32C-120 (7) •
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
NOTES and Data — (For department use)
•
i( `--/-r k c , ,�k Z-8
IV. IDENTIFICATION – To be completed by all applicants
Name Mailing address – "umber, street, city, and State ZIP code Tel. No.
1.
l t '�" A.{ '� _ ' ' �7 � ra
�Owner or Q
Lessee 0 Jv t :� �{ •'Fj; \ / F!)�� �i �:� � !-�..
Builder's
2 -.d„�i .:�i�,.,- #'1d --> 1 2{ tN./ r\d vl_ ...t-- License No. —
Contractor
1;_(c- 4 h",-. A r.,t ��(..)-1 ( f1t-k,Xj ' 1 '354 7- 134
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.
Sjggature of applic 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
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta in 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
Bui Iding. y �)
Permit issued Use Group
Building �`�i Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
A rove by:
Drain Tile $ ar
(.'/ V2Z4-17"/
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
+"r MASSACHUSETTS
• ...„4` OFFICE of the INSPECTOR of BUILDINGS
• : rfl
a tun. Page �`�- Plot �L' APPLICATION FOR
.rte_
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0
I. AT (LOCATION) ///
/ f ZONING (1/2,C
�/ �
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 -1
m
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 I I New building Residential Nonresidential
2 X Addition(If residential, enter number 12 I I One family 18 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 EX Two or more family Enter T fly — E / 19 I Church, other religious
in t�,7
number of units— — — — 20 I Industrial
3 I 1 Alteration (See 2 above)
14 I I Transient hotel, motel, 21 I I Parking garage
4 I I Repair, replacement or dormitory — Enter number
5 I I Wrecking (If multifamily residential, of units — --. 22 I Service station, repair garage
enter number of units in building in 15 I I Garage 23 I Hospital, institutional
Part D, 13)
16 Li Carport 24 Li Office, bank, professional
6 Moving (relocation)
17 El Other — Specify 25I I Public utility
7 �j Foundation only
26 I School, library, other educational
B. OWNERSHIP Z'13/.,1 e /.. 27 I I Stores, mercantile
8 LCl Private (individual, corporation, 28 I I Tanks, towers
nonprofit institution, etc.) 29 L_I Other — Specify
9 I I 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 $ 73OQ Lf,`W 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 p
a. Electrical 7L)c(2 .0
b. Plumbing SOOC ,CCI
c. Heating, air conditioning
d. Other (elevator, etc.)
11. TOTAL COST OF IMPROVEMENT $90.00000
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 .3
48.30 I I Masonry (wall bearing) 40 Public or private company Number of stories
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 LI Structural steel dimensions
33 L_I Reinforced concrete H. TYPE OF WATER SUPPLY
34 r 1 Other — Specify 42 N Public or private company _50. Total land area, sq. ft.
43 �_L Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICA q
35 I I Gas Will- ere be central ai 52. Outdoors /!o
36 XOil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
r
37 r j Electricity 44 L i Yes 45 ;`_I No 53. Number of bedrooms
38 Li Coal
39 I_ I Other — Specify Will t •re be an eleva • ? 1 Full
54. Number of
46 Yes 47 r1 • bathrooms
Partial
e
'A+
y.�
lepartment of Building Inspections BUILDING
12 Main Street o° ac,. i oo
lorthampton, Mass. 01060 PERMIT VI
a
32C - 120 VALIDATION
DATE September 22, 19 83 PERMIT NO. AXE 479
APPLICANT David F. Teece ADDRESS 15 Nonotuck St. , Florence 013354
(NO.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO Additions (`) STORY 6 Family project DWELLLRING UNITS 3 new ones _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
11 Cone Street ZONING
DISTRICT URC
(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 changing of existing three family dwelling to a six family dwelling
approval was granted by the ZBA
AREA OR
VOLUME ESTIMATED COST $ 90,000.00 FEEMIT $ 292.00
(CUBIC/SQUARE FEET) ?.
OWNER David F. Teece �y
ADDRESS 19 Nnnnturk StrPPt, Flnrence, MASS- 01060 BYI � '� {�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY