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29-405 (3) L-' 7 — 4:716 sue'" For ALL buildings within Fire District and for other buildings costing $10,000.00 or more, plans and specifications must be submitted to the Inspector of Buildings for examination and approval. If building is to be moved give details relative to proposed location as for a new building. Application for Permit to Build Northampton, Mass.. .............. ..................19....7.6.. To the Inspector of Buildings:— The undersigned hereby applies for a permit to build, move, alter, or repair, according to the following specifications.- 1. Owner's name A7AK5 A vtldi,t-t2- 2. Owner's address ........ . Y.........Si Ae Y.... .....!yi!- . ._.!Qs2 .".. ,1 �o�?c�uc ................ .................. 3. Architect's name .................................................................................................................................................................................................... 4. Builder's name ................9.61q .........» t. ^ ............._...........................,_..........................................._......................................... 5. Builder's address ..................;Le..........4.c!Y Y.........AX ....................Sou.7..1�. ...H�tn���Y....�...�2'4� ....................... 6. Location of Building. Street No. .............3.' S!q rol J�(c RoH� �11.................... .................................................................»...........». 7. Is this a removal or new building........111 .....ill".....�...�."...:t,—.................................................................. .......................... 8. If removal, from where .............._................................................................. ..,......................................................................._................ 9. What is the purpose of building .......L':.............................................................................................................................. 10. Material of building ..............t . .....:. ... ................................................................................................................................................... 11. If a dwelling, for how many families ................................................Number of rooms ................................................... 12. Is there to be g store in the building ...........» ....................................................................................................................... 13. Size of Uuildin No. of feet front .......n........;No. of feet deep ........ . ._.....; No. of stories ........1 ........ 14. Size of ell, No. of feet front ........................: No. of feet deep ..........,......._.....; No. of feet high ........................... 15. Size of Lot .............. . .......................Feet Wide .................................... Feet Deep ................................. 16. How near the-line of street ................................................................................................................................................... ...................... 17. How near the line adjoining lot. Right...........Zs.................: Left...........41 ................; Rear ..........I °........... 18. Nearest building is ................................. feet in a...................................................... direction ...................................................... 19. Material of the floor .......................co .......................................................................................................................... 20. Size of timbers, 1st ........................: 2nd ....................... ; 3rd .......................; 4th ..............................; 5th .............................. 21. No. of feet span.................................................................... ; Distance on centers ....................................................................... 22. Will the building be erected on solid or filled land ................. .....j. ....... ........... 23. What is the material of foundation..C:a''4 f ?�. (r ........................; Footing 24. Will the roof be flat or pitched ................f i?c.r« D......................; Covering........................S:rL.N...G t ........... 25. Heat; steam, hot water, furnace, stoves ..........................................: Power oil burner ..................................._........... 26. Fireplace ......................................................................: Insulation ............................................................................................................... 27. How many sinks , Toilets ............: Lavatories .........; Bathtubs.........; Showers............; Settubs ......... 28. City Service; Water ........................ Sewer ........................; Road Surface ...........................; Sidewalk ........................ 29. Is lot on accepted street .............................A ................... ... 30. Estimated cost (must be filled out) .., ®.. ..... ..........................................._.... ...... ......... ....._.... ....... Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or plastering this building. This building will conform to the requirements of the law. Signature of applicant a�-` W .......... REMARKS No..........//0................ ............................................................................................................................................................................................................_................................................ ........................................................................................................................................................................................................................................................................ ,0-U0111"4U APPLICATION Zoning Crdin;?nce Section 10. �'cC C i V Filc 1,IC). File '>mer MARC A p I:-I i c, nt MARC -Y k"A 1:-L Address- 38 SAtioy Y1(-1- ROAD AcUres's :3J' IIJAlOtl NIL.- A?OnD Telephone rPY- .66-79 Telephone -5-00y- dizl This section is to be filled out in �ccordance .,,,JJh tl,e 11T�,ble of Djj.,Icnsionnl and Density Re latione:. (ZX.- A!,'TICLE VI) -- '11d . 14in. OT). Zoning U f�C Lot Fro n t Der,th --S'-t-br).C-1 S District Area �',Fid th Frort Side Pmt Existing 11161 Fre en Proposed r.fa,rk the appropriate box to indicate the Ilse of the P<scel: Pion-collforininG Lot --11-.d/or structure. Sjcc i f y Residential WlSingle Fr-iily 1.1nit. =1:ulti-F,-,-1ily Duplex =Other ED Business F--j Industrial Institutio-!1I F--1 Subdivision F--j Rz-c,i j I -.r Q P.U.D. c,u c, E Subdivision with "Ap Planning Board ApproVnl: ED Zoning Board Approval (Special pc)rrjj t 1".e)• = Cit.Y Council (Special Exception S. 10.101 ' Watershed Protection District Ovcrl.j.y: (Z.0. Sect. XIV) ED Y 'o ---------------------------- Parking Space Requirements,: .(Z.O. . „sect. 2.1) lRequircd—PrODOSe(1 — Loading I Space Requirements: (Z.C. "-'(,ct. 8.2) Required Proposed Signs: (Z.O. Art. VII) = y6c Q ro Environmental Performance Standards: Z.O. Art. XI I) [=Yes F-1 N o Plot Plan Yes E=1 No Site Plan EA y e s MT,,,o (S; 10.2) (S. 10.2 and 10.11 Waiver Grantc,!:—D-te This section for OFFICIAL use only: =Approval as presented: f­111odific,ations necessary for orprov,-l: Return: (More information needed) Denial: Reasons: Signature of Ap! lic-:int Date Signature )f A(1,min-.,---0fficer Date PLOT PLAN In accordance with Article XI of the Zoning Ordinance, an application for a , Zoning Permit mutt include a Plot Plan. The following characteristics of the parcel must be shown. 1. Dimensions of the lot. 2. Locations and size of a1.1. buildings. 3. Average finished grade of all structures existing and proposed. 4. Use of all buildings existing and proposed. 5. Set Backs as indicated on the enclosed plan. Abuttors Name CITY Or IvOrMyAM P7" Lot Lot z-( 3 Ft. Re r Yard Abuttors Abuttors i+ld ReAi-rY Name 01 Name Ao4GGAT PREM0 Lot No. Lot 30 No. If this is a #,Sideyard House Sideyard If this is a corner lot, write corner lot, write in the name of the in the name of the other street. other street. w w N � Scat Back +� +) a Nor t3iLot :1 9(o Ft. SANDY NIL--(— ROAD Name of Street Indicate location of garage or accessory buildings with a dashed line. Indicate location of Sewer hook—up (M List all past plans, applications, permits, variances etc. and corresponding dates that have been processed by this office. I certify that the enclosed application and plot plan are complete and correct. G,/,2&1 Signature�of�Owner Date Page No. Lot No.�_ I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE' OF AGENT a ADDRESS (NUMBER) (STREET)_ (CITY) APPROVED BY TITLE DATE 19 DEPT. FILE COPY zD BUILDING Qa PERMIT VALIDATION Marc DATE_ April 27 p 19� PERMIT NO. # //b APPLICANT M S.- Waller ADDRESS�8 ^ndy Hi 1 1 Rd. , F o (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF AY PERMIT TO construct ( Z ) STORY pOr'Ch DWELLING UNITS •! (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) p T ZONING AT (LOCATION) 38 Sandy Hill Rd. , Florence - -DISTRICT URA (NO.) (STREET) rn BETWEEN AND .a (CROSS STREET) (CROSS STREET) a LOT n SUBDIVISION LOT BLOCK SIZE m v BUILDING IS TO BE 20 FT. WIDE BY 14 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 0 m Z TO TYPE 4 USE GROUP 1-3 BASEMENT WALLS OR FOUNDATION concrete slab (TYPE) f 0: O IL REMARKS: AREA OR PERMIT VOLUME 2HO ft ESTIMATED COST $1+500 00 FEE �'0� (CUBIC/SQUARE FEET) OWNER Marc S. Waller BUILDING DEPT ADDRESS 38 Sandy Hill Rd. . Florence BY - - - -4 y-, (Affidavit on reverse side of application to be completed by authorh Cd owner)