29-365 (2) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, street, city, and State ZIP code Tel. No.
1. �?
Owner or .�v C`/�-. Flo 1LC-F—
Lessee C�
2. Build
C ontractor er's
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 on agent and we agree to conform to all applica laws of this jurisdiction.
Sire of appli t Address APPlication date
r '
D : T WRITE BELOW T H I LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $ E=
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained y PP Obtained Y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE =WRECKING S
GRADING AREAS
OIL BURNER OTHER
VII. VALIDATION
Building
Permit number �iJ�- FOR DEPARTMENT USE ONLY
Building •^ p Use Group
Permit issued f �IWT��JVL fq—Sa
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
Page Plot APPLICATION FOR
T
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all item/Js in sections: 1, 11, 111, IV, and IX.
AT (LOCATION)
/ / S / n� 14� `.:�l DIOSTR CT LL4—
1• a � -�.
LOCATION (NO') (STREET)
OF BETWEEN AND (CROSS STREET)
BUILDING (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
w�
il. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
M
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use 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, 13 Two or more family - Enter 19 Church, other religious
in Part D, 13)
number of units- - - - -� 20� Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
21 �� Parking garage
4 Repair, replacement or dormitory - Enter number
5 [71 Wrecking (If multi family 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
60 Moving (relocation) 25 Public utility
17 E] Other - Specify
7 [:] Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
28 Tanks, towers
8 P/Private (individual, corporation,
nonprofit institution, etc.) 29 0 Other - Specify
9 E] 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,•.............. /- c 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 ..................... J
i
c. Heating, air conditioning......... 5
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ I 0
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
48. Number of stories..............
30 L] Masonry (wall bearing) 40 [L-y Public or private company
41 E] Private (septic tank, etc.) 49. Total square feet n floor area,
31 Wood frame p all Floors, based on exterior
32 Structural steel dimensions ....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 Other - Specify 42 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 j Electricity 44 [-] Yes 45 1�;XNo 53. Number of bedrooms..............
38 Coal
39 Other - Specify 1 i Will there be an elevator? Full..........
- 54. Number of
46 C_� Yes 47 'KNo bathrooms
Partial........
i y dt0i ldF BUILDING INSPECTIONS BUILDING °- {�'
Ia.+ ! 212 Main Street °a `� -6 -00
Northampton, MA 01060 PERMIT
29 - 365 VALIDATION
DATE 19 86 PERMIT NO. 487
APPLICANT Brenda A. Herzog ADDRESS An Circle, Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
New Building etached Garage NUMBER of
PERMIT TO g (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
79 Austin Circle ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 36 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. permit for the construction of a detached garage
AREA OR 864 sq. ft. ESTIMATED COST $ 7.125.00 FEEMIT 43.00
VOLUME
(CUBIC/SQUARE FEET) ., ^ f� ►/�/�i,//`)�
OWNER Brenda & Wolf-Detler Herzog f '
ADDRESS
79 Austin Circle, Florence, Mass. 01060 BYIL G
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASS SSORS COPY P 0P