25A-070 (4) N
1 "la J o. I ,-)It
Y
/
e r 2`- -..- - 'w `_ - - :F I l-i_c; ,'t
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c I'
Tel ephnne---------- — -- I'c1c:phnn
T111-s ,- t.i on 113 to be fillY out in accor(iunce n i ti( Lve Mble nf nirqo"Aojnl and _
f:aLnc: , (Z ). M, T1CLT-, VI)
Zoning t(se�-- 1 tit Front Dt.pth nn b I]P!<.BI I . !!in. On.
_ct f I,( 3 ,,j d t1I Runt, 1de - v ,r. Sv-
Illy t Propooed
Qrk the approprint.e box to :indicate the u<;c of them parcel:
E-1 Non-Conforming Lvt 'ord/or structure.
k'csidentint Sin,Je F -M] y Unit, :ulti-Fa lily
0t11 e1
," nes
Fie U1 11 P.U. D.
u I'd i
-
E_� Zoning Roard Approval (Specia.l pej ,,jit
( __-1 City Council (S pecinl Ej;cchtion S. )_0.101
Yes Poll
Natershed Protection District Overlsy: ( Z.O. Sect. .M) I`O
Park nq Space Requirements: (Z,V act. "',l) ^ i;equir(:d _ ..--I'� v„o,_e(I -----
:Cc'C�131j', �aCe ��E(llll_i'CtiCnt: (Z.O. rect. 8.2)
Art e '_V I I�--------------- - _- -- ----- ----- --- Y e
) riroT ental Perf ,ri tc.rd rd ;--( I„0, �.rt, Y1.I) FAYes 110
.PJ_ot P! an - veL
i'
(S. 10. 2) - ( '. 10.2 and 10.11. -
i v e r (Iran t e j �_____._D +t e CA
L A D or I k,i P 21 1 o-
This m ction for OIMICIA1, we only:
present'- d:
�Mdi fic at] )IF, r”cc I') 1t Z .'I"Jil OV:11:
Return: (11ore info? n,�ti��n
Denial : r?c<:ror.r• __-- __._
Of D'-.tC tiro,-�� 1�,IlE` `)� .''�'1;.`��_?lo �_�ffjc t
ZONING •
FRONT
SIDE YARD SIDE YARD
REAR . ,
IX. SITE OR PLOT
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NOTES and Data — (For Jcpo,oncn/ use)
IV. IDENTIFICATION To be completed by all applicants
Name Mailing address — .A'umber, strcc°t, city, and �hu� ZIP code Tel. No.
. -�_ G' /( Ct ff -- ---- — r� �5fi
Owner or
Lessee b A p 0 A/ // �( O / O ! O
2 �0 r #4 e Gr A 5 S B u l d e crt'N �
- License No. �Z
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 By Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
- -------- --- ----------------------- --- —
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Dae 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 19
Building
Permit Fee
Certificate of Occupancy S
Approved by:
Drain Tile S
Plan Review Fee S—
TITLE
4S
Crlt� of Nort4ainvton
$ � �1'ilzsss�lclptsetfs
�6 •
Office of the �nsvertox of 'Puilbings APPLICATION FOR
ZONING PERMIT AND
Page �'-� ' Plot A ` / BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Q
`v ZONING
I• AT (LOCATION)
l (,( h A h�� V e, DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN 3 8 I•" C 3 AND C R C) J J /, e t.I—
BUILDING ,J (CROSS STREET) (C�OSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE Ica
II. 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 New building Residential Nonresidential
2 Addition(1/ 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❑ I
ndustrial
3 ❑ Alteration (See 2 above) ^�
14 Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
of units ------- — --f 22 E] Service station, repair garage
5 ❑ Wrecking (If multifamily residential, p
23 ❑ Hospital, institutional
enter number of units in building in 15 Garage
Part D, 13) 16 Carport 24 F—] Office, bank, professional
6 ❑ Moving (relocation) 25 ❑ Public utility
17❑ Other — Speci/y
7 ❑ Foundation only 26 ❑ School, library, other educational r.,
B. OWNERSHIP
27 ❑ Stores, mercantile
28 ❑ Tanks, towers �.
8 X 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 Y
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.)............
11. TOTAL COST OF IMPROVEMENT Is 360 0
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L;
for wrecking, complete only Part J, for others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS �� - m
30 X 49. Total square feet of floor area,
Masonry (wall bearing) 40 ❑ Public or private company
31 Wood frame 41 ❑ Private (septic tank, etc.) all floors, based on exterior J`
32❑ Structural steel dimensions ..................... i
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — SpeciJy
42 ❑ Public or private company 50. Total land area, sq. fT. ...........
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........................
m
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 ❑ No 53. Number of bedrooms.............. i
38❑ Coal
39❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 47❑ No bathrooms Partial........
J,
'-s
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.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (C[TY)
APPROVED BY TITLE
DATE 19
DEPT. FILE COPY
ZD
' BUILDING f
PERMIT VALIDATION
DATE Apri 1 29. 19 22 PERMIT NO.
APPLICANT dWard L. a inoWski ADDRESS 280 WAS't. S .]'ePt� RatfJAld
(NO.) (STREET) (CONTR'S LICENSE)
Demolish 01joGtrage NUMBER OF
PERMIT TO New Gara re a uitt(`) STORY Residence Garage DWELLING UNITS Gararr�_
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 18 Nt]hharr3 AYe1111F3s Ntmtln DISTRICT URB ZONING
(NO.)
o. BETWEEN Bridge_StrPet AND
(CROSS STREET) gtrCR STREET)
a
a LOT
m SUBDIVISION LOT BLOCK SIZE
u
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
O:
° REMARKS: NEW Garage - Residence DOM0318 3—eld garage
AREA OR PERMIT
VOLUME ESTIMATED COST $ ��OOO.DO FEE $ 10-oo
(CUBIC/SQUARE FEET)
OWNER .Toss=h Pa.nka.rd, Tr._
BUILD G
ADDRESS IR Hu"ra Aire- I Northampton BY
(Affidavit on reverse side of application to be completed by authorised agent of owner)