17B-023 (5) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
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REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
f
IV, IDENTIFICATION — To be completed by all applicants
Name Mailing address — Nurnbrr, street, city, and Stall ZIP code Tel. No.
i.
Owner or `-
Lessee
2 ems. ��� r. Builder's
.,J // 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.
Signat o applicant Address
—'-_ � Application dame
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check DO}Q Number By Permit or Approval Check Dote 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building. .2- E' �9 Use Group
Permit issued
Building � � Fire Grading
Permit Fee J
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
wT Page 7 Plot 0413 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
ZONING 2
I• AT (LOCATION) ) DISTRICT
LOCATION (NO.) (STREET)
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
1 ❑ New building Residential Nonresidential
2 ❑ Addition(!f 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 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 F-1 Wrecking (if multifamily residential, of units - ------ - i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 ❑ Moving (relocation) 16❑ Carport
17❑ Other Specify 25❑ Public utility
7 ❑ Foundation only
26 E] School, library, other educational
B. OWNERSHIP �`K-Q'd '� 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
�y 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 1$/0 OC'-
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 1V.
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................ rZ
31 ood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
3 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 Ll Electricity 44 ❑ Yes 455e No 53. Number of bedrooms..............
38 ❑ Cool
39 ❑ Other - Specify Will there be an elevators Full..........
- 54. Number of
46 ❑ Yes 47 [_ No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
! 212 Main Street '< 1 (b
• Northampton, MA 01060 PERMIT
171J D - 23 VALIDATION
DATE November 21, 19 85 PERMIT NO. 670
APPLICANT John E. Kendrew ADDRESS 19 Sheffield Lane, Florence Owner
(NO.) (STREET) (CONTR'S LICENSE)
Alteration 2 Family NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
471 Bride Road, Florence DINING
AT (LOCATION) g DISTRICT itRR
(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, 10082UCM permit for a second means of egress from the second floor Alat-
AREA
VOLUME ESTIMATED COST $_ 1 000.00 FEEMIT .� 10.00
(CUBIC/SQUARE FEET)
OWNER Elizabeth Kendrew
!r1�
f BUI
ADDRESS 19 ShPff;Plr3 Tana_ Flaren�'eTMass 01Q 0 BY ��cc
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I, SNP