35-016 (7) ZONING
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE - .
REAR YARD
NOTES
IX. SITE • ' PLOT PLAN For Applicant
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NOTES and Data — (For department use)
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IV. IDEN IFICATION — To be completed by all applicants
Name Mailing address — .A'umber, sirccl, Cit>, urn/ 'lIatc ZIP code Tel. No.
Owner S.L. R 80 Parsons St. Easthampton, MA 01027 01027 527-5298
Lessee
Qul Ider's
License 7 S^
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 B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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
Permit number �)
Building
Permit issued T1j1:t.r��C-y 19
Building
Permit Fee $ aGI
Certificate of Occupancy S
Ap d by:
Drain Tile
Plan Review Fee S—
TITLE
Grity of Xor#4ainp#on
� � �Ctlss�lclptsetfs
T (Office of the �ngvtrtor of `Puilbings
APPLICATION FOR
,-, w ZONING PERMIT AND
Page �� Plot/ -`Z BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
ZONING
AT (LOCATION)
trJ f f",l�/�Lvt� / (! D STR CT
yl: �� (
.00ATION (NO.) (STREET)
F BETWEEN AND
rUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT �'� BLOCK SIZE
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 'Flew building Residential Nonresidential
2 F-1 Addition(If residential, enter number 12�'Une family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 19 E] 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 — Enter number
5 ❑ Wrecking (IJ 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) 25❑ Public utility
17 ❑ Other — Speci/y
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 [�Private (individual, corporation,
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
school, secondary school, college, parochial school, parking garage for,
10. Cost of improvement,,,,,,,,,,,,,,,,
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 L,
a. Electrical.....................
b. Plumbing ..................... n
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT
P
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; .o
for wrecking, complete only Part J, for all others skip to IV. y
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ITl
48. Number of stories...............
30❑ Masonry(wall bearing) 40 ❑ Public or private company
LJ i t
rivote (septic tank, etc.) 49• Total square feet of floor area,
31 �'�Nood frame 41 p all floors, based on exterior
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land ores, sq. ft. ...........
34❑ Other — Specify 42 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES .�
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ER-6l conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 E 1O 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? Full........
54. Number of
bathrooms
46 ❑ Yes 47 o Partial........
hereby certify that the proposed work is authorized 1�y the" owner, of"'record
and I have been authorized by the owngr, tg:make this application as his
authorized agent.
SIGNATURE dF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPT: FILE COPY
CITY OF NORTHAMMIN Z e
BUILDING
NoRTHAwm. nss. oio60 PERMIT
35-16-2 VALIDATION
DATE M ah 27, 19_ 78 PERMIT NO. 60
APPLICANT R_ T.- Nbeera ADDRESS 80 Parsons Street,EasthaWton
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO—C'.C1 AtM10+ RgfiIjd&ne& (--?—) STORY Residence DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) #2 West Farr Ro d ZONING
DISTRICT
(NO.) (STREET)
Ch BETWEEN AND
`D (CROSS STREET) (CROSS STREET)
w
n LOT
m SUBDIVISION LOT BLOCK SIZE
U
O BUILDING IS TO BE 38FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
OL REMARKS: onatTme't one_-PaWly residence
AREA OR VOLUME ESTIMATED COST $ 240500.00 FEEMIT .� ni 5-00
(CUBIC/SQUARE FEET)
OWNER S, LV Nocera ,
ADDRESS 80 Paranna Street, Eaathamntons Mass. BI IN
(Affidavit on reverse side of application to be completed by authorized agent of owner)