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29-171 (2) ZONING • REAR YARD IX. 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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee a , E+�►�r s'� Ci 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. Signature of applicant 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 Date Plans B Notes Fee Started Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained Obtained Y 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 i Building FOR DEPARTMENT USE ONLY Permit number Building ' Permit issued 19 Use Group Building V/0 _) '/ �) Fire Grading r Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approv y: Drain Tile $ t Plan Review Fee $ TITLE CITY OF NORTHAMPTON �. MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page r59 Plot— APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. 0 ZONING I• AT (LOCATION) — DISTRIC LOCATION (NO.) (STREET) OF BETWEEN � k% CL C.-ir`CL... AND S (CROSS STREET) BUILDING (CROSS STREET) ` SUBDIVISION LOT �� BLOCK SIIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m --1 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 famil y - 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 ❑ Wrecking (11 multi/amity residential, of units ------- - --I 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) 17© Other SpeciJy 5LUj vKy19 I n� 25 ❑ Public utility - 7 ❑ Foundation only t 26 ❑ School, library, other educational B. OWNERSHIP eco r�4 V`o cl 27 ❑ Stores, mercantile 8,® Private (individual, corporation, CLL Q.- 28 ❑ Tanks, towers nonprofit institution, etc.) -�C I�- 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 9.1 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,•.,........ 09 0c 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..................... V r b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ 5�(. Cv } 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 F-1 Masonry (wall bearing) 40 ❑ Public or private company 49 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) . Total square feet floor ores, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY Public or private company 50. Total land area, sq. ft. ........... 42 34 ❑ Other - SpeciJy ❑ p 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 Electricity 44 Yes 451 ❑ � ', No 53. Number of bedrooms.............. 38 ❑ Coal 39 54. Number of ❑ Other - Specify Will there be an elevator? Full.......... 46 Cr � Yes 47 - No bathrooms _ Partial.,..... '� ..P.: DEPI dONIPJILDING INSPECTIONS BUILDING �O 212 Main Street 0 a 1 �� Northampton, MA 01060 PERMIT 29 - 171 VALIDATION r DATE August 15, 19 86 PERMIT NO. 464 APPLICANT Edwin B. Emerson ADDRESS 90 Deerfield Dr. , Florence Owner (NO.) (STREET) (CONTR'S LICENSE) Addition NUMBER OF PERMIT TO (_) STORY Above Ground Pool DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) Deerfield Dr. , Florence ZONING URA DISTRICT (N (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; permit for theX9 construction of an above ground swimming pool 24' in diameter AREA VOLUME 24' diameter ESTIMATED COST $ 5,363.00 FEEMIT $ 10.00 (CUBIC/SQUARE FEET) OWNER Same as Applicant BUILD jQF}a ,,,.(/r ADDRESS Same as Applicant's BY ���i 777PPP WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pop IXw