29-050 (3) VHL ZONING PLAN EXAMINERS NOTES
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD__
NOTES
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NOTES and Data — (For deportment use)
pL X S .— (o b O c. Pk 7'G-7 a.
)c y 'PC LES u-)l ca*"
3
R-Y ruou t o•
IV. IDENTIFICATION — To be completed by all applicants #* 4
Name Mailing address — \'umber, stmt, city, and State ZIP code Tel. No.
e �`o p/o G o 3d
Owner or
Lessee Q
JJ Builder's
2.
License No.
Contractor ,�S __\
3. P
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 applicant Address Application date
le
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans By Notes
Fee Started y Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
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 FOR DEPARTMENT USE ONLY
Permit number
Building, Use Group
Permit issued 19 F
Building Fire Grading
Permit Fee $ !d 'G y
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ved by:
Drain Tile $
Plan Review Fee $
TITLE
p�S CITY OF NORTHAMPTON
�+ >1 MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page art Plot 60 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
ZONING q
aA
AT (LOCATION) 5 ' DISTRICT
LOCATION IN 0.) (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
1 ® New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12tK One fami.ly 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
Transient hotel, l
3 Alteration (See 2 above) 14 ransent ote , mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 E-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 ❑ Foundation only 17 ❑ Other - Specify 25 ❑ Public utility
r
��1 j� 26 E] School, library, other educational
B. OWNERSHIP s�7'o 1Z4GE yE� 27 ❑ Stores, mercantile
8 Private (individual, corporation, �'� / / 28 ❑ Tanks, towers
nonprofit institution, etc.) � £✓ 419 ❑ 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 cos[
a. Electrical..................... 'Po ��g C( b
b. Plumbing ..................... `l
c. Heating, air conditioning.......... e
d. Other (elevator, etc.)............. 0` /4E R �� �E '� �•G�T , r ,
11. TOTAL COST OF IMPROVEMENT $ Ub Imo((I C6-&% 'YN'CY`<-I J! L. SCJ�� 4kE
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
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
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 ❑, No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevator? m Full..........
46 F�' �LJ� No 54. Number of
Yes 47 Partial........
n ._,..._ c.,__ :.
department of Building inspections
212 Main Street BUILDING
Northampton, Mass. 0106 � O<
29 - 50 PERMIT Qa ccc5 JJJ
VALIDATION
DATE December 2, t9 83 PERMIT NO. 676
APPLICANT S. James Mihalak ADDRESS 350 Ryan Road, Flo. . Owner
(NO.) (STREET) (CONTR'S LICENSE)
g ) STORY NUMBER OF
PERMIT TO y
Storage RUN Pole Sh d One Family_ DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
350 Ryan Road, Florence ZONING r URA
AT (LOCATION)
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 12 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARag rmit for the building of a new storage shed pole shed poles and roof and no siding
AREA OR 288 sq. ft. 400.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER
S James Mihalak Jl
c�G
ayn . oa BUI P
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY