36-166 (3) Vill. ZONING PLAN EXAMINERS NOTES _1
DISTRICT
USE
FRONT r
SIDE , SIDE YARD
REAR YARD
NOTES z
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NOTES and Data — (For department use)
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w e
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
k<e-I) ory , N) r+hC' mcil a r CD lam 58� 8ov1
Lessee r l
Bui c C
2. �. i �,� 1�J1 I� Licenser 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
°�`t 3 F10�� g
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Ions B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained 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 / T FOR DEPARTMENT USE ONLY
Permit number
Bui Iding- Use Group
Permit issued 19�
Building —t l "', � Fire Grading
Permit Fee -Z
s` Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
M CITY OF NORTHAMPTON
�•�� +� _ ,�„ MASSACHUSETTS
r �
e OFFICE of the INSPECTOR of BUILDINGS
$
Page i3 Plot �6a 4
g APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
I•
ZONING
AT (LOCATION) /� � tQ V ` DISTR CT;5
LOCATION �y (NO.) (STREET)
OF BETWEEN� e ' Q � AND U r�yL- 1 F1
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 Res' ential Nonresidential
2 u 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
3 Alteration (See 2 above)
number of units— — — — � 20 ❑ Industrial
❑
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (lJ multi/amity residential, of units ——————— — •- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 ❑� Hospital, institutional
Part D, 13) ❑
❑ Office, bank, professional
6 ❑ Moving (relocation) 16 Carport 24
7 ❑ Foundation only 17 ❑ Other — Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
B� Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution,etc.) 29 ❑ Other — .Specify
90 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,
�7 department store, rental office building, office building at industrial plant.
To be installed but not included >Z�" �'t If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical....................... t f /
v
b. Plumbing ..................... �_,.. ;) 71f Y +r
c. Heating, air conditioning........ /z /1 ���
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $
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 �rivate (septic tank, etc.) 49. Total square feet of floor area,
all floors, bospdto a en or
32 ❑ Structural steel dimensions
33 ❑ Reinforced concrete H. TYPE F 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 J/N 0 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Ylha Will there be an elevator? Full..........
� 54. Number of
r
46 I–] Yes 47 D "o bathrooms
Partial........
Departnie:nt of Building In.-pect cns
2.1.2 i=ain Street BUILDING ZD
Northai,ptonp.-L- a 010360 PERMIT 0
R a
36 160' VALIDATION
DATE June 29, 19 83 PERMIT NO. 310
APPLICANT Lori J. Craf t5 ADDRESS 773 Florence Road 037034
(NO.) (STREET) (CONTR'S LICENSE)
G ara-e {Inc F'ar;il NUMBER OF _
PERMIT TO (_) STORY Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 773 Florence Road DISTRICT 'O p`
(NO.) (STREET)
BETWEEN 7eS tha( p ton Rrja . AND Bums Fit Road
(CROSS STREET) 13 (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 24 FT. WIDE BY 70 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: perII,i:, to guild a unattachdd ara-e
AREA OR —30 square fee 2� 0•00 FEE
MIT � 2L}�()0
VOLUME q ESTIMATED COST
(CUBIC/SQUARE FEET) ////
OWNER Kenneth Beach & l on Crafts BUILDING EPT,^ ✓�^.
ADDRESS
773 Florence Road BY
- -
WHITE - FILE COPY . GREEN FIELD COPY ■ CANARY APPLICANT COP 'N'K - ASSESSORS COPY