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29-415 (3) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use r + i + { + s _ L ++ M-111 -1 1"f". i {''� v' z F Ufa Ti } + �,, i . s}-}b- `t t1 F' x' +: tIJ I t - :-�# Y R4 k �3+. § y3 d7. y .I [-� qJ- ,.e�. 3€ .7 " 4 ai Y =S f + jpt mwd. b �q art rx � y r A J' f a;+a-1- �z r + t � , - t 4rrd.: "' "`�: 9 f i-i€ � ' I ',. a} x$� �d px r t }+ ,d�,.� as-+ �.. ii € 3 J.-�.,ra? ?~�~d +,;« �?' S '-'. -1 t .} t P" -'r I T ; } ? � `r 4' "i A i. 4 i 3 L r id 3 rs 's �+ y¢y ,} 7�;a Y' + �-Re -��1 as-s' s `I -k } 19^ $ 12;. .. `' t 3-d-e-R} '.r F i a x ,: t €• a V,!- + �-} '§;.,_ :` ,S ;. 9----rd- ±+4,++ r}`I' rtYP ' �. - � e - +- t -?+- ^€, ++I 14- q.,.. .. & -f+ rp De-it .�p.am } -r. 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F A +�€ ._ sty'- f -�- b s ±q ( § t tjg s-kt+ ..� .,-r.�€., e.--.�,., d r,r 5 e+` {.,�{. .I .g.. ¢Y d P BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. tV.-4DENTIFICATION — To be completed by all applicants Name / J / Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or (.�l Y/" �.� /.�•IE<�. l' I". f� `i��1 i t:✓C l i! /�(. �, ✓�. Lessee 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. Sig ture of applican, Address ? / Application date 00 NOT WRITE BELO THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes 9 Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS rova Check Number B I ec Date Approval Check Date Permit or A PP Obtained y Permit or A PP 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 i/' -�y Use Group Permit issued Ig/—�- Fire Grading Building Permit Fee $ Live Loading Occupancy Load Certificate of Occupancy r �d by: Drain Tile Plan Review Fee TITLE i ,,.�r,•s NOTES and Data — (For department use) CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND 5. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING �j / ` �/ C /l i �P �_.{` DISTRICT I. AT (LOCATION) �✓ �J�/s /�`'/ �r�/C / �/ 4_ LOCATION (NO') (STREET) OF BETWEEN AND_ BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 4 1 ❑ New building Reside tial Nonresidential 2 ❑ Addition(If residential, enter number 12One 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 (If multifamily residential, of units ——————— — -i 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) 25 ❑ Public utility 17� Other — SpeciJy 7 ❑ Foundation only ` 26 ❑ School, library, other educational B. OWNERSHIP Ili . 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, ': 28 ❑ Tanks, towers nonprofit institution, etc.) A '�Sf' 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................ 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 $,� �. 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 48. Number of stories................ 30❑ Masonry(wall bearing) 40 ❑ Public or private company 31 ❑ Wood frame ❑ p 49. Total square feet of floor area, 41 Private (septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY Public or private company 50. Total land area, sq. fT. ........... 42 34❑ Other — SpeciJy ❑ p 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35❑ Gas Will there be central air 52. Outdoors........................ 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47❑ No bathrooms partial........ r R; wXY' Y, rY y Wn Wy t Rall! RUN P gf h $ t , a t. .� ::•: � �` ,� �, "tea 7"° ! i 4 �` ra �d t H c s* NOW hereby certify that the proposed work is authorized by the owner of record and 1 have been authorized by the owner to akejhis application -east his authorized agent. `' a - - SIGNATURE 6F AOENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY -TITLE DATE 19 BUILDING za DEPT. FILE COPY '* "-ftMARMW OF BUILDING INSPECTIONa a t212 MAIN 3TREE 1�� PERMIT Nt1R3�iAMMN, MA. ©10- VALIDATION 29- 15 DATE March 26, 19 39 PERMIT NO. 84 APPLICANT TIUMN FWAt— ADDRESS 1311 4 ,early Hill—Rd• (NO. STREET) (CONTR'S LICENSE) NUMBE OF PERMIT TO In-grou11d p001 (_) STORY ►Swiminz Pool DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING U AT (LOCATION) 134 'anft 'fill Rd DISTRICT (N0.) (STREET) _ a BETWEEN AND a (CROSS STREET) (CROSS STREET) LOT m SUBDIVISION LOT BLOCK SIZE a 0 - BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f (TYPE) O: 0 REMARKS: L71 amend pool 18 X 36 AREA OR s VOLUME ESTIMATED COST $ FEEMIT 10�Of (CUBIC/SQUARE FEET) 0 OWNER Ronald & Maras& P,—n+- B ADDRESS 134 Sg&& Hill Rd.,, Florence$ Mot. B A (Affidavit on reverse side of application to be completed by authorized agent of ner)