29-443 (2) a
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicont Use
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NOTES and Data — (For deportment use)
'r'11r0
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
Owner or
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.
Signature of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
By Fee Started Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 s/
Building ��� Use Group
Permit issued /„ ?�, 19
Building qp `� Fire Grading
Permit Fee $ O�rS GS� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by •
Drain Tile $ �
Plan Review Fee $
TITLE
laCITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot y6,1= APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT —/Ap/plicaant to com,p(lete all items in sections: I, 11, 111, IV,faJnd IX. O
I. AT (LOCATION)�� 4g FI1 r., �L' Td `1 &0, ,0 /"/( ee/,,Use- " '// DISTRICT CA
LOCATION "°'' sTR ET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT 44�!Z_BLOCK Lo,E ,QUO SQ �
N
II. TYPE AND COST OF BUILDING — ,III applicants complete Parts A — D �
TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ w building Residential Nonresidential
Addition(]/ residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 L❑ Church, other religious
number of units— — — — > 20❑� Industrial
❑ Alteration (See 2 above)
14 Transient hotel, motel,
4{� 21 C � Parking garage
u Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (I/ 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) 24❑ Office, bank, professional
16 ❑ C port
6 �� Moving (relocation) j//-/)ice A ❑
17 Other — Specify �%25 Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNER P " f�
64-Q,- &Ckklldl 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............... school, secondary school, college, parochial school, parking garage for,
p _ department store, rental office buildin g, 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 n/}
a. Electrical..................... //L12%lf�aL1 ly�GG !+ I.GS�Q
b. Plumbing ......................
c. Heating, air conditioning.......... C) 0
l7L�� Jr�
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ go
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 0 - SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories...............
30 M my (wall bearing) 40 Public or private company
31 Wood frome 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE IF WATER SUPPLY
34 ❑ Other — Specify 42 ` or private company 50. Total land area, sq. ft. ........... I
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35s Will there be central air 52. Outdoors........................
conditioning?
36 Oil � L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [ ] Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators 54. Number of Full..........
46 ❑ Yes 47 I No bathrooms
Partial........
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1�
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DEPT. OF BUILDING NSPECTIONS Z
212 Main S reet BUILDINGa
Northampton, A 01060 PERMIT <
�y F
2✓) 2 VALIDATION
� LL -7
ATE L y J y 19 t.��d PERMIT NO. C':a
APPLICANT ibL L. �`PI( .i .1r ADDRESS llzn ton R�. , Florence �4tiner
(NO.1 (STREET) (CONTR'S LICENSE)
PERMIT TO (_) STORY Famiiy 1V DWELLING UNITS
ITYPE OF IMPROVEMENT) NO, (PROPOSED USE) [[pp ZONING
AT (LOCATION) 66 d l in ton Road, Florence D STN CT URA y
(NO.) (STREET)
BETWEEN AND
(CROSS ST EET) (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
TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
MARKS. p,er it for the addi �.cn oi" a livin �c)urfi unto existing dwelling
LUME .�t08 sq. ft a ESTIMATED COST $ P. 30G'. I0 PERMIT � m 00
(CUBIC/SQUARE FEE )
OWNER !Jara(.1` as Applicant
BUILDI�
ADDRESS Same as A r)l�.i ant BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY 2.16 P
win W
DEPT. OF BUILDING INSPECTIONS BUILDING Z
212 Main Street O<
Northampton, MA 01060 PERMIT
29 - 442 VALIDATION
DATE May 5, 19 87 PERMIT NO. 261
APPLICANT Mickey L. McCrary ADDRESS bb Ellington Rd. , Florence Owner
Imo.) (STREET) (CONTR'S LICENSE)
OF
Addition One Family DWELLR
PERMIT TO STORY
DWELLING NUMBER- (_)
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
66 Ellington Road, Florence ZONING CT URA OISTR
(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
TYPE �> USE GROUP BASEMENT WALLS OR FOUNDATION
+ (TYPE)
RKS: permit for the addition of a living room onto existing dwelling
ME 308 sQ. f t. ESTIMATED COST $ 7,5500.00 PERMIT Qf 28.00
(CUBIC/SQUARE FEET)
,( -
OWNER Same as Applicant J BUILD)R! of of 4,
a00RESS Same. as Applicant Is BY
RITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pjNT P