35-016 (5) ZONING •
FRONT DISTRICT
USE
SIIE YARD SIDE • .
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION – To be completed by all applicants
Name Mailing address — Numbc°r, strc•r-t, rrt�, aml Stwc ZIP code 0.-e1. No.
1.
Owner or
Lessee
/ B,iIder's
`L. License No.
Contractor /
3.
l fxo=<sl c✓� d F. �(.�•+'�ir4i�6�'�AJ.�//��/sc S �/1 tovs,�%�c�/ 7f%�'h�j7!T � / i
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.
Signs a of appl' ant Address - Applicatio date:h c�r��
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 Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta ned 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
Permit number 3c?Z
Building
Permit issued 719z�
Building Cl 47
Permit Fee $ 90. 00
Certificate of Occupancy
A ed by:
Drain Tile
Plan Review Fee S-
T Iff LE
o� ro
* (rlt� of Noxt4olnvtou
� � �Ixssscl)ttsetts
�b
t Office of the �nzprrtor of P11IIbiuto APPLICATION FOR
Page —Plot �� ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Z
O
ZONING
I• AT (LOCATION)
,°f,) {� DISTRICT
LOCATION (NO.) �//, (STREET)
OF h, R-f 7 r_j 4JA111,' AND
BETWEEN
BUILDING (CROSS STREET) (CROSS STREET)
/ 'rcfi LOT
SUBDIVISION LOT BLOCK SIZE l-73i,,_C
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
1 F New building Resid tial Nonresidential
2 ❑ Addition(If residential, enter number 12 7One 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 y
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 ------- - -� 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 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 F_Xj Private (individual, corporation, �
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•••••••••....... /- S 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..................... "3S6
b. Plumbing ..................... D'b
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ 1 �Z
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. y
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
48. Number of stories...............
30 F1 Masonry (wall bearing) 40 Public or private company
41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, r
31 Wood frame p all floors, based on exterior `u
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
42 � Public or private company 50. Total land area, sq. ft. ...........
34❑ Other - SpeciJy � p
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35❑ Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45 0 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other - Specify Will there be an elevator? 54. Number of Full...`t......
46 ❑ Yes 47 [Vj No bathrooms
Partial........
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ASSESSORS COPY
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an or BUILDING
PERMIT VALIDATION
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DATE bar 197 PERMIT NO.
APPLICANT^ tag" ADDRESS S7 ]Ei I S*"..(N0.) E / (CONTR'S LICENSE)
NUMBER OF
PERMIT TO O STORY DWELLING UNITS
(TYP OF IMP VE ME NT) NO. P OP D USE)
ZONING
AT (LOCATION) if" DISTRICT
(NO.) (STREET)
rn BETWEEN " ' AND wa+1 -- ---
�(CR SS STREET) C 055 5 EET)
LOT
CL
m SUBDIVISION LOT _BLOCK SIZE
a
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
0:
O
I+- REMARKS: am aw-ftour vow'
AREA OR PERMIT
VOLUME ESTIMATED COST � 7 FEE
(CUBIC/SQUARE FEET) _
OWNER BUFLDIAkG DEPT,r
ADDRESS BY F
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I hereby certify that the proposed work is authorized by the _owner of, record
and I have been authorized by the owner to make a his application as, his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
j
DEPT. FILE wr ii
Zo
s CITY OF NORTHAMPTON BU i LD 1 IVG a s
NORTHAMPTON, MASS. 01060 PERMIT VALIDATION
Dnre�uly 21 192_ PERMIT NO. 302 -
APPLICANT StPPhPn L. NnPern. ADDRESS--B!?_P rsQnS Sty East.
(NOJ (STREET) (CONTR'S LICENSE)
PERMIT TO NeX(,_ ?Sidgpgq l�` _) STORY NUMBER OF
TYPE OF MPROVEMENT) NO. ��S1PROPOS O USE} DWELLING UNITS
I
ZONING
AT (LOCATION) yPS't Farm.-, Road DISTRICT
(NO.) (STREET)
BETWEEN P.4fha. nt) Roa.� AND West- Farms Road
(CROSS STREET) (CROSS STREET)
L LOT
n SUBDIVISION LOT L-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
� {TYPE}
o REMARKS: - - (.nnr-:.r'1C+- YLE'W_oloe-family xesidence
ARA VOLUME ESTIMATED COST $ 29,; 00 FEEMIT $ !go-oo
(CUBIC/SQUARE FEET)
i
OWNER
BU DI P
ADDRESS kC.7 AqZ44.44Aj j BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)
Now