29-143 (4) vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
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IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee f
CALL
Builder's
2. 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.
i re of applicant Address n Application dgte
�-0 C)J ,� k -00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL Is I
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta t ed 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
V11. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number �3
Bui Idin -�
g �� 19� Use Group
Permit issued
Building ff 7 Fire Grading
Permit Fee $ � 7�
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TI
CITY OF NORTHAMPTON
�• MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page Plot / Y3 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) ( DISTRICT
LOCATION wo.) (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
--f
1 New building Residential Nonresidential
2❑ Addition(If residential, enter number 121VOne family 18 ❑ Amusement, recreational
of new bousing units added, if arty,
in Part D, 13) 1 Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - --> 20❑ Industrial
3 ❑ Alteration (See 2 above) 1q ansenoe , motel,❑ Transient hotel, tl 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multi family residential, of units ------- - -i 22 ❑ Service station, repair garage
enter number of units in building in 15><Garage d' X a 23 Hospital, institutional
Part D, 16 Carport 24❑ Office, bank, professional
60 Moving (relocation) p
7 [::] Foundation only 17 ❑ Other - Speci/y 25❑ Public utility
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,,,,,,,,,,,,,,,, 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 1$J [/
III. SELECTED CHARACTERISTICS OF BIJILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories.............
31�Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior Q�
32 ❑ Structural steel dimensions ..................... V
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 n Public or private company 50. Total land area, sq. fT. ..........
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY
37 F-1 Electricity 44 ❑ Yes 45 I� No 53. Number of bedrooms..............
38 ❑ Coal
39 [l Other - Spe'cify Will there be an elevator? Full..........
54. Number of
46 P Yes 47 ❑ No bathrooms
Partial.......
4
Department of Building Inspections
212 Ma reet BUILDING
North, Ma. 01060 O<
PERMIT
EL �o
29 - 143
VALIDATION
DATE Novemhpr 1f).-1982 PERMIT NO. 639
APPLICANT �s++ A Tnh3n ADDRESS_ 2Ej� "van pad
INO.) (( TREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO 0 I (__J,__) STORY DWELLING UNITS 1
YPE OVEMENT) NO. (PROPOS USE)
ZONING i1Rd
AT (LOCATION) 261 RaRA$Cl DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 22 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: nnstrunt and finish garage on existing foundation
AREA OR PER MIT
VOLUME 578 ESTIMATED COST $ 3.500 FEE $ 26.40
(CUBIC/SQUARE FEET)
OWNER Tnan A. Tobin
ADDRESS 263 Ryan Road, Florence, Ma, 01060 BYILD G T.
0 P
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY
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