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29-196 (2)
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IDENTIFICATION - To be completed by all applicants Name Mailing address — �Yumber, street, "ity, and State ZIP code Tel. No. L Owner or Howti, rd Lest°r 30 Cyn T'3 *e -P a 01060 586-3/87m Lessee / Bui Ider's 2. G� y 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{ li t Address Application date ^W,Y€y 0U�,l C :Frew s t-r Court J 11- 80 ./ 00 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 VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtai ed Number By Permit or Approval Check Date 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 %? Bui[ding- Use Group Permit issued �'i ��� 19 ?a _ Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NO RTHAJ4P TON 9+ °4 �• MASSACHUSETTS OFFICE of Nthe INSPECTOR of BUILDINGS Page =2 Plo 7 APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I, 30 Ovr=rlook Drive Florence ZONING I T(K AT (LOCATION) J _ LOCATION (NO.) (STREET) OF BETWEEN Brierwood Drive AND R dford Drive — BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION_ LOT_ BLOCK SIZE N 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 1 ❑ 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 r Industrial 3 Alteration (.See 2 above) 14 Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (I(multi family residential, of units ——————-- — -i 22 E] 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 — Speci/y ad',1 11 iCit7 Of 25 ❑ Public utility 7 ❑ Foundation only L, 26 ❑ School, library, other educational �Q" ar hot W_�' to! [1F(`_-3.t j-n& Stores, mercantile B. OWNERSHIP ❑ 8 Private (individual, corporation, Q%nelrs + 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, 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 BUDDING - For new building!: 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) 40 LX] Public or private company 48. Number of stories.............. 31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 42 +2 32 E-] ..................... Structural steel dimensions Sa + 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY r 50. Total land area, sq. ft. .......... 34 Other — SpeciJy 42 []K] Public or private company 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 L 11 Electricity 44 [_1 Yes 45 ' No ___. 53. Number of bedrooms.............. 38 Coal 39 Other — Specify SQ1 c'ls r Will there be an elevators 54. Number of Full.......... 46 [1, Yes 47 [:�d No bathrooms Partial....... 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 AGONT' ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE_ DATE 19 DEPT. FILE COPY ZO Def(artment of Building lnspec .ions BUILDING i a �a•DO //'/3-�O 212 Main Street Northamptons Ma. 01060 PERMIT VALIDATION 29 - 196 DATE Nnvpmhpr 13, 19 80 PERMIT NO. 678 APPLICANT Ubiting 041 Corp. ADDRESS n RAX M7�NQr hAm_ptiQn_ Ei) (CONTR'S LICENSE) PERMIT TO Solar nAnels (_) STORY Solar h NUMBER OF Ql �Q� ester DWELLING UNITS 1 (TYPE OF 1.11 PROYEMENT) NO. (PROPOSED USE) AT (LOCATION) 30 overlook Drive Florence - ZONING AT CT URA (NO.) (STREET) BETWEEN Brierwood Drive AND Redford Drive rn (CROSS STREET) (CROSS STREET) LOT IL SUBDIVISION LOT BLOCK SIZE m 0 BUILDING IS TO BE,FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM I.N.CONSTRUCTION O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) (r LL REMARKS: Tnsstal 1 2 i an 1 s on rnnf - Lnading must he h eked by contract©r AREA OR PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Hnward Lester BUILD( DEP ADDRESS -10 Overlook Dr 4v,*. FinrPneg, MAC 01060 BY (Affidavit on reverse side of application to be completed by authors of owner)