29-021 (2) ZONING •
FRONT DISTRICT
SIDE YARD
SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
JI'M00 rocly)A
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NeA 0 S�)ee�mok- s(� -�,r
T QtJ�L �Yl �A u)all T 01140d
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, City, and ,,," ZIP code Tel. No.
o 10)(00 S ao
Owner or
Lessee
Builder's
2.
License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the propos work is authorized by the owner of record and that I have been authorized by the owner to
make this application as his uth ized agent and we agree to conform to all applicable laws of this jurisdiction.
Signat Ze of 13pplicant Address Application date
%�-=— 0?to k vet N
/Z 00 NOT WRITE BELOW THIS LINE
V. PlIlLo REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae Dote
Permit or Approval Check Obta tned 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 DEPARTMENT USE ONLY
Permit number
Building- Use Group
Permit issued / ���r0 �1 T 19Z�
Building Fire Groding
Permit Fee $
Live Loading'
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TI E
CITY OF NORTHAMPTON
MASSACHUSETTS
� e
OFFICE of the INSPECTOR of BUILDINGS
t 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
�
T`•^^/ ZONING / R �/y�
I• AT (LOCATION) fo '� ( �"'� DISTRICT��/�/
LOCATION NO.) ^ (STREET) ^
OF BETWEEN 14 1 AND 7R'(QQLLk_
BUILDING (CROSS STREET) CR TREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 Reside ial Nonresidential
2 ❑ Addition(If residential, enter number 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 � E] ransenteration (See 2 above) 1q Tit hotel, motel,
21 L❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1l 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)
E:]7 ❑ Foundation only 17 Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWN SHIP 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.)............. `y
11. TOTAL COST OF IMPROVEMENT $ Q�L/
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❑ sonry (wall bearing) 40 dPublic or private company 48• Number of stories..............
31 Wbood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior ("�f
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 Vpublic 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 n /s Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator�IN Full..........
54. Number of
46 ❑ Yes 47 o bathrooms
Partial........
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Deportment of Building luspectionc � r
M Main Street BUILDING
NoTthamptant Ma, PERMIT as
7 ' 21 VALIDATION
DATE limp - 19 A2 _ PERMIT NO. 286
APPLICANT -„&t'4 Flam ADDRESS 230 El
(NO.) - STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO ( _) ;STORY DWELLING UNITS_
YP OF IMPRO1 MEN ) Nb. - P OSED USE
ZONING
AT (LOCATION) 210 riolrimce DISTRICT
(NO.) ( YREET)
BETWEEN RM xid” AND Araskyan d Rive
r
(CROSS STREET) " --- ICROES STREET)'
LOT
SUBDIVISION a LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CORUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: _81)�l!/'A tRlll< ar S► years aalti f Sft >PrtS sY
with naw dn&& X11 tR�l#3"ltay, "�gf 4si sh flfi 3T4
in k G tith" & 41%vi stew sheotir t im it kitabou 4 Ain row,
remove lustAt w*ll **t Xt
PERMIT xa
AREA OR VOLUME ESTIMATED COST $--g VA FEE 17
(CUBIC/SQUARE FEET)
e
OWNER Jack Ittiffi BUIL ING EPT.
ADDRESS 210 Flora=& U s Flare► _Ma 01060 BY
WHITE FILE COPY . GREEN FIELD •CANARY APPLICANT CO PINK ASSESSORS COPY
.__ ,. ,n< � _� _._ �,. .. _�_.�r --
,. _ ...�,
..� ,.
,,�,� - w. _ .. ,
o- .. ..r. �� , lira.�* IIR
�►y,a �
Department of Building Inspections
212 Main Street BUILDING Z0
Northampton, Ma. 010600 ' PERMIT �"?. L �
29 - 2'A VALIDATION
DATE Tnne_2R. 19 R�_ PERMIT NO. 286
APPLICANT ,j8clr Fin ADDRESS 91(1 F1 nronce ROad
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
-- PERMIT TO (�-) STORY DWELLING UNITS
TYPE OF IMPRO MENT) N0. (PROPOSED USE
ZONING
AT (LOCATION) 91Q Florence Road DISTRICT r --
(NO.) (STREET)
BETWEEN Rvan Road AND Brookwood Drive
ROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP - BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: 4 ni ti windnwa on 14t f1 nnr with new nnes-6" chnrtpr, rpfini sh fTenrs-in kitchen & dining room, new sheetrock & trim in kitchen & dining room,
remove inside wall next to front entry.
AREA OR
ESTIMATED COST .$—x,000- _ FEEMIT
VOLUME
(CUBIC/SQUARE FEET)
OWNER Jack Finn BUILDIN DE
ADDRESS 210 Florence Rd Florence, Ma. 01060 BY ( \
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • INK - ASSESSORS COPY