29-286 (3) a
Z
i
i
P
i
t
U
V3 SSL *ON VVn NI 3M
3n
O 4
i
i
i
�1
--------- ------------------------------------------ - ............. ..... ...
uuopu NNHNN ru,uuN ou N•HUNUUH•oiiiiiiii iiiiiiiiii iliiiiiiiii iiiii iiiii iiiiiisiii ii■iiiiii. uu uo■■ i.Ho .i:i
:::a:::::see :::::::s:::::::*...own.wee ::::nn umm L::::::::.::::a:::::::5::::::a:::::::HEL:S::::::::::::::H:::::::::: ::::::::::::::::::................."'::ones _
::H:•::HE:=/NN,a�azin H:H: :HH::::::a:' S:E:•.::LNEf.1.�ara':E::::E::•l:::::H::::f °L:::L:::::::::::::::.:E::E:::::::H::::::::::::::::::::::::::':::::
sees: •::1.,$:. ... ••\a.•.loon/Na• all :N.....•..r......N NN..u,.•.Nr.■::uru.iNNt.a■NUN,■u1u.11■.irNft■■N.N•N■.NrN....■■.:H:::
.MU,�U N.NHM.:,p•p\N N.NU■N L.■u ESN.as a.H.a\N N..LNN.....HUN■af..NNfa./wnessw N.uH UN.NaN NNU.N....H HN.H.■■..■u o.o•
::e:=a uN:::$$ ::;;LsLNs::asa3 as3:s:eEs3's:a$a�':se... $$: 3Eee$e:$$$3:e$36$93E$:�$$:essse ............::°see...................... ....In
::::::Hu $::• He "In""In" •.:LL:E:=::E::LL:::Li:::::::::E::EL:YS::::::::::::::::::::Ramada:::$:::L:::::::::::::L::::::::::::::::::
::L'�$s$s :_$ E°�:Hia"ea33:a'Seas:�:saa:S:LS9 ssseesa::'s3eeEeee:s99ese:aa:ea:::e�aaseess86u:?........................::$:::3:::::::::::::::::::
...... ........
:H .. N . ... /. Li . .,L ...... . . _ .
n.;■i$NE■Lo■.ii}iu iiuEsL:iE::::m$:a uro:us:::H u::o:E::H:H:H::::::::EL:E:HO::::HH:H E::.:::i°H:HL:•.H:........a..***......0..............
:=.:N�E$$•�.j:E.;L:ia;i�i:;
Mal :HiS.iHLs:,ia:Ha:i ii•:Ln'Hn�.NNNr:E:::.:::::°::Ei:E:u::::::::Sir••:f� 'r/:::::
1E..EE..•$_E� ••,LL • :: s :. s ass •as :sNN..$...........uNUi•11111a E.\/■./1•M\1t•N...Ha.N....,ur/■\.U.■.lH•\......■H.■..■Na■N■•
u'NNU iE.'.�y•■:u•ii.E..NLrLrH$N_HH_orN.N�OrN.N■NH..ufoN_N..N.NNa H.o.NUN■rrurH■s■uuH■NaN.N.■■u■uorr■■.■..
game./�Joan 3$i:EN::EaiGN•N°L.....I E:•: ..: .............HHH"H uu.i:H H.....
E■:H:H::::\E:NNNN.:H:HN:.■:.::■:.NU.::t:
.N:.a ■■t E�N . H:..NSa uaNNN UHHHu•NauauuNr,.Na,ua..p•Nf.UN UuNrHN H.NNNUUHNN[NHNN■UHH■
..■.raLEL...: •/t1r■� .■\iria.•..aE H■Eaiara tl.■.■•11■.■a.f./_\.•..i.f■\irw...\..•r.N rrwr...\...r...■■ HH.....t\f..fi•s.......HNN...N•\•■Y■...N
�sH: iui ::Ha HE$a31='ia :•/::$EN:• I.....:i:E::$::::•wa :: ::u • :::::::i:::::•::::::::::::::::i:::::
1::_ _ si$s s L Paz' .::-s : s _ s s : ...................
.5•L.•:.E::E • Sam mesas ■:• • f:O�U! NUN,H:.::"*wool :HN\unna Hu H:: .:N:N:..■m:.:..............aa:::■::::r:::.::.:\.H:.:.:N.N.
: a; `HEE';•;H:::H L.L: :E:E::L::LI:isL:liii:::?•EEE H i3NL•;LHZ3�oNaE'•f;::u:::::::H/:::N:::::::::::H :::L:::e:::::i:::: UNN
/:Lw.a/f;/Nl�;;r;.N■E.$uU.N.;;:.:a;N.;HH.::1;•fpl$�i.:n.;N■.;H■pN,.HN O.:Uia;a Hua uHr NU.N.0 iUN fuv or•UNU t.U•ouNU.0■■■.•
YN ':�'='�N..:NaN/a.N • aSa,/:•ai:SrN ■:ENE.au•r.:\N.■1.N/iuN\t1alNU.rup•N,N/uu.u..wN.uN•r.Ut••.r.■...a.rr.■NN •.'.......■.NH.N
...ELau'"N Nt Np...E u. •1t aN1w N �.■..•. r 111NHHN.Nf.■HHNNw.HHaNH■uN■■..\HHNr■..NN..N■H.i\.I.t•■...N■NH.N.H.NH■
URCHH.N.C.. .N ..Nl/iNirH.l N/N UU.•N•t a.N.aN,. •N.Nai l..lu./...rNNN■r/a...■■N.U.N..:r.:\:■.:.N::::::::
woosE::LMiai:Loo":::::::LL::ELLi:_riNN!•:.isLiSSL::�i.�:.::N QS:::EE::L::SL:: aN::L:ECCLES :S::E:N::::::sameness
.:::::::::is:::::::::r::::::i:::::::::i::::
:nnui•l.an::$$i�:;aaN./N ::�:HL::E::iL:u::H unn :E::::::::::::i \ : 1 .........
1 N■ • t1 N• • ...::: :U.■
$ L aEEEia:HUH:.;..NO.:NNaL.,HU..L..uuu NHUUrs: u.N.auau.suu■NOU•rUUNuNUuu NNa N.NaN...NN ■■Y I...
1 loo. ••ltltltl ii iff•\.f.■.\.\N.•Hf.rrr_r■ ••.■..■N■iffiti.rl■■.r.rr■f.\....•■.■...f .•.r.■..•.\.■...H■...a■■•.\■■■r■■\.■■\.■.../..af.f.\.....................
1�ii•L$,..aaaN;%:L ::::Ni:'•:$/a/H ::a:•L.N i::::::E:::f:::::a:E.a::aN\NUHN.NN.......... :r:::::w::::::::::::■E:NNU:E::..N:r:.rr•, •:::::\:
11\ $Lap LEq.a. .a.a.E13E...H.a.r u.ui,.unnu••aNN......N...i.NHla■.i,.Uiut N•...u.u..r■u,u.\r■.ir.t■•■NNUN H.N.t■.■•Y ::
. a UN.w�1L, aN■.U•..•auf rLl,..i U.rNN•N..N.NNU N.HHNU..NN.uuur.N.NN,NUia N...aH.N■\■■Na..f..N.HN N•■■■• 1NY■■
3H..a�::•ii$:Slan:S�$E:S:Eo:LLLE:E�E�::�::3:�::•iEE::L:::::5:::::::::HHHHU:..............::5::::: :::::::::::::::L::::::::::::::::::•::;5::•
I:Eui=pLi'N$N�i'L$$� 3 L:Loo■....:.r.::..:i:..:■:::::::::E::E_f::::::::■i::\EL::\...fr:E::::::::\...:....rf..\r:::::f:::::'N•:
,1—: "LE H'E:HE:iNiiw: •i:i:::$aiH:::::::: ' i a:• • ::::::::
1ggq...: p .�.;•L N••Ean EN/NLGoose 00SHH Naupuu,.JUU../u uENUUi:..•l:uNaNU U• Ntuuuu uu.■u■NUINtN N/uluu:::::::
,■Na�_E C:NpL•.i • u\N•N■..i. r.i■■■■. ■N \.r..r.■N■■.i./.■..i••.il.rii/.ai.a■..l.rfiiN.w.I.N.E.fNNi.•.ai.■i.i.f N.■t■■.•.s.H■1\N.■.\l•..■
1a� •i•$E N/.:$ :SE:.ii"a.NN..'.iiESiL�EE E..Na:uH3E : :: 5:: :::::EE:::::.LI:::Eaa.:isa::l::::uS:L::::::::t:E:ia:::::E.:.:Ur:Ei:::::.U::i:f::::::::::
I HaaN. M.;INUI..r;u iN.$;;N.;l SLa..ENU.•r.N1t\\uNNUfH.N.000\fuUU.S■tpr.•NUN.u.Ul N/r././t■faU•H...NO■Ur■■■t/\\.\■a■■Iiu.
1■Has • • ri is ii.....iiii N,H Niiu_._.uNH■uN■NUN.NH.NNU.uU.N.ufuu\NU N■NUHH■uuiNNHN■uN.uN N■ uHN UU NU.u.UH■NN
Z i$. .'•.. aa- tiLiLa�a$l,:iu= 3. �$HHHH:r'H HH:EH m::i.:HHE:Sui :H::H:::::::HH:HE:::::::HH::H:E::H:HH:H:°H:HHH::H:::
sass: w:ss �Ns$$ :s::s:::s $$:::sL::s:LS::::::s::L:$:Ha"n:::ss::::::::::::::s::s:::::::::s::::::::::::::::::::
i=g i'ES:$$$'sa :e;a•s:sE:H::sal 33131:3:3$:$:aei33See :::a3::ae:lee:::::::a::E:3un assedFU ICH:e's'ee393e cE::e6ee3:eE:e99eeee:e
::lL::rsS L:::s..`$=LEgas ::�aN:�$E:::LL:E;:::LS:::::::H::::::::::::::.....:$::$�::::::::::::::LL-`.�:::Me".....u:.'':E: ::::........:::::::
sa$::::::s3 az3ssa�ul sss$$'ss:3a3s :�3s3�s3cs� e3'se:8s:E33esaaeeess'seeseaeesseas'ss8a8s:eaeB:e:Baea3Ea aeaeeessee9eee3e:9::c9e:::E9:°c°e:c�s9:e:::::
:::ea33aaa;:$$:s:E: ::ail: : g Ea::L$::::$ ::e :::::: :::::::::::::::: Passage
:$ ::s H: aHE :Sae: ssHEaae:=ea i::so Sae''e' 3s$s$se lass:aeeae::::eeesaees:ee:a waeeeaess:a:8e:e:ea'saaeaaes9a3eaaae9 now sse:eee9:Eec9E::99e:Ee:s99:::
: ..psHas.. . : .. .. ......... ....... .la•,.EE:\e/as.//.■.,ri.,a..a. .a ..araa■..1.■r■.....■la./a...a,a..■ata•l■a.lr■s.\.s.i.f.rt•■:..:::
. a/t..•\a...N$.•E3i$LHa3La.E.rr.\■.i■Ea.f■■\.:\Nria■.NHN•■N■N.NHN.■Lr■LNr,names.r\....•r1\■\laa..ili■.\.rf..■N■N rra\.Uf■■■■.N......
i=$ 'z "saga:'as : :sa ss:Hs:::::e93s: o ses s33sa8oe8�sesee'see:as e:::E:::s:69e:s's:eaeese339:ass:'s3aasa°a°::aEB:�ese8ssseee38eecseeee3eeson ss
$ss $s: ; .Esa. ::sss.:sass..... :...s: E i =s::as:::a::::::::::::_a;e:3aa::a:_:_::_:s:_::::_::::::z::::::::::a::a::::::s.:::::::::::::::::::::::::::::.
HE .. . .Np\1"ailassess NN. ■
in _ 3a$$`$`LE:ai::i :: $$ : :•:: $E�e�ii`Ei$LEa$Ha:EEaL:�a�`�i'ir'.�,'a i+:::.: ::uIu:: i ; E i:: :E:E::::::s:::i::L............li'=a:::::s::HHH::s::::IN
::::$L :L::ES$$� LL :1:3::�:aa:a=s3:asses:s�Man!::a. L::::$a=.::::a::::$::::ou lan:::::::::$�;;_._._.::::::::::::::::::::E::HUR,
011,111111i is 's a�'as3$ea$3 es: .... E$issi=s= ee= eae s'ss se �eas3 a:a: is :s,E9aeEi:e$9e99cE9e'se9ee::eeee
/..r.�$lC : $:LEEiE EEES.s.,:....i Lr a.asi a.....r■..,aHH a■ . • ...........................
• • • rN • . . i , • aoi• $.NNisi pper.N.NNaa =aaa:i=:=i:°a::ii:::°Eiii•:=:SLi�a::::::Eis's::::::::
_. s ss.s . ss sa3 Lss s -ss.. •.••....•.•s3ssa/a/Ilss ss•3s:::L::::s:3::sa:a:=::$s$:::s:sHHH::::::::::::::::::::ss:;
$$3. $ ;EE .ES: =:j� :a;.EL$3$:::�E:::$ $$$$'Li.i 3.;;/.......N.;E:.....:sal sLLEE_i:S......;.,ra..a■..i...HUN
$$ �$$s�� ��M'�� �„:il.,�l �r. t1• •t■ ii\_ •t , t1 • .iiN...al. t ■uN •r..N Nu.•NN\f■au1N.t
•� ..� !L: L • "'��ii� . ::_ .;$ $ i:LpC: E3=T�MH H: L$:•a ai':'s:`3$ :ES L:L=aLH ::a amuses*
ei �$ . i sat aa$3 $: :: ..tr.. ss. s:ss LHI a E s :sea a.L ....................
$ $ N s3 •=:s:: ss$a$$i�� irs�e $ a$a3a':ssa%e3aee's�e=s' ��..
: _ = s i°�Na, ;asmaN::a::: .ai;aeL .ile ` = ersg
. l
NS and Data — (For department use)
I
I
IV. IDENTIFICATION — To be completed by all applicants
yy77
Name ��t r Mailing address — Number, street, city, and State ZIP code /+Tel. No.
1.Owner or /T1h)VC.1 -�/'It -1 r�.i ��( f l0 y(�
Lessee 1/Qp�
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 Re wired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obta ned 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
VII. VALIDATION
Building +-�(� FOR DEPARTMENT USE ONLY
Permit number a i
0
Building Use Group
Permit issued ELO aD 19�(Z
Building �w,� Fire Grading
Permit Fee $ 'C D Live Loading
Certificate of Occupancy $ occupancy Load
Approved by:
Drain Tile $ g4t�� 4�n
Plan Review Fee $
TITLE
l
CITY OF NORTHAMPTON
�* MASSACHUSETTS
r r
$ OFFICE of the INSPECTOR of BUILDINGS
,VT 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
1� ZONING
AT (LOCATION) i� .J DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. 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
2KAddition(if residential, enter numher 12 ❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 ❑ 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 — F.nter number
5 ❑ 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
6 ❑ Moving (relocation)
17❑ Other — Speci/y 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................ d d school, secondary school, college, parochial school, parking garage for.
department store, rental office building, office building at industrial plant.If 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 .....................
i
c. Heating, air conditioning..........
d. Other (elevator, etc.)..............
11. TOTAL COST OF IMPROVEMENT $ /��d C
III. SELECTED CHARACTERISTICS OF B ILDING — 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 1
48. Number of stories.........
30❑ Masonry (wall bearing) 4O ❑ Public or private company
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet n floor ores,
all floors, based on exterior
32 Structural steel dimensions ..................... 0
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY I *
34 ❑ Other — SpeciJy 42 ❑ Public or private company 50. Total land area, sq. Ft. ........... ! r
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 F-1 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
�_� L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45'` i No 53. Number of bedrooms..............
38 ❑ Coo \
39 the, — SpeciJy 4 0 Will there be an elevator? Full..........
54. Number of
46 F] Yes 47 e No bathrooms Partial........
e DEPT. OF BUILDING INSPECTIONS BUILDING zD-
212 Main Street n �IL '4
Northampton, MA 01060 PERMIT
a
29 - 286 VALIDATION
DATE 19 PERMIT NO.
APPLICANT Samuel & Linda Adams ADDRESS Pen sa Dr. , Florence Owners
(NO.) (STREET) (CONTR'S LICENSE)
Brezwa dbaRec Room NUMBER of
PERMIT TO (_) STORY .� DWELLING UNITS
( VEMENT) NO. (PROPOSED USE)
28 Pencasal Drive, Florence ZONING CT URA
AT (LOCATION)
(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:
4REA OR 216 sq. ft ESTIMATED COST $ 2.200.00 FEEMIT 10.00
OLUME
(CUBIC/SOUARE FEET) '1
IER Same as Applicant BUI ♦ ff i Y
ASS
Same as Applicant BY �w
FILE COPY ■ GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY pjNT- P