29-426 (2) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
i p
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1. L t� j� !, f
Owner or 1L IhG r1;1 SJ fC3 tl�.-.� �7-C f e�eo b i l a—e ��..� �'+�
Lessee O
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.
Signature of applicant Address Application date
Jl ci'/-a t_e- 71 is c�f�/�� I r/ire_ /=lc�r p,>y c_F ec .�
0 D4 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 $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obta t ed Number By Permit or Approval Check 0bttaltned 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 $ L ( i[
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ed by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE ofr INSPECTOR of. U LDINGS
Page Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
±� ZONING
AT (LOCATION) 7/ ��to _isf y Ile 1 V� DISTRICTLA
LOCATION (NO.) (STREET)
/� (STREET) ` /gyp e
OF BETWEEN f p '",LL 4ji� AND JP`I�tA i N IL-L Jt V L
BUILDING (CROSS STREET) (CROSS STREET)
LOT
rr
SUBDIVISION LOT_3 BLOCK SIZE /O.. J 3 0
Vr
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i
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 l
l
h
Transient hotel, mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 El Wrecking (11 multifamily residential, of units ——————— — --� 22 Service station, repair garage
enter number of units in building in 15 Q Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑
6 �❑ Moving (relocation) Carport 24 ❑ Office, bank, professional
7 ❑ Foundation only 17 � Other — Specify PL1 J' h�6ietze�;X 25 ❑ Public utility
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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 5'C)co 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 u e of existing building is 'ng changed, enter proposed use.
in the above cost .y
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT s 5,'/00
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 I
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48• Number of stories................
31 49. Total square feet of floor area,A'C%r
Wood frame 41 ❑ Private (septic tank, etc.) ,
all floors, based on exterior I
32 ❑ Structural steel dimensions ..................70 (j7
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 ❑ Public or private company
50. Total land area, sq. ft. ........... � �
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?
�/ 53. Number of bedrooms L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 w No 3
_. ..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full..........
54. Number of
46 ] Yes 47 r No bathrooms
Partial.,.....
Department of Building Inspections
212 Main Street
Northampton, Mass 60 BUILDING o° 00
PERMIT
29 - 426 VALIDATION
DATE July 9 19 84 PERMIT NO. 285
APPLICANT Richard & Diane Bradford ADDRESS 71 Golden Drive __ Home Owners
(N0.) (STREET) (CONTR'S LICENSE!
2 additions existin( one family home NUMBER DF
PERMIT TO _) STOR g DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
71 Golden Drive, Florence D STR CT URA
(NO.) (STREE )
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Garage is to be 20" x 26'
XKKXXKk5 TO BE 19 FT. WIDE BY 12 T. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
PORCH
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Permit tO bUlld tW0 adds
AREA OR 804 S q. ft. ne 59100.00 PERMIT 36.00
VOLUME ESTIMATED COST $ FEE .�
(CUBIC/SQUARE FEET)
OWNER Richard & Diane Bradford
Go Wen rive, Florence, s. B
ADDRESS T
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK ASSESSORS COPY