35-201 (7) ZONING
FRONT USE
. ■
SIDE SIDE
NOTES
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — \'imber, strcct, (itN, and �Iatc --ZIP code Tel. No,
llich&el R. ;,nd 1300 Burt 's -'Pit Road 01060 584—
Lessee Pa,mela K. Ptxsons Northiim-pton, 01060 5024
R. Skrocki License No. 527—
Contractor (Vner (Porch) --Above 6622
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 applicant Address Application date
DO NOT WRITE 8EL0 W TH | S L | NE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
OTHER 's
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approva I Check Obta ined 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
V11. VALIDATION
Building
Permit number
Permit issued 19 1
Building
Aqcl by-
Drain Tile
Plan Review Fee
TITLE
' •�p� Tp�.
�" Cris of Nort4amvton
� � �lxssxclfusetts
�t
T' Office of the �nsprrtor of 'Puilbings
APPLICATION FOR
Page 35 Plot 201 ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. ] p
I •AT (LOCATION) 1300 Burt Is Pit 2�Q 0 loll
.d DISTRICT CT
LOCATION (NO') (STREET) t{�{{.
OF BETWEEN Ryum� Road AND ?Pv18 U�d00d. 1erryice tea'
BUILDING (CROSS STREET) (CROSS STREET) ry
j
SUBDIVISION i` �'t A� )11c°.b1e LOT1BLOCK_f i S�ZE 1.011 ,�C.
Cn
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 7�0
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
1 [A New building Reside 'al Nonresidential
2 FZ 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 Past D, 13)
number of units- - - - 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 F-1 Wrecking (If multifamily residential, of units ------- - --> 22 Service station, repair garage
enter number of units in building in 15 ® Garage 23 ❑ Hospital, institutional �J
Part D, 13) 24❑ Office, bank, professional
6 ❑ Moving (relocation) 16 ❑ Carport
17 ® Other - Specify 'Qrph 25❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 Tanks,
8 ® 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
rr�� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ U0#UV school, secondary school, college, parochial school, parking garage for,
deportment 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 200.00
a. Electrical.....................
b. Plumbing ..................... TT lY t
�
c. Heating, air conditioning.......... N/A
d. Other(elevator, etc.)............ YVA
11. TOTAL COST OF IMPROVEMENT $ 3700-00
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
Q
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 1 m
40 Public or private company 48• Number of stories...............
30 Masonry(wall bearing) ❑ 320 -'
,
31 Wood frame 41 ® 49. Total square feet of floor area
Private (septic tank, etc.)
all floors, based on exterior
32❑ Structural steel dimensions ..................... t, .r' '• @ w
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42 EZ Public or private company 50. Total land area, sq. fT. ........... 46.650
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 2 Pr 0 .
]r
-
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 ❑ Gas Will there be central air 52. Outdoors........................ 3+
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY p
37 F—] Electricity 44❑ ® I
Yes 45 No 53. Number of bedrooms.............. T/A Q
38 ❑ Coal
39 Other - Specify Y,one Will there be on elevator? 54. Number of Full.......... NIA
bathrooms N, A
46 ❑ Yes 47 i No Partial........ '
F
IJt Dtt .� W1 .
hereby certify that the proposed °work is authorized by the owti
and I have been authorized by'the owner to make- this Wlig'q�
authorized agent.
SIGNATURE OF AGENT u
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE. : 19
zo
DEPT. FILE COPY
DEPT. OF gu y jIMSpEC1V4 BUILDING Q(L
212 Main So" PERMIT
%nhampton,Mom 010W 35-201 VALIDATION
DATE SAj:)teMhAr I ! 19 7_ PERMIT NO. 44c)
APPLICANT Mi eha.al R. P .reclna ADDRESS 300 Burts Pi Rd--
R
(N0.)� (STREET) - (CONTR'S LICENSE)
PERMIT.TO Porch - Gara-e ( 1 STORY Detached Garage - porch NUMBER N OF NITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 0 RjrtIS Pj 1'. Rnad ZONING
UPR
(STREET) DISTRICT
rn BETWEEN _ Ryan. Road AND Westwood Terrace
a - - (CROSS STREET) (CROSS STREET)
m SUBDIVISION LOT BLOCK SIZE 9 .071
a
U BUILDING IS TO BE 22 FT. WIDE BY 26 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
�
(TYPE)
O REMARKS. -DA-tat-hp(i garagp, 9nd nAd nornh to hoilep 171 X 201
AREA OR MIT
VOLUME ESTIMATED COST $ 00.Oa FEE $ 12.00
(CUBIC/SQUARE FEET)
OWNER Michael R & Pamela K Parsons
LD T
ADDRESS —1,3 Rllrt Is Pit Rd. , NI ton.
(Affidavit on reverse side of application to be completed by authorized agent of owner)