup
Permit issued Gr 19 x;1_7
Building � ``, Fire Grading
C/11
Permit Fee $ C{Jl
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
$ Page C9 Plot K-5, APPLICATION FOR
Y T
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, 1V, and 1X. 0
100 ZONING
hJf DISTRICT
I• AT (LOCATION) (Y`�-�) —y � O (STREET)
LOCATION {, j� Y pn� '
OF BETWEEN /�Cfzbrao k AND Cr/I���w �'�/"`
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
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 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 multi family 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 Moving (relocation) 25 Public utility
17� Other — SpeciJy
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST (mit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
I �y processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,•.•.,,....... 00 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.. Electrical above cost
aElectrical....................... }'d
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
48. Number of stories...............
30❑ Masonry (wall bearing) 40 ❑ Public or private company
31 Wood frame p 49. Total square feet of floor area,
41 ❑ Private (septic tank, etc.) r
all floors, based on exterior � X�
32 Structural steel dimensions ..............$7`.
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY n
42 Public or private company 50. Total land area, sq. Ft. ........... 3V
34 � Other — SpeciJy ❑ p
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Cf Electricity 44 n Yes 45 iNo 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator? 54. Number of Full..........
—
46 Yes 47 No bathrooms
T— Partial.......
'lr. 35, 'w Ar >$ SZ'' ,�* '1` .d x :s, `, t r - T, k1'+!"•�..
fy
DEPT. OF BUILDING INSPECTIONS BUILDING ZO
212 Main Street 'a
Northampton, MA 01060 PERMIT a
- VALIDATION
DATE 19 _ PERMIT NO.
APPLICANT ' ADDRESS
(NO.1 (STREET) (CONTR'S LICENSEI
i
NUMBER OF
PERMIT TO STORY I ( ACA ", DWELLING NITS
(_)
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
el
bti a1L.ri N
AT (LOCATION) ZONIG
DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) iCROSS STREET) j
LOT
SUBDIVISION LOT BLOCK SIZE
r
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
i
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: - i., �Ea ) #,d* ts of
AREA OR
"-)• � y { �� PERMIT
VOLUME ESTIMATED COST $- d FEE . Lt
(CUBIC/SQUARE FEET) e ' -
J
OWNER v{ ce ° (}a °i le t J .!
BUILDI f s
ADDRESS tP t t a 7,. €'+ 't, BY .r
WHITE - FILE COPY GREEN - FIELD COPY CANARY APPLICANT COPY ■ PINK ^ ASSESSORS COPY Fomtp
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
212 Main Street '<
'
Northampton, MA 01060 PERMIT <a
29 - 475 VALIDATION
DATE March 9, 19 $7 PERMIT NO. 104
APPLICANT John Glenowicz ADDRESS Yaoad, Florence weer
(NO.) (STREET) (CONTR'S LICENSE)
a
New Building Detached Garage NUMBER OF
PERMIT TO (`) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
405 Ryan Road, Florence ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 24 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 detached garage
AREA OR
VOLUME 576 sq. ft ESTIMATED COST $ 2.500.00 FEEMIT 0.00
(CUBIC/SQUARE FEET)
OWNER John & Louise Glpnowjc7 BU(LDI D
ADDRESS 405 Ryan- Road, Fl orPnrP BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P�I2 P
w