29-064 (22) ZONING NOTES
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data (For department use)
4
f
IV. IDENTIFICATION — To be completed by all applicants
s---s:
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or1, dl t r? ,. > -` ' Zi
Lessee
j Builder's
2. �t J i� i{` 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 s his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sig natu i of plicont Address Application date
-
-� D0 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
Q Fee Started y Approved y
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 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 �/� /{ f�'� Use Group
Permit issued r�(,lrt �i'L�19 _
Building
Fire Grading
Permit Fee ��� `���
$ �^--z Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ t
Plan Review Fee $
TITLE
CITY OF .NiRTHAMPTON
�+ MASSACHUSETTS
$ OFFICE of the QINSPECTOR of BU I DINGS
�t
Page � 7 Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
I• AT (LOCATION) Ems° ` I^/ l> )/ � �1�1 ZZ, r lyY. �y DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
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
m
1 ❑ New building Resid ntial Nonresidential
2 El Addition(If residential, enter number 12 One 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
3 Alteration (See 2 above)
number of units— — — — --). 20 ❑ Industrial
_
14 ❑ Transient hotel, motel, 21 parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 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❑
6 F1 Moving (relocation) Carport 24 ❑ Office, bank, professional
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
i
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,
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..................... p%)
b. Plumbing .............. If%,r�' t ! F
c. Heating, air conditioning........ r``'
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
30 �asonry (wall bearing) 40 t, 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
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYP OF WATER SUPPLY
34 ❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 WGas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 FJ Electricity 44 Yes 45 ', No
53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators Full..........
es
54. Number of
46 Y 471No bathrooms
`- Partial.......
a DEPT. OF BUILDING INSPECTION$40 -%UI LDI NG
! 212 Main Street <IL
Northampton, MA 01060 _ PERMIT
29 - 64 VALIDATION
DATE March 10, 1988 PERMIT NO. 111
APPLICANT nnnAlri I;rAgpl ADDRESS 11 Gi Train TPrr. . Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY Onp F 1 1 V _DWELLING UNITS
( YPE 0 IMPROVEMENT) NO. (PROPOSED SE)
ZONING URA
AT (LOCATION) 1 rAi n TPrr , Florence DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (LROf! STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR '5500,00 PERMIT 10.00
ESTIMATED COST $ FEE
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant 60 /� ,
--Same as Applicant s BY UILDING D 0
ADORESS B
a
WHITE - FILE COPY ■ GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY P-" - P