29-327 (7) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES or* Data — (For deportment use)
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ode T No.
1.
Owner or
Lessee
Bui Ider's
1.
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 authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Sign ure of applicant Address Application date
-4AA'1441 )�] r 3&1? �4�
tU 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
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obttai ed Number By Permit or Approval Check Obttatned 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 i� ` FOR DEPARTMENT USE ONLY
Permit number 1
Building. Use Group
Permit issued 19 y-�
Building 7 Fire Grading
Permit Fee $ , /� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
Sao CITY OF' NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
"` Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. o
I• AT (LOCATION) 3G)1L ( ZONING URA .
^t.R �� / 'i'. 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 --�
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 L] New building Residential Nonresidential
2�9 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 Church, other religious
number of units— — — — 20 Industrial
3 � Alteration (See 2 above) 14 � Transient hotel, motel,
21 n Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It 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 Moving (relocation) p
17'L] Other — .Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP _ 27 Stores, mercantile
8,KPrivate (individual, corporation, 28 Tanks, towers t
nonprofit institution, etc.) 29 Other — .Specify
9 L�] 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,,,,,,,,,,,,,,,, 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 $ Ay OGWO
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
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 .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 E] Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 U Gas Will here be central ayr 52. Outdoors........................
36 Oil condit' ning?
_ _ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 s 45 No
C� 53. Number of bedrooms..............
38 Coal
Specify Will there an levator?
39 Other — p' Jy Full.........
_ 54. Number of
46 es 47 No bathrooms
Partial........
fi,a t_ i,,, .':"'�+: ,,,, .,x.,,,r,«,e ,,. . �,,,, '�,„ s""� .,�,.-» �-. '".. 'iS,'�^1=�:tT?^-a+,> �±rx�-M; � z.•�,<:.y
...
...- . .r-
Department of Building Inspections
212 in Street BUILDING Zo
Nor ton, 6o PERMIT �a� - /o.�a
29 r 327 VALIDATION
DATE_ April _2j0_t___19 A2 PERMIT NO. 141
APPLICANT Rnnai d J- Naul L ADDRESS 308 Acrebrook Drive
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Addition_ (--I_) STORY, Den DWELLING UNITS 1 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 308 Acrebrook Drives Florence ZONING URA
D ISTR ICT
(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: Add;t'on for dpn
AREA OR FMIT
VOLUME ESTIMATED COST $ 19 '5500 EE 10.00
(CUBIC/SQUARE FEET)
c.
OWNER Ronald J. Vault
BOIL ING D PT,
—i
ADDRESS — g la-c—crook Drive, Florence. Ma_ 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT INK - ASSESSORS COPY