32A-255 (138) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT C
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 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC.
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — 'rumber, street, city, and state ZIP code Tel. No.
Owner or r�AA94:71-1 G s�
Lessee
Builder's �p17
2. License No.
Contractor
3.
Architect or ����
Engineer C e
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 f applicant ^ Address r�PfG` Applicati n dat
D NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans
Plans Review Required Check Fee Started y Approved BY Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A Check Date Date
Number By Permit or Approval Check
rova I ec u
Obtained Obtained Number By
PP
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 36
Building Use Group
Permit issued t/ 19
t/ �— Fire Grading
Building
Permit Fee $ 3 a e Live Loading
Occupancy Load
Certificate of Occupancy
Approved by:
Drain Tile
Plan Review Fee
TITL
� r
NOTES and Data — (For department use) `
APPLICATION FOR
PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. /�r7y O
ZONING
I• AT (LOCATION) yG/ ' DISTRICT
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 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� 2 Industrial
❑ Church, other religious
�n Part D, 13) number of units- - - - --
)-
R eration (See 2 above) 1 ❑
14❑ Transient hotel, motel, 21 ❑ parking garage
4 Repair, replacement or dormitory - Enter number
5 F-1 Wrecking (If 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)
7 F-] Foundation only 17❑ Other - Speci/y 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNESHIP 27 Stores, mercantile
8 Private (individual, corporation, 28 T ks, towers
nonprofit institution, etc.) 29 Other - Specify +y-4-
/
9 ❑ Public (Federal, State, or
local government) TT
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 $ �' W
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 SEWAGE DISPOSAL J. DIMENSIONS
30❑Masonry (wall bearing) 40 Public or private company 48• Number of stories................
31 ❑ Wo d frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior C
32F-1 ctural steel dimensions ..................... ! S
33 Reinforced concrete H. TYPE ATER SUPPLY
34❑ Other - Specify 42 Public or private company 50. Total land area, sq. ft. ........... � 1
43 ❑ Privaie (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .....................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL /
35❑ Gas Will there be central air 52. Outdoors........................ 9:
36❑ C' conditionin L. RESIDENTIAL BUILDINGS 0
37 Electricity 44 es 45 ❑ No 53. Number of bedrooms... .
38 ❑ Coal �••
39❑ Other - Specify Will there on elevator? Full.�
54. Number of
46 + Yes 47 ❑ No bathrooms
Partial.......
DEPARTMENT OF BUILDING INSPECTIONS
21,2 MAIN STREET BUILDING �a 3&,7,4
rt0(R-�T8N, MA. 01060 PERMIT
32A - 2lS5 VALIDATION
DATE August 3, 19 81 PERMIT NO. 367
APPLICANT G Qgnry C. Pe2.7.er ADDRESS 1290 Wilson Rd� } Fall River. Ma.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alt ranai r_ ronl awe(_-5 STORY A2 & hotpl DWELLING UNITS
(T PE OF MPROV MENi NO. (PROPOSED USE)
ZONING CB
AT (LOCATION) 36 Kind_ DISTRICT
(N0.) (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: Mi srol lanon t4 ai toratinns & re,g)airc o existing--- -- 5 floors
AREA OR PERMIT
VOLUME ESTIMATED COST $ 830 000' FEE .
�
(CUBIC/SQUARE FEET)
OWNER Northampton Hntpl Asso _iates
BUILDI DEP .
ADDRESS 16 King Gtreet} Northa=tnn, Ma- 01060 By i
WHITE - FILE COPY GREEN • FIELD COPY ■ CANARY - APPLICANT CO NK - ASSESSORS COPY
w ',40A STRUT BUILDING ( ff
O , MAO 0106 � PERMIT a9L
f.A «R 265 VALIDATION
x
DATE .ust 19 81 PERMIT NO. 367
APPLICANT Graltn'V G. Paz 19►er ADDRESS 1 AO W,i,ts �I'a I 11i3fers MR,
(N0.) (STREET) (CONTR'S LICENSE)
C NUMBER OF
PERMIT TO ( _O ) TORY A2 E hPnOSh(DI DWELLING UNITS
(T PEOF MPROV MENT NO. (PROPOSED USEJ
AT (LOCATION) 36 !► ZONING
DISTRICT .,q cfl
(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
s:
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
-k (TYPE)
REMARKS:
AREA OR PERMIT
VOLUME ESTIMATED COST $_.� FEE ?
(CUBIC/SQUARE FEET)
OWNER BUILDI DEONo
ADDRESS Nnrth BY
)RITE - FILE COPY GREEN - FIELD' COPY • CANARY APPLICANT CO , NK ^ ASSESSORS COPY