29-417 (5) ZONING •
DISTRICT
FRONT r
SIDE r SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT
o............. • Applicant ....u...........
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NOTES and Data — 40F0'r'department use)
it,fZj ejf It-,v HAf*l tb�dL�n
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IV. IDENTIFICATION — To be completed by all applicants *-*
Name Mailing address — Number, street, city, arui State ZIP code Tel. No.
Owner or
Lessee
Builder's
AeA 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
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate Date
Permit or Approval Check ObDta ned Number By Permit or Approval Check Obtained 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. 1. Use Group
Permit issued 19X
Building Fire Grading
Permit Fee $ /�/�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
r
Plan Review Fee
• CITY OF NORTHAMPTON
# *� MASSACHUSETTS
�y �` OFFICE of the INSPECTOR of BUILDINGS
'"t Page�!� Plot
a APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, I1, 111, IV, and IX. O
(• AT (LOCATION) ZONING!/��"� �Lc'"�' /J DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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
i ❑ New building Residential Nonresidential
2 �<Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of neu, 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 F-1 Alteration (See 2 above) 14 l
l
t
h
i
Transent hotel, mote ,
❑ 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (I(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 — SpeciJy INdU� Y'VVZ7 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP ��� 27 L❑ Stores, mercantile
28 ❑ Tanks, towers Ir
B�Private (individual, corporation, Specify
Other —
nonprofit institution,etc.) 29 ❑
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
,^ vZO 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..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ I ro 0 .c•0
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) 4QPublic or private company 48• Number of stories..........
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet n floor,area,
all floors, b .�t.32 ❑ 'tr uctural steel dimensions 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, .34 ❑ Other — .Specify 42 Public or private company """"
43 ❑ rivate (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ......................
35 ❑ Gas Will there be central air 52. Outdoors........................
conditioning?
36 L❑ Oil / L. RESIDENTIAL BUILDINGS ONLY
3 Electricity 44 ❑ Yes 45Lj No 53. Number of bedrooms..............
L_]-
_ Coal ^—C
3 \ Other — .Specify Will there be an elevator? Full..........
'�y� 54. Number of
46 �� Yes 47 LJ[I No bathrooms
'�-1' Partial.......
a ,;y*r,. � ��" �YW�` •R°m•s _ "T.._ .r}.y _ ;ttv�o �,� ,.f9Y: •r v" n C ..-u .-. .. �,
Depar of Building Inspections `
2124190 -Street BUILDING z° 00
Northampton, X60 O< 1 Q
29 - 417 ' PERMIT
VALIDATION
��
DATE October 12, ig 82— PERMIT NO. 574
APPLICANT TerrAnce - Mare ADDRESS AR Rrnnkra ad Drive, Flo.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
P#RMIT TO _ npy1 strur_ture (1_) STORY f mi 1 V r DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROP SED USE)
ZONING
A
AT (LOCATION) AA IRrnnkmond D'rivp -- 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
(TYPE)
REMARKS: Fami 13C rnnm Igo. X 249 chimnpy' Monaaa nvp instal 1 Atinn
AREA OR PERMIT
VOLUME ESTIMATED COST $ 1 Snn FEE 0_00
(CUBIC/SQUARE FEET) 1.
OWNER Torrence T Moore BUIL IN_APT-
ADDRESS AS Arookm od Dries yi nren['P._�jg, 01060 By
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT PINK - ASSESSORS COPY
,.
0 qty
i r
s
e
XVIIC too *7
AV-
Ow-
�r v;
k
,
" Nki ^ i
W
441 j.
4
tw
ri'N� 0
xt pa`
�•
PERMIT �a
VALIDATION
"..w DATE IT 19 PERMIT NO. �
APPLICANT AD E� Brookwood Drivt, Fla.
(NOS) (STREET) (CONTR'S LICENSE)
`Iii NUMBER OF y
PiMIT TO'. Yf4Rc� iEtt!*>kE'} �m (_i) 'STORY ^, �_ �m�S��Y - DWgELLING UNITS 1
(TYPE OF IMPROVEMENT) N0. ROP SEO USE) ?
dos ZONING
AT (LOCATION) DISTRICT -
(NO. . ( REET) 2v
AND
BETWEEN (CROSS STREET) ICROS,S STREET)
g LOT
SUBDIVISION LOT 'BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND`SHALL CO NI OAM CONSTRUCTION
,Gr
TO TYPE USE GROUP .,?"--BASEMENT WALLS OR FOUNDATION
('CYPE)
REMARKS:
AF
. .
0
AREA OR ESTIMATED COST . } FEEMIT,
VOLUME
(CUS)C/SQUARE FEET)
OWNER �Ci .1"11 [��ilS� t�
0 BUI N
ADDRESS lyrl MxfAlttivrfnl� 1 5 ���x � " 060 BY
WHITE FILE COPY ■ GREEN - FIELD COPY CANARY APPLIC lk PINK ASSESSORS COPY