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17A-290 (4) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD -SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use M -re r ti ! Fis� S r r Lid r; 4 'i 't 1Z-t I 3g i g ret 8 e r-�a s P j ` i Y :� i b t If IT t r_ ' an j� .„?� a'';y. �.a fix. .p. .,.�.- + .� s ra�.-� ,-� . r .. 4 l4 '" w sus 7 1-s- s s—)�-" 4, 41, i X + r rr .k.°•,.;---+s}'--i, r--. '.9 Y t 7 r-{dp+"«3.�l,..-p,,--.T•t`".,-.....^.-¢?,-•�F'- .'b-{a�Td.."" v +d _"-�- ,"+ p{ t; �J' k' ' ; rt N`44: „ @ 4 4-14 ms $ * $ .. :.. �3 - a-.r +rf 4 . -} r-,- I. ,�s,h -+ s. ` 4-M 1 i ..a:. a it §i 7 ,�{.- � ,- s -;-r- r­4 �. 4 i .. cr. <1 .t .r€f + s { . t�i°i i 4 >4 a T 4 f' }j.'. - `r- ,} P, $; T r d ,..... 8`' f r -t"f r .,. � � a +� p.��k r144 1-4 t r r "y ., rp�� x{ a,� #,�'�,� r � + r w% }met sa�p¢�"��s s _9§ Yp R"T ..}1 t t + b e 7 f 4 Y 1 + + r $ � r t t-r '§ 3 9 o- a s-�-C. t"I .#. a - ;r# ;*F ` 4 ? 3 tr rrl:�'P si J" �kz s ,#.,a } a ., �-q ;" 2'# ¢r1: T'?.. Y ' # a 1 # €' :b y � fr -� -�#.. "s s.. #� -la s ri s -� t+ �4$ sR-�t_ a t �r 7 it ii - t _ ^r 9 Pr v ri t ^ 7 t" <�i 4r s#4 sd $�s '# ,t. H r # r ' s_. -trey..' e Ib r r �~i f R § 7 9 BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION - To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Gary L. Dill 70 Main Street, Northampton, MA 01060 586-3183 Owner or Lessee --Judy L. Dill 2. Plantation Valley Hom s,Inc. P.O.Box 7, Florence, MA LBuiNer's Contractor 009039 3' Ernest B. Griswold 8 Peak Road Wilbraham MA 596-6971 Architect or > > Engineer (House Designer 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. Signat e f applicant 1 Address Application date DO 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 Approval Check Obtta ned 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 �/ FOR DEPARTMENT USE ONLY Permit number Building - Use Group Permit issued 19 _ Building Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Ap ed by: Drain Tile Plan Review Fee TITLE NOTES and Data — (For department use) SI—r as i t� .r r CITY OF NORTHAMPTON OFFICE OF YHE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 17A — � 9L90 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING • AT (LOCATION) Lot 7T I./t78 V Hillcrest Drive - Florence, MA DISTRIC LOCATION (NO.) (STREET) OF BETWEEN Sheffield Lane AND Bridge Road BUILDING (CROSS STREET) p (CROSS STREET) LOT r7 SUBDIVISION LOT I V BLOCK SIZE 31,939 S.F. iA II. TYPE AND COST OF BUILDING - A11 applicants complete Parts A - D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use Im IM 1 ® New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑X One family 18 ❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family - Enter 19 ❑ Church, other religious in Part D, 13) number of units- - - - -� 3 ❑ Alteration (See 2 above) 20 ❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 F1 Wrecking (If multifamily residential, of units ------- - - 22 ❑ Service station, repair garage enter number of units in building in 15 Garage tz - �/ j 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24 E] Office, bank, professional 6 ❑ Moving (relocation) # Other - Specify 25 ❑ Public utility 7 ❑ 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 local government) C. COST ( -G ) Nonresidential - Describe in detail proposed use of buildings, e.g., food ����p�_ processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ G""' 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.)............ Q 11. TOTAL COST OF IMPROVEMENT is 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❑Masonry (wall bearing) 40 ® Public or private company 48• Number of stories................ 2 31 ® Wood 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 - SpeciJy 42 ® Public or private company 50. Total land area, sq. fT. ........... 31,939 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... 2 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 0 Gas Will there be central air 52, Outdoors........................ 2 36 ❑ oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 n No 53. Number of bedrooms.............. 3 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... 2 54. Number of 46 ❑ Yes 47 ® No bathrooms Partial....... INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR Department of Huilding Inspections FIELD COPY 212 Main Street rtha ton, Ma. awe BUILDING ,SS'. 'Ll 17A - 290 PERMIT DATE ..:s¢mst 25, 19 21 PERMIT NO. 191 APPLICANT ADDRESS " (N 0.I� (STREET) (CONY R'S LICENSE) NUMBER OF + PERMIT TO (_NO. STORY DWELLING UNITS 3 YP M V M N NO. P�lR OPOSED USE) ZONING AT (LOCATION) 1t #78 Si11crest Dr4we- Flaranee DISTRICT—URA (NO.) (STREET) rn BETWEEN AND (CROSS STREET) (CROSS STREET) LOT a SUBDIVISION LOT BLOCK SIZE m a U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f (TYPE) O REMARKS: 0-m-sm-lim-041y dwelUag *Ath attacked garages Wood tzme-v &as beat,, public sewage disposal and public hater supply, 3 bedrooms, 2 full baths. 1st. p1.-12610 sq. ft. Garage - 288 sq. ft. AREA OR 2nd. - 694 � � PERMIT VOLUME ESTIMATED COST ��A',$ /1!1 FEES 7 !, (CUBIC/SQUARE FEET) OWNER � .-I-_� "I L. BUI ADDRESS BY