28-051 (9) ZONING •
DISTRICT
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SIZE YARI SIDE • .
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• NOTES and Data — (For department use)
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ZONING PERMIT _ .. . Tz 1 o Lot •S'
. APPLICATION 211-07
Zoning Ordinat:ce Sectiers 1.0.:' "ecei,ec?: file 1`'0. Flan File
J vner Jamie �S / / ��_ A1�11 c. t
Address zje aL?'j Ad:Ix•es.
Telephone Telephnnc. �, f''���
This section is to be filled out ill ciccordcnce -J Lli tie '1T ,b),c, nf Dinic,iisionr-1 and
Densit Re latione: , (Z. ). AI'TICLF: VI) _
Zoning ii e Lo Front Depth — : . .
1-Tin. Op.
District Area 'l;i.dth Frurtt Side jj ,,La, Cover. Space -
Past ExistinL-'S-f�. ° °o
resent Propoced / °o
19.1rk the appropriate hox to :i.ndi_c,)te the use of them parcel:
Q Non-Coiifc,rming; I:ot .,nd/or LtrLlCturc. ,",l>ecify..
Q�Resi dc,nti ;ilcz'le F.'-riil,y Unit. 0liulti-Family
[� Duplex QOthei
Q Business
Q Industrial
Q Institutior-I
[�
Subdivision Q Re,:;u.1 .-_r P.U.D.
- Q Cl.0<,tr Q ��tltex
Q
Subdivision itti "AE-1:rov t1-Not_i?e-itt_i-i : ,i�� •,' t irnp:
= Planning 13oarcl ApprovryI :
= Zoning; Board Approval (Special Permit 10.0: Vn.rinrlce)
= City Council (Special E-rccption S. 10.10)
watershed Protection District Ov(-,rls.y: (Z.O. Sect. .;IV) Q Yes 0 P'o
Parkin,; Space Requiremento: MO. ,,:;Oct., ,c''.l) Required Proposed -
L,oading Space Requirements: (Z.(- : , ect. 8.2) Required Fropoced
Signs: (1.0. Art. VII) _ Q ye"- 0 IIo
Environmental Performance Standardr;: ( Z.O. Art, XJ.I =Yes I'o
Plot Plan Yes Q ro Site P D Ye„ O'10
(s. 10..2) lan
(S. 10.2 and 10.11
!V-iver Granted: Date 0
This section for OFFICIAL u e only:
[,Approval as presented:
QI•Iodificati ons nececcory for
[Return: (llore infor•ntntinn n(1 c(jed)
[� Denial.: Rearons:
d 146d
Signature of Applicant D")te cig;n-turc tf Hinin. Officer Date
t
IV. IDENTIFICATION — To be completed by all applicants
Name Mai lin address — .Cumber, strcc•t, rrtN, and Stag° ZIP code Tel. No.
Owner or
Lessee
Builder's
L. gee 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
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Dot
Permit or Approval Check Obtained Number By Permit or Approval Check Obtta ned 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 197.
Bui Iding
Permit Fee i C� L)
Certificate of Occupancy S
Approved by:
Drain Tile
Plan Review Fee S—
TITLE
O� O
"* Crity of 'Hart allipt>au
ARSSMC41tsetts
t
Office of the �nspectox of 'Puilbings APPLICATION FOR
ZONING PERMIT AND
Page—PION_ BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m
A. TYPE IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
1 New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new bousing units added, if any, 13❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13) number of units— — — — --)- 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 F—] Wrecking (If 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)
❑ 17 ❑ Other — SpeciJy 25❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 UePrivate (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
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 $
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. y
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS Rl
48. Number of stories...............
30[7] Masonry (wall bearing) 40 ❑ Public or private company
49. Total square feet of floor area,
31 �Jood frame 41 ❑ Private (septic tonk, etc.) all floors, based on exterior
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. fT. ...........
34 F__1 Other — Specify 42 F-1 Public or private company
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0
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? 54. Number of Full..........
bathrooms
46 ❑ Yes 47 No Partial........
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. FILE COPY
Z0
BUILDING
: PERMIT VALIDATION
DATE March IA 19--22 PERMIT NO. 64
APPLICANT ADDRESS
14 T RAE ET (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Dt��YPCaraovEMENT) ( No. ) STORY (a=ge(PROPOSED USE) DWELLING UNITS
��,, ZONING
AT (LOCATION) 624 Ryan Reind - DISTRICT SR
(NO.) (STREET)
a BETWEEN AND
W (CROSS STREET) (CROSS STREET)
- LOT
n SUBDIVISION LOT BLOCK SIZE
m
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
K
O arage
IL REMARKS: NE W Garage
AREA OR PER MIT
VOLUME ESTIMATED COST $ 9200 pQ FEE .� 10_00
(CUBIC/SQUARE FEET)
OWNER �.3111R BUI ",;A)
ADDRESS BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)