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NOTES and Data — (For department use)
4T"^"'pr
CITY OF NORTHAMPTON x_0 0 , -/ y ' 7 Tax Map No. Lot 17
ZONING PERMIT APPLICATION
Zoning Ordinance Section 10.2 TP, Received: File No. Plan File
z 'ri
Owner - .-�>. 4 �, Applicants _��,,�r•.,�
Address r �� !cif ��< r' Address
Telephone �� ?� ��` "' Telephone
This section is to be filled out in accordance with the "Table of Dimensional and Density Regulations:
(Z.O. ARTICLE VI)
Zoning Use Lot Front Depth Setbacks Max. Bid. Min. Op.
District Area Width Front Side Rear Cover Space
Past Existing
Present/ �I Proposed % %
Mark the appropriate box to indicate the use of the parcel:
❑ Non-Conforming Lot and/or Structure. Specify
, 7 Residential kSingle Family Unit ❑Multi-Family
❑ Duplex Other
❑ Business t f 7--
❑ Individual
❑ Institutional
❑
❑ Subdivision Regular ❑ P.U.D.
❑ Cluster ❑ Other
❑ Subdivision with "Approval-Not-Required"-Stamp:
❑ Planning Board Approval:
❑ Zoning Board Approval (Special Permit 10.9: Variance)
❑ City Council (Special Exception S. 10.10)
Watershed Protection District Overlay: (Z.O. Sect. XIV) ❑ Yes >�No
Parking Space Requirements: (Z.O. Sect. 8.1) Required Proposed
Loading Space Requirements: (Z.O. Sect. 8.2) Required Proposed
Signs: (Z.O. Art. VII) ❑ Yes o
Environmental Performance Standards: (Z.O. Art. XI 1) ❑ Yes o
Plot Plan ❑ Yes No Site Plan ❑ Yes
(S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date ❑
This section for OFFICIAL use only:
f Approval as presented:
• Modifications necessary for approval:
• Return: (More information needed)
❑ Denial: Reasons:
f d/_/f_Signature of of Applicant % Date Signkureof Admin. Officer — Date
THE P 'I Ir'G PRESS
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — .Framer, strilct, rif%, crud SIatc ZIP code Tel. No.
c�
Owner or KC0 G
Lessee
Builder's
L.
License No.
Contrartor —— — —
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
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
ate Date
Permit or Approval Check ObOta ned Number By Permit or Approval Check Obta ned 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 221
Building
Permit issued June S, 1977. _
Building
Permit Fee $ I0-on
Certificate of Occupancy S —
Approved by:
1
Drain Tile
Plan Review Fee S_
BUILDING INSPECTOR
TITLE
r o ode Crzty of 'Nart4ampton t 1
� �� �I�ssxrlft�setts
(office of the �nsptrtor of 'Puilbings
APPLICATION FOR
Page 2— �,�� ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p
-2/- � L.✓•-f 7 %J ZONING E ,/'
I. AT (LOCATION) � L..1 _7� t���1-^7s^,� �ry%``'f�'_'' DISTRICT/ p�F.
LOCATION (NO') (STREET) -�
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE CA
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D M
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
�, j
New building Residential Nonresidential
1
lJ Addition(1/ 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 units- - - - -i 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 lt
l
t
h
i
Transent hotel, motel,❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -i 22 Service station, repair garage tom'
enter number of units in building in 15❑ Garage 23 Hospital, institutional
Part D, 13)
16 ❑ Carport 24 ❑ Office, bank, professional
6 Moving (relocation)
17 Other - Speci/y 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
school, secondary school, college, parochial school, parking ora a for,
10. Cost of improvement,,,,,,,,,,,,,,,, 1�'�'�• 't/ Y 9 P P 9 9 9
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 ..................... J
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT 1$
III. SELECTED CHARACTERISTICS OF AUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV, y
D
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
30 Masonry (wall bearing), ublic or private company 48• Number of stories..............
31 Wood frame � + +a!� 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. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 420 Public or private company 50. Total land area, sq. ft. ...........
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ...................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 F-1 Gas Will There be central air 52. Outdoors........................
36 X Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45 YNo 53. Dumber of bedrooms..............
38 ❑ Coal ir f
39❑ Other - Specify Will there be an elevator? t4. Number of Full..........
,
46 ❑ Yes 47 No bathrooms Partial........
I hereby certify that the proposed work is authorized by the owner of record
and 1 have been authorized by the owner to make this opplicdtjan,-.,as; his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET)_ (CiTY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
Zo
BUILDING 0a
!'CITY OF PERMIT V A LID AT ION
DATE June 8. 19 2— PERMIT NO. 22�
APPLICANT I&=ynce R. Corbett ADDRESS KR4 Nnrth Farms, Ito-at'
( .) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO C,reen Houses (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED U5E
tt
ZONING
AT (LOCATION) 5.89 North Famns Rnarl DISTRICT N
(NO.) (STREET)
a BETWEEN AND
V (CROSS STREET) (CROSS STREET)
a
LOT
a SUBDIVISION LOT BLOCK SIZE
m
t
V
O BUILDING IS TO BE FT. WIDE.BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
'
I (TYPE)
It
o REMARKS. ,Private C-aen bomme 81dA—to existule exist Muse -
AREA OR PERMIT, $ nn
VOLUME ESTIMATED COST $ 100.00 io .00 —
(CUBIC/SQUARE FEET)
OWNER Ugrams R Corbett
BUILDI D T.
ADDRESS ,SW North Rj�zn$ -R---d BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)