29-354 ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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0
NOTE$.amd"Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants #.C.s. _y,
Name Mailing address — Number, street, city, and State ZIP code Tel. No,
1. N a M Y�-'t, �4 - C \,:
Owner or
Lessee
Builder's
2. \1V\\�C'`rv\ \� •.\ �` .._�\ 1P; C; � A� �e`� �' �....� 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 a plication as is authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature f p a t 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 y
Date Plans B Notes
9 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 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 3�Q FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 1 19 �
Building O D Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
ITL
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: 1, 11, 111, IV, and IX. O
I• AT(LOCATION) ty J \rs ` SC �\ DIS
/ � TR CT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION _ LOT BLOCK SIZE
Vr
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 ❑ New building Re idential Nonresidential
2-X Addition(If residential, enter number 1 s- ¢ 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 1 Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - > 20 ❑ Industrial
3 ❑ Alteration (.See 2 above) 14 Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
❑ 22 ❑ Service station, repair garage
5 Wrecking (If multifamily residential, of units ------- - -� P 9 9
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ Carport 24 ❑ Office, bank, professional
❑ 1X Other - Specify- D�RCa1C�ij 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,,,,,,,,,,,,,,,, Jc�V,dU 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........... ....... /22
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.)...........
11. TOTAL COST OF IMPROVEMENT Is UUC0
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 N Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exte for
32 ❑ Structural steel dimensions ...
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42XPublic 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 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 C� Electricity 44 E—] Yes 451�i No 53. Number of bedrooms..............
38 ❑ Coal C
39 Other - Specify �C�G- Will there be an elevator? Full..........
54. Number of
46 C_� Yes 47�Rj No bathrooms
Partial........
,, gyp. :=—";,S;%^a��s x'"-"sr-..,.e•_,>�^•.a�s+ �;�.r r�,,:.-�.�a �. .w- �- .°. �-,z. �„ „
at 4k-.
Department of BuiodirigoInspections z
212 Main Street BUILDING �a t I® 0
No wptou, Ma. 01060 PERMIT
29 - 354 VALIDATION
L DATE July 7, 19 82 PERMIT NO. 31.0
APPLICANT Naiam King ADDRESS 14 Austin C rCle
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Addition (-I-) STORY SC]'Pt1 A7CI7 DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PR POSED USE)
ZONING to
AT (LOCATION) 14 Austin Circle DISTRICT
(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: 10' X 20' screen }porch
AREA OR ESTIMATED COST $ 500,00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Naiam King BUILDIN DEPT.
ADDRESS 14 Austin Circlet Florence.Ma 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY