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s NOTE,
/` ALMER HUNTLEY,JR. a' ASSOCIATES,INC. ALL WORK TO BE
ti or ALt.1ER \ REGISTERED LAND SURVEYORS & CIVIL ENGINEERS DONE IN ACCORD
m 125 PLEASANT STREET
v HUNTLEY• JR ! ANCE WITH THE
A ,p No. 9419 0 _ I NORTHAMPTON , MASS. ENvIRONMENTAE
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DRAWN:
DATE: 10117 171
Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT •
SIDE r l000 SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Numhcr, strcclt, cite, urxl Statc ZIP code Tel. No.
,. aheeT E• 6j ✓�//- / Ad, c�io�� sa7 -
Owner or ,{ /
Lessee c 9/p�.. ]y j /A �/_ .-T-c� ./
Builder's
2. Ain License No.
Contractor
3. JAM Q
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 d to
7 7
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
Fee Started Y Approved Y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or A rova I Check Date Number PP Obtained Y PP N b B Obtained Y
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
Certificate of Occupancy
Approved by:
Drain Tile S
Plan Review Fee _
ITL
Crx#fir of Nort4ampton
$ 8 Asssadjusetts
(Offire of the �lns}lectox ofluilbings APPLICATION FOR
ZONING PERMIT AND
Page—Plots—-- BUILDING PERMIT
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IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) �uf^f'� �1 � aA 0 ye`',o IV C I DISTRICT
LOCATION (NO.) (STREET)
eTWEE! y Q -t Q d� i �
OF _ c_'�'\ W`tI�R�S �/c! /\.Q� AND �
BUILDING (CROSS STREET) (CROSS STREET)
LOT ��/
SUBDIVISION LOT BLOCK SIZE 1 I C01)
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 5�New building Reside tial Nonresidential
20 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
number of urzits- - - - --)- 20 F_� Industrial
3 D Alteration (See 2 above) 14 Transient hotel, motel,
21 Parking garage
4 F-1 Repair, replacement or dormitory - Enter number
50 Wrecking (1/multi/amity residential,
of units ------ - - 22 ❑ Service station, repair garage
enter number of units in building in 15 F-1 Garage 23 Hospital, institutional
Part D, 13) 16 D Carport 24 Office, bank, professional
60 Movin g (relocation) 17 0 Other - Specify 25 Public utility
70 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
28 Tanks, towers
8 z`p"rivate (individual, corporation,
nonprofit institution, etc.) 29 Other - Specify
9 E] 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................ L 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 $ � QC�
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. D
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 171
48. Number of stories...............
30 E Masonry (wall bearing) 40 0 Public or private company
31 Wood frame 41 t� PPrivate (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .................... j 7 9,
33❑ Reinforced concrete H. TYPE 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 ....................... O
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
35 F-1 Gas Will there be central air 52. Outdoors........................
conditioning?
36 O;l L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45No 53. Number of bedrooms..............
38 Coal
39 Other - Specify Will there be on elevator? Full..........
54. Number of
46 D Yes 47 dNo bathrooms Partial........
r
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' AGENY t
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT: FILE COPY
Z0
` CITY OF NORTHAMPTON BUILDING O a
PERMIT VALIDATION
NORTH02WN 0 MASS.
35-202
DATE November 21, 19 7— PERMIT NO. 560
APPLICANT Robert F. Skrnai ADDRESS Rt_ A6 Ma
—_iYL if Tie8th.
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Nay Residenne NUMBER OF
(.�_) STORY j;ggj,denn_e DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) Burts Pit Road, Florence D STR CT SR
(NO.) (STREET)
a BETWEEN Burts Pit RoaA AND R= Reed
tO (CROSS STREET) (CROSS STREET)
IL LOT
m SUBDIVISION LOT BLOCK SIZE
0 BUILDING IS TO BE �FT. WIDE 13Y 24 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
LL REMARKS; Censit iC+ ane-fAmila residence
AREA OR 7 Q PERMIT
VOLUME 1„212 ESTIMATED COST .� �Q- QQ $ W n
FEE n
(CUBIC/SQUARE FEET)
OWNER Robert E. 4tirrl,eki f
BUILDIN D T.
ADDRESS Rt.-66, Main Rd., Wouthemptton BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)