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23A-017 (13) f Ti. 4- �* > t i t J INJ AW At 4 ZONING DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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M Sw.Ia r.. a• s ip ae •.ass is no : eSaa:s is i��a. ■ M!� aN N � 9 nos:nSaS a �S�■1 r nn nia1.�sa Oa lii- f is: �g�s$$a �� iii.;•:: : •:a,lea.a . aii�aaa�I:a:r=:�a:: ei;a=:: � � out _ _ _ _ -no, __��:ut.01::1::ass: s:::=:::_:::::r NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants p Name /,y Mailing address - Number, street,/ciitv,�and State ZIP code Tel. No. 1.Owner or rf,F-9F-�C '� �t//I S� /vl^"K J 0►t,[.v�'C Cl 0 / 06a •,f/Ob,5-t0 Lessee 5d"I1 e167( Builder's 2 Q S d_MO11 _ (J�'��-"— 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 as his auth ized agent and we agree to conform to all applicable laws of this jurisdiction. Signature applicant Address Application date DO 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 is 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 Use Group Permit issued 19 _ Building I Fire Grading Permit Fee $ d Live Loading Certificate of Occupancy $ occupancy Load prove by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS �1 Page Plot 0/7 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O / R I• AT (LOCATION) ` D DIOSTR CTS`N LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H il. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m M 1 ❑ New building Residential Nonresidential 2 ❑ 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 fomily - Enter 19❑ Church, other religious number of units- - - - -o. 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 F-1 Moving (relocation) p 17❑ Other - Specify 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 / processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, I O 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 e above cost Ela. Electrical..................... I b. Plumbing ..................... _, �•/ s c. Heating, air conditioning.......... d. Other (elevator, etc.)............. X71 11. TOTAL COST OF IMPROVEMENT $ l J Q 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 2 30❑ Masonry (wall bearing) 40 © 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 ..................... goo 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY Ir 34 ❑ Other - .Specify 42'� Public or private company 50. Total land area, sq. ft. ........... `too 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 �j Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... �� 54. Number of 46 ❑ Yes 47 X No bathrooms Partial........ Department of Building Inspections 212 Main Street BUILDING Z° �. Northampton, Mass. O1e60 O< `9 J PERMIT 23A - 017 VALIDATION DATE August 4, 19 83 PERMIT NO. 385 APPLICANT Fredrick U. Fierst ADDRESS 10 Park St. , Florence N/A (NO.) (STREET) (CONTR'S LICENSE) Alteration One Family DWELLING OF UNITS PERMIT TO (_) STORY - (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 10 Park Street DIISTR CT URB (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS 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: Permit for the renovation of a barn and new Sana & Bath AREA VOLUME 800 sq. ft. ESTIMATED COST $ 1,500.00 FEEMIT $ 10.00 (CUBIC/SQUARE FEET) /' OWNER Fredrick & Eva Fi erst 0. ADDRESS 10 Park Street, Florence, Mass 01060 BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY - PINK - SESSORS COPY