29-323 (4) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE •R- PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION – To be completed by all applicants
Name Mailing address — Number, sirret, city, anri State ZIP code Tel. No.
Owner or ,
C C-t cr e�z- C9 C�
Lessee
Builder's
1, License No.
A
Contractor
c 0 73 O,Q I g 7 5 -a5Y�
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 al�Rl.igant Address Application date
0 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
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obttaitned Number 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 FOR DEPARTMENT USE ONLY
Permit number
Building. ( Use Group
Permit issued 0- 19
Building
Fire Grading
Permit Fee $ Clk Live Loading
Certificate of Occupancy $ Occupancy Load
Appr d by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
r ;
$ OFFICE of the INSPECTOR of BUILDINGS
�1
, Page Plot 323 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ING
I• AT (LOCATION) ✓:� -C�'C..0 IC.J�(:/T/LL DIOSTR CT(J ,L'�
LOCATION NO.) (5 TREE T)
0 F BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D -a
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
40 Repair, replacement or dormitory — Enter number
o units ——————— — --> 22 Service station, repair garage
5 �� Wrecking (U multifamily residential, / '
enter number of units in building in 15,WGaroge <YX,aLf 23 Hospital, institutional
Part D, 13) 16 L❑ Car p ort 24 �❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — Specify( 25 Public utility
26 ❑ School, library, other educational
B. OWNERSHIP ` Z /,51 X -�`/ 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 (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
01 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.
in the above cost
co
a. Electrical..................... (•(' .
b. Plumbing ..................... isc�X
c. Heating, air conditioning.......... ,te
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 cTy X 341 �—
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 Q�
32 ❑ Structural steel dimensions ..................... P
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
,
34 ❑ Other — Specify 42 F-1 50. Total land area, sq. It. ...........Public or private company O
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 0 il conditioning?
�- L. RESIDENTIAL BUILDINGS ONLY
37 Cj Electricity 44 E] Yes 45 i7 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑1 Other — Specify Will there be an elevator? Full..........
_ 54. Number of
46 [ � Yes 47 ❑ No bathrooms
Partial.......
Department of Building Inspections
212Jiain Street J:I"-_-
Northampton, Mass. 0 BUILDING i's?
IL
PERMIT a
29 - 323
VALIDATION
DATE July 6, (g 84 PERMIT NO, 282
APPLICANT Paul Wing Inc. ADDRESS 116 Valley Road, Southampton 021847
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Addition (,) STORY Finclose Porch NUMBER OF DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
355 Arrr�hronk ZONING ITRA
AT (LOCATION) Ilrive 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
30002= (TYPE)
REMARKS: permit to enclose 12' X 241 porch And also rnnstrlir-t a new garage
VOLUME 576 SCl ft for garage ESTIMATED COST � 12,200.00 FEEMIT 38.80
(CUBIC/SQUARE FEET)
OWNER Dennis Adamski
ADDRESS cre ro0 Drive, Florence BBYILDIN
WHITE - FILE COPY GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY