12C-066 (3) ZONING
FRONT YARD
SIDE YARD SIDE YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants —�
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
owner or c v 1 �,e.,,� S-� , 15 i7f
Lessee �.
/� Builder's
2
C W` + 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 ;ion date
00 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
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER is
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 FOR DEPARTMENT USE ONLY
Permit number
Bui Iding Use Group
Permit issued 19
Building Fire Grading
Permit Fee $ %J
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
,r CITY OF NORTHAMPTON
�. MASSACHUSETTS
r �
$ OFFICE of the INSPECTOR of BUILDINGS
,YT Page Plot ❑j' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
( ZONING
`
I• AT (LOCATION) DISTRICT
LOCATION I N0.) (STREET) [�
OF BETWEEN l 0_Q5 AND F�
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
m
1 ❑ building Residen ' I Nonresidential
2 Addition(if residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family - Enter 19 F-] Church, other religious
in Part D, 13)
number of units- - - - -o. 20 Industrial
3 ❑ Alt lion (See 2 above)
14 ❑ Transient hotel, motel, 21 �� parking garage
4 .pair, replacement or dormitory - Enter number
5 El Wrecking (If multifamily residential, of units ------- - --� 22 L� 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) d 25❑ Public utility
17 ❑ Other - Spe /y
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWN E I P 27 Stores, merconti le
8 Private (individual, corporation, 28 ❑ Tanks, towers
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
5 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.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ M onry (wall bearing) 40 Public or private company 48. Number of stories..............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
1� /��
32 ❑ Structural steel dimensions ...............
...... '-L 1 '
33 ❑ Reinforced concrete H. TYPE 0 WATER SUPPLY
34 ❑ Other - Specify 42 Public or private company 50. Total land ores, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
conditioning?
36 E] Oil 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 n Yes 47 E�No bathrooms
- Partial.......
DEPT. OF E =CTIONS BUILDING " c � ` �-�
• 212 Iv,_.-,...eer Oa
Northampton, MA 01060 PERMIT <a
12C - 66 VALIDATION
DATE April 21, t9 87 PERMIT NO. 201
APPLICANT Gary Cadette ADDRESS Mar et Street Signed7Ty wner
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO
Addition/Replacement_) STORY One Family DWENUMBER OF NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
21 Harold Street, Florence ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS, permit for the addition of living room and bedroom upstairs 400 sq. ft. and
400 sq. ft. on first floor and new entry way
VOLUME 400 sg ft each floor ESTIMATED COST $ 52.500.00 FEE MIT 240.00
(CUBIC/SOUARE FEET)
Paul & Helene Stracco 6
OWNER BOIL 'bg
. ,
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY F12P