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17A-305 VIII.- ZONING PLAN EXAMINERS NOTES FRONT YARD SIDE YARD SITE YARD Ix. 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We $ . $$i $ a$$g$s '$ 16 $ �$ : 3.. $==: s i . is 111 = � = : HHH:�e MIRM $ $ $ii $$ 1 11a m: .. ? $$ e$ a 1zM 020042C 0 Spun NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. Owner or Gtr/ S L %�'�C„�.. rc-nsY 5 c L �/3� Lessee ,� o 2. /2.0e4 'r` �G.{ Ce, tt eL' d" L 3 Licenser No. Sum Ij�� 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. Signotur of applicant Address ` � r �E/ Z-,e,e Application date n x �, 6/43'3 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 B Permit or Approval Check Date Number B Obtained y PP 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 Building Use Group Permit issued _ 19� Building °�/I-- Fire Grading Permit Fee $ �IC� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ � a TITLE CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items � in sections: 1, 11, 111, IV, and IX. 0 � N%//C i�'/ C!�n + ZONING I• AT (LOCATION) � /j DISTRICT LOCATION NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 ❑ New building Residential Nonresidential 2 5;� 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— — — — 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 l l h Transient hotel, mote , ❑ 21 Parking garage 4 [:] Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (11 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 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 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement••••,•,•.......• 96)0_0 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 $ Q 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 p 30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories............... / 49 31 © Wood frame 41 ❑ Private (septic tank, etc.) . Total square feet 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 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 n Yes 45 1� !! No 53. Number of bedrooms.............. 38 Coal 39 ❑ Other — SpeciJy Will there be an elevators Full.......... — 54. Number of 46 1 Yes 47 D No bathrooms J Partial....... DWIT. O': BUILDING INSPECTIONS gU I LDI NG Z° �p. �(.I e ! 212 Main Street Oa Northampton, MA 01060 PERMIT <a 17A - 305 VALIDATION DATE May 12 19 29 PERMIT NO. 2.3 APPLICANT Roger F-_—CIA-4 ADDRESS (NO.)� �(�TREE7Y Lids (CONTR LI EN EI NUMBER OF PERMIT TO Addition (_I STORY One Family DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 87 Hillcrest Dr. 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 an attached 2 car garage AREA OR 624 sg. f t. ESTIMATED COST 9+000•�� FEEMIT 36.00 VOLUME (CUBIC/SQUARE FEET) Charles & Elizabeth Carr �� p OWNER ADDRESS 87 Hillcrest St. . Florence _ B WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INf p