35-086 (5) ZONING •
FRONT DISTRICT
SIDE • . SIDE YARD
REAR YARD
NOTES
I -F-W M,JWWA21 ,E,qaw_
Ep I �m�
• • • .. nt
tZiirL`�ii'wSZiil�"'w ::::3•:•r■°1.t.�jZi•'��2rS:.Sia'ira'ii�i�iriririiriCweia'i
w r:S #! I� • rg \#�gi1MN:iw .71M11riiiiiiii■saiiiiii
.S4 .M u��gilg' I�fuirn���l�'y�I�ai`w�iii"=W"iiiw�iwu iii
` .. � + �ii1/.111••iwllfl r.«. i r Nr\n•.u.
•1`a1 � i'■ iii wi p wiilrliNllr N Was"liion
• i •On 1 ••1 s i iiisiiiiii'Niissgiiiiii
■ 1p-"q :rrsi■ 1s ='s 1';?.aNi•�:/�:1�:1.:..MM e
is 4N" R R �I il.i%ra. M � " Nw■afi\Mtw■wr1
• ` "' s. 'i:i 3N.•:aid:i Zi.'i110444•:a"USsiiiii
1 ■ ,�.a/ U� Rw� •ii�waaiiiiia�iN■Nisiiii bases.•1: r ai �y1wwf fir r. ,wR ��v�....yy_'' Na • n..•...Nn....■Nn n• n
4*9■ \ n `f Y •1 • w11 • �larwwi�a ��fw waaw■ • i a� wrN1N \. sM. IIa\rsi \i1iL1=: iO
_N\ls.wL n � NNw■.�\ rr` •\.+.1 • _ •, * .MM^ .a.\\Nw i •\\\ N•w\\NN\wwwaflow on
a iaiwi i '# iii ai L 3t1'�re ww
w . • wii 1 ■ i r° iini;urarnirr•.nwrir=NrNrr't'wuu.•ffi*
mass
ai 1 r ��i• ' i:air aii ump— an, *omiiis
■ ras '14 aiiN•iri :
�i i rr. w e r wr a�iiii• wiir'ri•rrua/wiLUr Nnu\u•\
'naa�ais 111•"WrIM�s/riaiiIlmuwa
P ■ I •rl �i RI■Ita w7wl�i%f�tlaf�s�f
a � ii:' a•iNisrniiw\•.r=NUN•
n/ar n aRUi:r Nr11 Nn •■N!N•rn•Nana
1 1 � � irR w i11�1 f s 111110 sariu■auowr•■
r { :isisssR i iii.iiiiaiiiiis
as !w • r NaNaaNaoruN•
a r rar uU si • rra 1 !a�R r nUU u.r uuNr
sr. U����s•r NfasN
ry rr i�B�,u, i.�■iiiir � � iir I anini �� iwiiiin a•
_! a_ IBM .uNNO a --f _ _ ■ ■ R11 ■ _rawair=11�11� is� aias aii is'
i .wplfM 0-uni��"
1 -- —_.� f11M�w 1 ttw iw iw.) I /14 1� f r■w'R' N �wf►•w
;�j$.\ ��,�,.11 �i-�iS�1 ��,,`0.�n iG3ii iN +�iwftiaitrai i �3ii71r' IN1w�}iwNGi i =iiiwe
• r • N x_ SrN■ai wsiai iirii
" � w iiaiT.i u'r� isiiiNi�i�iiii S
r s N i Iwai�it nisi
aisi'i:us s �..
i�saii;
a r • �. i i �'I z$R.n\ra.
fIp•w1 ylr t 1. M!r•rla
y' f/ if r M a • tI.M NIN�1•1��iiZ��,,..
'��!�iAy a wR1�i •ar'����.��■wN.ru■u�
' 1�1 ry•, it rirs Ri N•w a � • NwaiGnau N•Ua
LI + mr .-sNrN�a
Hill,
A� a r, r w His
i�l�li�iirwesii
s• rn a w ar t}ra.iwRrl ew\aiwaitiw.•:wae��a awrarc\.wsc•wslssi�r\asarwawrsi�N��iiwiraNr. w ♦rgw•ratN\iralrrw��wul�■w /•iiirs ■ Uiii ni�■i�nwu■N��N.NUiU•n
i-� 1• ■ i
HOME NfL.ilil��w�q#w�Nly1g"11��wtwi_�•N1lwaiiN � � #�agNwia�pN*t■ra�11 1111 }\a/aa.riiw r wwrari*Nawrsmymi�\i�fl
1 A Hiis w' lint •#�1� •1i'7O�w'Y 1aNi " !!t �� w r ■w ■ •%�F�a NaIns •��I
J 1°.r.'i'+ iii �a 3i11-1,1,�r 'iilil l►i i '�i « rj'i _ ".�awiuii=n=
�i1ai�wuN�i■�,1 rl al
rR r •w • • "ws
son 1111111
f • is man!i%i:1
a.rn•.• •pia• N •on:iyii riwla�r1!
. •. �j` �ii •_�j iN��rww� RI
r�a
'ass 91
1 •eaRr �r� a is�s N
' II �II pp N iIIi��11((�II�as1s
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .A'w0)c•r, strcat, ritN, arid Stei(c ZIP code Tel. No.
. vr'E of��
Owner or
Lessee
B,IIder's
�. License No.
Contractor
y
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that 1 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 4-?pplicant Address � .` Application date
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 ate
Permit or Approval Check Obtained 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
Permit number
Building
Permit issued 19 �
Building
Permit Fee $ /4' --------
Certificate of Occupancy S
Approved by:
Drain Tile $
Plan Review Fee S-
ITL
Ca,xt of Nort4allvvtou
$ Aassactinsetts
�u t Office of the �nsveCtor of 'ouilbings APPLICATION FOR
T - ZONING PERMIT AND
Page ` Plot_ BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
+,
I. AT (LOCATION) `' r ,''�'• DISTRICT .,
LOCATION (NO') (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE I CIO
II. 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 ❑ New building Resid fial Nonresidential
2 Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13❑ Two or more family — Enter 19 Church, other religious
in Part D, 13)
number of urzits— — — — --)� 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 ------ - — 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 elocation
g ( ) 17 F__j Other — SpeciJy 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 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
(Z ✓/I 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 $ g `
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. �—
!7
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
48. Number of stories...............
30❑ Masonry (wall bearing) 40 E Public or private company
49. Total square feet of floor area,
31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior
32 Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE F WATER SUPPLY
50. Total land area, sq. ft. ...........
34 F-1 Other — Specify 42 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES .D
51. Enclosed ....................... O
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
35 Gas
Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 1- No 53. Number of bedrooms.............. 1
38 Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
bathrooms
46 Yes 47 dNa Partial........
I 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 AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
Zq
DEPT.FILE COPY
CITY OF HoRTrrax BUILDING
III.
PERMIT VALIDATION
NoRnu M)m MM. 35-86
DATE September 15, 19 77 _ PERMIT NO. 4
APPLICANT Paul K. Ti mall ADDRESS Box 216 M 12a.6tham:UW
(NO.) (STREET) (CONTR'S LICENSE)
itinn (I_) STORY ftlaxm _ NUMBER OF
PERMIT TO ��.�aati�n �,'!`ea, —DWELLING UNITS.
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
r� ZONING
70
AT (LOCATION) Westwood Termee DISTRICT
(NO.) (STREET)
a BETWEEN AND
b (CROSS STREET) (CROSS STREET)
A
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
¢ Y
0 BUILDING IS TO BE 34FT. WIDE BY, 3 FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
I (TYPE)
O:
LL REMARKS: Rnla ," 'hnth myrnaya of rnom to width of existing house a.& above
AREA OR
VOLUME ESTIMATED COST .$_�n0Q FEEMIT $ 1,5.00
(CUBIC/SQUARE FEET)
OWNER Je=ma Rsaw1owski
BUILDING D PT
ADDRESS_ 6 YiestHL od T93=1&•Ce,—Fl.fim- here BY :5
(Affidavit on reverse side of application to be completed by authors agent of owner)