28-052 (3) VIIL ZONING PLAN EXAMINERS NOTES
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' ZONING PERMIT
APPLICATION
��x- n- u~n���� u »��o�
Zoning Crdiun/"om Senticn 10..-! ) `/�c Ci / Filo No. 11rin File
This section is to be f1ll,d out in a000rdnuoe riL}/ the "T'bIp nf Dim:usivzr] and
Density Regylatione: . (Z.0. A''TICLb' VI)
District 6-11 1 r c a 7"idth Yr L)n t Side L�r -Cover. Space
Mark the apDroprixte )'ox to iodicnto the uor of th/ pnrnel:
[--� Vuo-Cnof»zroiuC I.ct ,rid/or �truoture. 3I`eoify.__------'-----'-----'---- -------
' -- - ----- - --- ------ ---- --- - ----'
oaideutiplfikryn [--l3inCIe Fn`i]y Uuit [--lCulti-FouiIy
" F--lDoDIex
�--1 l
Buouoaa
Industrial
Iootitutinp-]
F--1
Subdivision �-lR�"u] -r F--lr.U.D"
---- F--lClont'r i-_] nthcr
|�lSubdivision with
F--lPlanning 90ord Ap!/rovnI ;
F--lZooiog Board Approval (SDcoinl Pnruit I0.�: Vrrinnue�
[_] Cit Council (Special F ti 10.10) ')
ParkinG, Space Requirements: (ZX. 5ect. Required Proposed,
LoadinE; Space Requirement,-: MC). -'ect. 8.2) Requirod_l�rnposed
,Environmental Performance 5tandardr,: ( Z.0, Art. XJ_I) =Yes
Plot Plan Yes I"(.) Site Plan Yes
This section for 0F.yICIAL uoe oolJ:
Drovml on presented:
=Modifications ooconaory for ,pprnv:l:
=Return: Wore iufurmntivo needed)
F--lDeoioI: Bonsouo;
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, sIrcct, ritN, a7id Srurc ZIP code Tel. No.
Owner or i- t.-14 /L.� G (.(,.1 VC
Lessee
_ 7 Builder's
C V _ _ %'�`'' LrF'n✓ _ _ 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
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
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 J'
—_____ L—_
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number 4'
Building
Permit issued '_ 1Y 1977
Building
Permit Fee Ac, 0,?2
Certificate of Occupancy S
APPr by=
Drain Tile
Ce
Plan Review Fee _
TITLE
f
Crxty of Xort4alltpton
� � �lass�lcltusetts
(office of the '31napertor of 'Ouilbings
APPLICATION FOR
Page Plot ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Z
O
l•
AT (LOCATION) tz
44 dzis /'t ' ZONNG
,-Va RCT ..�_%I
LOCATION (N0.) (S REST) _r
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 Residen,14al 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— — — — --io- 20❑ Industrial
3 ❑ Alteration (See 2 above)
4 ❑ Repair, replacement 14❑ Transient hotel, motel,
21 ❑ Parking garage
or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential,
of units ——————— — ----- 22 0 Service station, repair garage
enter number of units in building in 15❑j Garage 23❑ Hospital, institutional
Part D, ]3) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) p
17❑ Other — SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. O�Private IP 27❑ Stores, mercantile
28 ❑ Tanks, towers
8 (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
/O processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•.,,••,•,•,,,,,• $ raj school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be insealled 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
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. D
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS M
m
30❑Masonry(wall bearing) 40❑ 48. Number of stories.........Public or private company .....•
31 L ood 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 ....................... r
O
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? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
w
I 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) (CITY)
APPROVED BY TITLE
DATE 19
DEPT. PILE COPY
ZO
X �-
BUILDING
PERMIT VALIDATION
DATE Marnh 18, 19 77 PERMIT NO. 66
APPLICANT Michael O'nonne3.1 ADDRESS Abn ]Rya-n Road
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO New Btli_l_ditt�r (_) STORY R _siden al C,ara.ge DWELLING UNITS y
(TYPE OF IMPROVEMENT NO, (PROPOSED USE)
AT (LOCATION) 640 RYM Road ZONING
DISTRICT q1t -
(NO.) (STREET)
rn BETWEEN AND
m (CROSS STREET) (CROSS STREET)
LOT
a SUBDIVISION LOT BLOCK SIZE
m
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
K
tL REMARKS: New C'.arage
AREA OR VOLUME ESTIMATED COST $ 24.0.00 FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Same
BUI P
ADDRESS Same BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)