36-194 (9) VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
REAR YARD Sam
Ix. SITE OR PLOT
u.uuuauururauurou■U.uuuuau
nua r#r.■Soruu u NoUuUrUuiaarluru■uruau u auuuuuu u»Na Na.uuuoualu.au{■aru■#aUuuNruaaN uuo( aau. aaNutU•rNur..urfr■■uW004,s.ai.uaaula.suaaurfua4u6 New r.r frl aau
■ur• vruuu■Ur . UuUM.M.,,vN.N .eu•.uau r auleru(ruuuU..utNu.uu.■ur.r.Rruan t\■
rrauuuruuuN.■#000uuu.U.raNU...••...uR
nr#.au.uaosar\ao.ulU UauiUNruuuuuuu u(.rtosa N.aU.u)u�:+aa vuauuuuu o.0 uruauauaSa.N.,ur■oauuua.u.uuuur■uo..
uiauuu.r ■uuuuwalnuuuurU■uau.uriufuRSOURrr■uuuuur+ur fsoNoNUUaur.t■NN■UwRruiUruurrUUUIuuUUr.4...a auu
.{a..uiva:asoafNrN U•so••■=oruu.Ulaururrsla munuoaalw: uaunueueu■■uuaauu■uuounNuuurururu.■■uua■uou•u.
.aruuaueuouurataaa.uUi ■oN!lYUN.auras.N.a ua■Uarrf.rr.a■usuuaoaua■a•uaaau•uua..u■a■..... UUU•eu■■urr■■tu■..■.■,.■
unUrara aarrru.aur■..sarur.uru•rrRUU)uRluuuau■a.a■•uuu u.Rfuuuau•uuufauau•uru uru uNUUr.uua.u.ruruau.■u...
.Nnuuuuuuu.aliva.uuuu/N■Rua..u)aua,uaurau ussU•Uaa+eu uoououuuauau.0 uur■.uuNUrruruoruaruuo ro.uu•■■u..■
uunaua.uiuunuuausuuUuauuuu•u).ruauauNoa u■aNuU■U•rfuf•eaaueruuuuusuusuurUuUoUaruo■uosNfu.uanruu■uu,rauu u.ouu a /u■frrrau..au.uaai■ua nNu■■u■uNu/RN■H . auaarM U■a.■■a■..ro■r r■■■..t.■a■u■r ru same
M Nss u uU r a ■■..
..........a...rfrr.■.ar•uou
If■rifrf i\.re■rlrrR•.f rrir.,■flafa.ra.•..N•.r..•.■raa■1rN r,...la.a■■.r/ra■OrYti\al..\■•■r\\ra■r.■N.■R.era alrl■irr0 NrN■Nr■r,aN ail■\rraN au.f a...
iii::=iiii : S:::S:SS:S:S::::S::::::::::::::::::5::::::::::S:::Si::::S::::SS:::
uuR.tat rRfaauou.N.uaSurauuu.reuu.foR■uiaunr■■uaruNrt N.uuuu■■aaruu■nuuuuuaouuuauu■uruauufuuuuu■run
uuauu•uuluuu.Yasrs.i .uraru uu.roruauuu■uUUUw.uau\NSN■uuuau■uuauoaauuNUr f/r■auua.rfur...uur/.rrr.rr..aa/\•
iseems euoou•NuNUU u{u urlruu•u,uuuouu\uuuvu.u,a/u��ur■aulu u.auuuaruruNUUUUUUau■uu.RUro.uuuaourr
aauu.NOO,ua•wNUauu.tarr.rruivar o.raou•uu.auNfuausruuuruauUluuaUa.raoauuuuUUf uaar■u.ur■■,
w,ouN000•sururuuaunu ua/auaNera Uru uuril.so.auaru.0■u•ouuuuua uU.euaoafin■o)aauuuuuuauuauuauu■aa,■.■■uNU■■■,ou
�arf.uunuue.u•uuaeuuu..UiufrN■uuuuN{n...
u■uuauauuuuu\rouu.ua RuuauNUUUrou uuuuu.•ru...... u■ar.rrarvoauRUalUuuauNuRvu■l.auN�U u+r u urU••a•uuuR..uuuuuouua■.ruuu■u,uu■
N.0 uoUr.u.
:Salim S.: ::����::S:::Z:::iZ:::::::i:::::::::::::::: :i:::::::i:::::::::i:::::::::::::::::::
lia#aa.r,•R.t. ■Rf•.ra.et...•liar.lY.\■1.•sr■••■1••1•rr.rt.■■i\r{.tr ai■.l 14•:ae..a.r\r•■\ltfiaarr..N..a..r.•■lNa.rr/atf•................ra,at■•t1■•.r■■!
wsrauNNOfSSaraaulaN a■arau.NS..uutuNN.uua.■oiuo uU■... u,rouo•aouUUruauuuuuruaaau.auuR■a..r■ru l■.N■■su•
ouroruauruuurr{rNNUU.Ur.•.uauuuuuuuu•ruuuu.uu.a ..................... Uuuuu u■u uuu..■.uu.uro.uN Nu..
aiotauuu.uouuruuuuuuu.u.uuu.uauuuu urwauuruu�-uru/ruU\uuorurur.urua,uaRUUruNr,.uua■u..ua.+■uu■..■u.u.
.u.NOUeu■uuiieaR■uNUau.aaauuuR■N.uuuauuuuorurut.auNUUUUUIriuuur■aR.u.rN■uuUtra•uuuu■Uru\.uauuRUUN
oiu•uau.+oatautavrsaeusasauluuaunRauusauaasaeasaarr�.�suuuu.nuaa•rRUru)uiaur■uru uss•uus■auuouo,■uUU■ua.•
af.r,u.aae■■rauuf u.uROaurau.aasu•aau■ua.au■rl)auuuuua■ar.rr u.aaru.NOOwsar.a.uu,e.ui■Uauauuu.u.w•..uN.■.r■ur,u.r■■
Ili#arouuo.u.slsru u.N Uauuu•uru\•au uuuuurauuuu uUr■.uUau/.auuluorauuuNaaroru■u.uruauuo.uur.\suuu uu■r
tuuu..f uuurruuuuurf uo.uru urouuur.0 uNauuruuuuu.i■u uuuuueuN.au■NlUUaouusuuaiuuuuu.RUUwoauuuuur
uluuuuuauuau.uau ivaasuau■au Niu•ru.rreau.Naaau a■t■wuaaauauaNNS.rarruNNauavuauuauU■uaa+ra+rosuaura■
wu,Rru au.uoau•a■uuiuu•UO.rru..r■u.u.■ruarurauuu auu■■rour•NUUUUUUr.e.aNNMNlN N[.N.NarRr/Na■RU r■auu■■ou.■
tua•uuarua.a.uueeso■eusuNODU,au•.u.auu.r■.uluu.u■u4uuuuu,ouu■asrNNr..earr■ou.....■aluU{.■■. uauuuuuu .......
uNUUUUU.suruiau aruaUUU•rruwU U,u•uaruurNfru..■uru.uuusuu u.ofu oar■urruuu.u..uuruuu•uu.rr..uU ua.uuu Rao
a.1#rUaur■a..rueuwu)ouu.ouuu suuru.a errfauU!tuuuu•aura ur a■uuu■.uruuu ruurufauu uuuuR•uu uwrur)e.u.u.uu uNU
IeN.faN RfNN•a.a.NN.Nt.N{leata•■.■t■Na..rrfr.\■•■ra iaa■tlra Nra 4.\•■■tr.n■..•tan.arNaalail r{a if.aa■t■■ra•■1st■t1•frraa MaRNRR.r■■■
1NN1.,N.iaNar.MMN.ar■N■iaarii.{ilar.iM..r...rir•!#..r{N..a■iNaarG■eie■■lar•Narfl...lrN■■■eeN\ta•t■lift•■i Nti.N.Nf.■■l riNrNaN.r■■t■
le■Za.,raRfaale■..■erriiN l•••Nr.{•■sirtai.ftl■ri\\•■.�.■t•..tf■ar..l•a.aaR Srifi■t..a.■.•.la....Sa.■.Rs.r.i.■■■n.r.■■.air■■a1t■■.Ntrr■N MrrRrNR•■a,r■
ur ■uru NNUUUNUUeuauuuua•.uuor.uua ufa.uu•u•rauu uu•ruruouuuuuuUUUruuuuuuuNU,uaN000Uauuuuu ua..■
lurua..aurNfraa loos uauarNl.auouuUUUU■.■ooa■ruuu•■raauuaou■ool■■NUUia•■uf.uu.roruua•.n uurUru uu•■■o,■uu•
NlIuUN u#oUoua.uUulOuUuUDNNuUaUaoUUUoNuNrraNuUrru.aNraua•NUfurauaUr■•wo uuer suuaUNu.UuUurSNaU.Niu0uUa Uu0u.Ua•/0 ut aN■ruuua.ur•teuaoRowauNurUruuS.ara{ws Nu r■uuUu.Uuru.l.u..■frulluauNulur■uuluuNa•�u�u�•ruuuuauuuuruurn�■.••�*ru.N�.U�NrOUU lua.u._.a.u..wrir t.uU_NuUNuuru.aular■ouruuaNrosUuun.U■ru.uUUuIuUUuNUrNu.NU UlUUaaUUua■Unu uruUuu■N■■■uuNNsu.NNruUUu■uar u uNu#.ao a u■luI■u Ns u.■..■N.r.■■■..0 U u..
afuMUHH:H aunWHa NaN
ruNUU+
uaoe u .■al#l..... .............. i.uo.■
u. -ar r.4mosuua.
U.�!�u�uuru■aauruuuuuusuruN■NUU■ u.
■.rrarl.t■Goes■ ■i..rrN■.sots./N rZr.\raN)r.lra♦•■a.•\ap trrf rr■.N.Ora.tar{..arN{a.rt■a OrRUrr• ■.
rsulauu Goes
r:ur.NU)ru■aaaouaauouu.raf:uua�u�uiw��Giiau�iiraiatiuiia �reeaira.fuuua ul+.flNUUaouleeur,uulr. iiiG.■
auu•n,.u•uauaruiSauuuwra•;�uu■iuN uururuou■ruu.0■■uuuuu.•onnouur■.N■uuuou.uauuu.uuN000UUr�uu■■■
uaunuoouuruua .uuuua ruuuauwwu.uaauuuuuauorN•uosufusuuuor■a.uUUU■luuarrNUUUUfu■■N.iuu.►� u■.■u■
■ar�rr.af..r..ra■rrrrr■t:\/rr rwZlrrarr.r\area.:rO ra:Srr.ar,rrraa..r.laraar\).r••/•�■arar.■oaf!■tart xrrali:a.ir■■r.)f/lf.a:l/i■•)./,ar.f:f ff rat lal..a■,f.i,f
I■auuuuaauu.nauualuNNNUratuua uuurafauuuuu■u u.iuua.tl u.N000UU�uauuauurau■Na.uu.uouuutauur,R Uaur
NWol::Si:S=iiiii:: e :S:::::':::S::iiiii:::::::::i:S�:::::::iii a:::::::::u :::::as
: :iS:::::nS:::iii:::::itf:::::::::::::::::::::::iii:::::::::::iiiii:::::::MN":::
U:n :i....raM•■ w+.lr■a ec_______ ��- I.r■ra■
aaw•,rr���a.rr\.■aarr•.a■YN.■Nii.auu
ZSI: : :::::~:�t:: :S::::::::::::::�:::::::�::::::�
r..1 ■f iraR.a..re■a.r.rN ir•a■...\a aaa\!■■a\■■r■i.t..Nr:aafl/e f.aZ\•eaa\aa/\1w■e.rt\rt\frr.afr Nl.•1..R N!■.•
IN#.NNiZruAZ■uU..ivarlu L.•ar aaf.�.\1I;:�SQ i/Ratr•afa e.■r.if■s.R••rr.Ra..eN.RNa.r•N,IR•a•RR.af■■.N.1wNa.Rla.ar■.aeR Uarf N\\Ot■•■U Or{.r
Lenra w\aa..aV lrrir■.NNNUNr.N.r.�uu•ouuN.uuu00HUH U■/•r■■■rr\.■.rr'ar614MUSarr■il■r\t■■Nrr aa.■N•N R..NRNUrOONU
Ir,K,r4aa/1fie,rw■rlftR.ilwaaa.rfrf..#rf flrff.aras frrfilrilafrffaalaal Rfrla.... lraai/ti!■llf,ir■1#/i!l■a!!r■I/i.i■1l11.1,11)..wli....a......)•rRlr.r.N)1■.
�eaa 3eN•/1•N••ai.R•w.J.N.N,NnrfaN.e■i.{r f■al./•as,N.rrfaa•1t.aaafNaaaaR.NaN••aa 1•Y•■Na■e•laaiNNNnl1Nf.■■■a.a■msonummu-su
:::i: H•:Z:.::Z:::ZZZ:�:Z:�a:::i%:::rl:::■t■:i::::::: \:: {:,.%::■::::.f\.�:•\.�::,:::Zf.:::: :1 :::e:::::.::: ::::.::v:■::::
iir.■Zar.{t.t/1rf.4■/er■N..r..ll.a■a•.rfa.........a..../.ar.rr■rllatf al•r.a..............4■ar.,f■rr t■R1..■fif.r/fr■.laRlrrrla lfi))Iff ias■t.■11r■N w.......
'Nrii■Zaa■ZiZ::W fNH%Z:Z:::Zlli:::Z:iS:::H:::i7U:uu t:::::::::S:::iS::=::S::SuO::::::::SS: i::.isSii::::isZ:::S::::::::::::::::::SS::::::::
.gar\li:rri..•rir.a.r Herr/re.■....to.r•.•r..r:r..■:.a.rrr:.(T•:wRw�i•■/•■l+r■■■■.■ia:ffaeiela.f r,Rft(,1t..,fa fta.aaf:Z:l::if i■■fff..rl..Ir■Nr:::n::ffZ.t.
?L.'..-: i:.sf:;:.0.tl .nr.;.-,_ �-��.Ilia{r N..■■l■ar■{11/••\rr.■)a\..rr.r\ra.r\.r\\t•rr...■.■
:::i.si:iaSoseassesso:i:::::St is iiiii: :::.::Z::,.i::Zr::::1\\S:Z•r, ••Sr1:::w:■::::::iZ:a:::Zt■:::::::::•:::\:::: .R •:
:immafr NeeauuN •a„ao:u.ur.0 r.uU#urtiauuu,•Nil+loo�NNe NU•UeNUa.aN■■aea■aulN,faufutuaa.u.a■ruU U.■NU■■w
�. %seems....N{Nr.ar•itanrN.N nfa.aNr.rase\t•ar.aN..N,N...■..t�4ua■N■f of\raNNanaa•\.t w./N■a..umn:... .....N■a..■\N.r4aa..Na■r
�.Z..NR.4aUaR Na•.a U.aaa.ra NN OIU arNNNU\.......as......I................Naa.....aa Z■u NNI■rN UrN//NR aRNUNr H•N.u.•......
-.r u.SeSaaSa,.n isa!■araUaua•aaauulusa•uNrNaauusr.uuar■■ua■■■au.■euUNN.uu■aN Uriulr■ur■■■NU■■■u■■■■Nru■u u■u our
• ,t• • ail. a....aaH.NUa►e R...NN aa.Nf............ 4UN.rQfN Ni■.a■NeNaa.UUNaeaaeNN.Ne.N a■Nla Rr/t1.1tN Nr■uuf■,N 1.
�S4"UHUSSiiiii•MS a:SSSi::Sir::iii:::S:S::::S::iSSS::::S::::n:::SS::::i:::::::S w::S:::"UHH S:u°°SS:::::::5::aS::::::::::::::::::::5::::::::::::
I ur.Ss:rlauu:uuSrrauasa.uri■uua)uuuf)aaewaear)r)u■rauu u)+NUa.RSU•aaR.l■s.%sea s•.■Sao...lur■uoN:NRlo.•■u one N.u.ar asu.■...■:
MWOMa •N•.faUsa.eau%■u.o.urro.uuoo■uu.uru uuuu•uau.u.r Rat.uu.NNtuar•/uuuua./uu auuuuuouuuuurUR.uu.euu
iss S.s•a• ..oaera •nNlNr.aaae■NNNO...■...N•Nr■snit■ourR-.NrRN......r•uununrNNSNtSaN UUeouuuuou.u...NU■■a.U■
IR :Z:: USari HU::.i •Z•l:::Z:�i:if:.:::%��::::::::i:::/:1+:::fit::I■■i�':\f::S:NS::S::%::i1::Z#i::!f!:SZ:Z::tll isSi:: l
i,a■Zte■iea ilria.lr•a.a■■t■•r{rr lira.Rr,■\■■1.•a■■t••t{•..w•r.r•.s•t•{.■t\al■.r■{■r.■rl■.f.i■t1■!r\•■t■N awaa\a,..a an.......
tar■.\r•■.1
:ZiZ:\:�::\a::ir\:ZZlli•:Z::Z:illa:::•:::i:•■i::■:::i:::a:::::•:::::ii::�,�::::1i:::ti::Z.:is Z.:e iZ::/isZ:■:iZA:.:::.::::\ai::l:fa:::i::::::::::::.:::..:'i
�iH:ai'i=Siiiiiiiii:iiiiiSSn •SuiSi:::::::::::SSi:::S:::::::::Si::::i::S:uii::::Si ii%:ii:SeiSa:u::i:::
ZuniSu uu.u.uuauuaivare:u Ruuru\uaN•ur\iu.0 ua.ouuou auu.uu■uoiauuul•uruuuuuu.al...raurca■+wr.w r.0 uru,uoul
aaiao...aa.N.uuo •ura.)uru uaau..■.Urr■uuu•■aro.uuuun■uo u■o■.uuuuualfuru....owe\a uraru Ursuauu■..rururN UU Ui
�.•a■ ,NaaR•.■ aaNZ•eZ..aa.a,raa aao uu.JUUNruru urulu Nl NU.R NN.NN.uaOauu u•u urransa ei.RaNlNaNfNa■nuuo...NU.NN■.
s• ,sMasawaia•Z• aN • N• aa••a.■are/NafaN.f■araaaNafN.Rar..r•1!\RiaNiafa,■ere,%■t\1\naaa•N taYaDRNralRr{•■alt■1t•■.•.Na•■.iaa..%
a:.a..•e,a••wawe.:a•S••::SSS:,Sw..rSa■•\■nfaa.i.r■eaa\a.•■r..••ra.\aa■Y■tor aN.ia af■fiawar•w,.■■a\t•■\r..,.aa\R\\a+frrae,.■tire■Net■\t\r.•.a.N.rr/.
ialaiiaaalarr!!.i#!.. 141! re ti.. ft•.!)flr.)\Rra■!.•r.■/r.l\)\/\rR•f rrl`.lar.Nrr))rrf/r rf e)M.iat■\\■■NRr\aN.i...arrraR■aa a.rl,.aa.Y■.rrR\N•r
�.aae■...e„r..t.\1t.ewrri•all.ea..alto•■■r.lr■r.•4t■a.YN.\t■aaas■{.,ir•■rra trot{!lo■■ra 4■{.a•■fN faa{■firla.Rr a•tli.f rMla•.i.■NaNet.•Rrl\NR......8,
iSe,1 Nra • N•t.t.• .Ne N.NZ..Z aN.a N......N....N\.NN......N.Rt■4NNN.N.NNar\rfNNNNRr■Rr./aei.ue■aN..a NafNaatNlnaaRN.\
a■Nau SSS.Suaae n•SS a.a•. a ■unto.a.UUR+•uuuufu.•aou•R•s■u.uaolruaa■euunu■rru uuuueouiaruuuuuilirru■uR■,.00r.
1,1a,Z•r,►,/•,ia/i4..Zf lZ:fr•S,•tf•rr•at+re+ufl laeuoaau....u.luuaaataufaaaufUUnioaNafuufn,r..n!l NaN U.aa N.1f.N!•N,a.aNiH■i■i
nee uu ua.r UU.• l:uuN .Nis.lra.uuR•o uau.ruturu uuuuR U.uauua.uaauuurrurua■uu.uY.uafu.rnauuNauuaosu raR UU Ui
:Z•SR ::Z•i:Ues Seem:N: •Nw::•:Sa•HHH:::%i:i:::::::(:f:ia.r iaifr:iY1+a.::i+ii:iiir::■■::::amt:::\::::t•::::lt::::::::Ne::::,.:4Z.tiiR l:::ia::i
• • f •fa rata U+loose+a.a,RR.a+N■RINRlN•afaiUUpa.NNRN.
11 •,Zn aN•a rNiaZ••ZNn,e•\N,aNa.a■■aaN■NNr■e■■.l/•Na.■\■.tanRra•nea■NNe■r..aea•■i.eN Rf+rNitaf f\•■!f■■n.NaNN■t.■t•airr\■NRr�
1::NZSN Mill .NUuaueuouuonuN aluats■N■■u■•N.uU.Nruuuuao.auu.Rauuueu.....ua....uuuuua........uu.....
s =i:= ���� i:=:$3es airs 5 :s:9E:99e : :a;e:63ee9:c99eec:39eEEce:E€?:9:e
... .•...........uuuuaufueu uran uauou■
= uS• Satuara•at: a•Sa•aS ■moos nnnaumuou,o■•faUawof.auuuruoaoa+.eruauaunua usuutunuuuuuNUUnuNSUn
a 4,4 a,..S:iilr#l.!.,.N..r..a s:.uua.S..........r...................................au uNUUN■a.uauuNaanaa:u■uuu ua.auuraor.oa•ururaaR�
Ism S: Si iriiSiii:S:Si:iiiiiS:i::i:ii:::S°SSSSiS:::SSu:°:::u:::S:SS::Sii:i�i:S::S::S::SSS:Su:SSSS:S:S:SS:S:S:::SSS:::S::::S::::SS::So::S:::i:::::::,.
imi :�3 : S SS S S u u•u••.lan uauluaraau■uu.ouauauuau■ou
is 5::. use: SrS Su:SSSNS:SiSSSS:SrSir�:SS:::a:::::::SS::u::::.i:::::::Si:::::5::::::
uw u • u• •■ • nn• u{a=aS.au• auanaaNnuuorR.uu u■.ui.w riot •ooNUUUUr{N.■a..uu■aNUUNaou.■ouuuuuu.■u.■.Nrr
���:nS •SaRS.•S�SSan��:Sa.rn r.•au��n�+N■u���a��t.��•N���.•��������������u.=.�����������������.■vat.u.u�r��n����uuuu��nu�..�anauRUR
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — .vmbar, strcc•t, cif , urnrt SIa(c ZIP code Tel. No.
Owner or
Lessee
Qui der'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
D0 NOT WRITE BELOW THIS LINE
V. PLAN 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
Date Date
Permit or ApprovoI 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
L 1
Permit number
Building q�
Permit issued 64, �'C) 1980
Building GuroO
Permit it Fee
Certificate of Occupancy S
Approved by: �\
Drain Tile
Plan Review Fee _ V lw.J•L�..7C
TITLE
(Ctik of Nart4amptan -
e� ,�Id448t1(1t4t114
Offirt of tht 'Nopertar 1,f jonilbings APPLICATION FOR
Page 36 Plot t �¢ ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Z
I• AT (LOCATION) a D ZONING
STN CT
LOCATION (NO.) (STREET)
OF BETWEEN j 2--('t, f"AND
BUILDING (CROSS STREET) (CROSS STREET)
_ LOT
SUBDIVISION LOT` i BL°'OCK SIZE 0
M
11. TYPE AND COST OF BUILDING — All applicants complete Parts -"D 7v
A. TYPE IMPROVEMENT D. PROPOSED USE For••W r#g'st recem uyo� m
1 New building Resident I Nonresidential
2❑ Addition(If residential, enter number 12 One famil
Y 18❑ Amussm t,recreational
of new housing units added, if any, 13 Two or more family er 19 Ch they religious
in Part D, 13) ❑ Y – v ❑
number o units– –– –
3❑ Alteration (See 2 above) / 10'�-. 20❑ I ustrial
14❑ Transient hotel, motel, garage
4❑ Repair, replacement or dormitory – Enter number ❑21 Parking q a9 e
Of units ––––––– – --1j. 22 Service station, repay ,� e
5❑ Wrecking (1J multi/amity residential, ❑
enter number of units in building in 15� Garage 23❑ Hospital, institutional "
Part D, 13) 24❑ Office,bank, rofessi
6❑ Moving (relocation)
16❑ Carport p
17❑ Other – Specify 25❑ Public utility
7 F7 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 p�
local government) 113 C� p�g
C. COST (Omit cents) Nonresidential – Describe in detail proposed use of buildings,e.g.,food
3S me to
1 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.)............. O Cl
11. TOTAL COST OF IMPROVEMENT ;3I E3�3Q•�
Ill. 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. y
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑I�psorKy(wall bearing) 40❑ Public or private company
48. Number of stories................
�;-2r 49. Total square feet of floor area,
31 Wood frame 41 rivofe{septic tank, etc.) all floors,based on exterior
32❑ Structural steel dimensions..................... fG
33❑ Reinforced concrete H. TYL;'P5� !MATER SUPPLY50. Total land area, sq.ft. ........... .3 1 0 O
34❑ Other – Specijy � fic or private company
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... r
O
35❑ Gas Will there be ce+rtral air 52. Outdoors........................
36❑ I conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 VEriectricity 44❑ Yes 45❑ No
53. Number of bedrooms..............
38❑ Coal
39❑ Other– Specify Will there be an slevater? Full.......... "
54. Number of
46❑ Yes 47❑ No bathrooms Partial........
hereby certify that the proposed work is authorized by the owner of record
and I have been authorized by the owner to make this application as his
authorized agent.
e _
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)-,
APPROVED BY TITLE
DATE 19 -
DEPARTMENT OF BUILDING INSPECTIONS io DEPT. FILE COPY
212 MAIN STREET
NORTHAMPTON 9 MA. 01060 BUILDING Q IL
36 - 194 CODE #79 PERMIT VALIDATION
DATE April 280 19 RO PERMIT NO. 210
APPLICANT Vhaadara T-uy4 ADDRESS 112 1 '&4"'Pr $t.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO Ne3g 1k.1P1lin —( ) STORY Ofle-familX residence DWELLING UNITS
(TYPE OF IMPROVEM NT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) Burts Pit Road DISTRICT
SR
(N0.) (STREET)
a. BETWEEN Florence Rd AND Ryan Rd.
m (CROSS STREET) (CROSS STREET)
a
m SUBDIVISION LOT BLOCK SIO E 125 X 250
28 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
p BUILDING IS TO BE 52 FT, WIDE BY
M
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: V21P-famit_,v residence with garage underneath- wood frame, electric heat,
private sewage disposal, public water supply, 3 bedrooms, 2 full baths.
AREA OR 1456 ESTIMATED COST $ 35#000 FEE
MIT $ 105.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER nnnAld Stiles B
ADDRESS 56 P1 Paaant St.. Granby, Ma. B
(Affidavit on reverse side of application to be completed by authorized agent of owner)
4
a
r
i
„ � x
P x w
i
,
mt
n
so A
.��,
O �-
�O
,�
` � �£� s.. �,`
.�; — ��,
,r
.�
`fi r
'�-�
��4�
°s
54
Y..:'
n�.
✓y 3
_.�°-=..
.g.
A
¢. +
ti�
<T
5�ky�
m .:. ....
y,s
kf� �
a
s p e �;
�y� �,� �r
� =��, �°y3f`,v, �"x`:�`S '��?� '�^. �.ri .� � � �x � � xr � sb; a�- A� r -�'�� a.. -^- gar
,,�