29-405 ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
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Ni9TES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — Number, street, amity, anrf State ZIP code Tel. No.
1. `
Owner or
Lessee t��l� ��� ✓S �� Gr/ 1�� tei✓j
Builder's
2.
License No.
Contractor s L iC
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.
Signat of Opp icon t Address Application date
00 W r WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
V Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or Approval Check Obttait ed 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
II. VALIDATION
Building A— FOR DEPARTMENT USE ONLY
Permit number
Building. _ ,� h, Use Group
Permit issued �1/ j�` _ 19
Building
Fire Grading
Permit Fee $ ' I�� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g• #� MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
t Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT[— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
/-Z /
ZONING
I• AT (LOCATION) / I CIA/ A04/D D STR CTOR
LOCATION (NO.)` (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. 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 W 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 (11 multifamily 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)
17 ❑ Other - Speci/y 25❑ Public utility
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 (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
r..� 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
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning......... if
d. Other(elevator, etc.)............ 0
11. TOTAL COST OF IMPROVEMENT $ t�
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❑ 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 �0
32 Structural steel dimensions ..............
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
('Q} 50. Total land area, sq. ft. ........... pod
34❑ Other - Speci/y 42 L31 Public or private company
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 ❑ Oil conditioning?
�q L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............
38 Coal
39 ❑ Other - Specify Will there be on elevator? Full..........
54. Number of
46 ❑ Yes 47 K No bathrooms Partial........
DEPT. LDING INSPECTIONS BUILDING
212 Main Street o<
• Northampton, MA 01060 PERMIT <a
vo -4 29 - 405 VALIDATION
DATE March 3, 1986 PERMIT NO. 75 /1
APPLICANT John Glenowicz ADDRESS 405 Ryan Rd. , Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TONew Building/Addition (_) STORY_ Storpge Shed/Deck NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
405 Ryan Road Florence ZONING r7p
AT (LOCATION) Y DISTRICT URA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
deck is to be 12 N-4 14
BUILDING IS TO BE 10 FT. WIDE BY 14 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
ITYPE)
REMARKS: permit is to build a storage shed and an open deck
shed deck
VOLUME 140 SG]. ft./168 SQ. ft. ESTIMATED COST � 650.00 PERMIT .� 10.00
(CUBIC/SQUARE FEET)
OWNER John & Louise Glenowicz
ADDRESS Ryan Road, orence BYILDI...
Job
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY PJNT` ' P