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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State r ZIP code Tel. No.
1. q > �`�7 ,�-^
Owner or JC/Aj C F! I<•a�:7 - SP/L) {✓n /JC'IE'-74-4 A0/4—,f'(-r_ T -
Lessee u
k eI)cC- 11N� .
2. PEAL 1400 T C A\ �-} / Bui lder's /1� j z
`� � /��� IC-rh4 f/'-f� OA S l C�> License No. V 1
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
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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date
Obtained y pp 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 i FOR DEPARTMENT USE ONLY
Permit number �, I
Building. Use Group
Permit issued lq
Building /e Fire Grading
Permit Fee $ /�v"
Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Appr by:
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
Page ( -7 C Plot Z
,�t 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 t t D 8
I• AT (LOCATION) /� � DISTRICT if 1�
LOCATION (NO.) (STREET)
OF BETWEEN��R—b W -/ 4— "f AND 13 t`' ) ���.
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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
--I
1 ❑ New building Reside a Nonresidential
2X Addition([/ residential, enter number 12 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- - - - --)� 20 ❑� Industrial
3 ❑ Alteration (See 2 above) 14 l
Transient hotel, mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (if multifamily residential,
of units ------- - --� 22 F-1 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 ❑ Movin g (relocation) 17❑ Other - SpeciJy 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWN SHIP 27 ❑ Stores, mercantile
28 ❑ Tanks, towers
8 Private (individual, corporation, _J
nonprofit institution, etc.) ' �'y 29 Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresi nti - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•,••.••••....... 1 oC)C,) 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 $ �,�0U
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
48. Number of stories................
30❑ Masonry (wall bearing) 40,0 Public or private company
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame ❑ p all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑� Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...........
34 ❑ Other - Specify 42S Public or private company
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 C Electricity 44 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑� Coal
39 ❑ Other - SpeciJy Will there be an elevator? 54. Number of Full..........
-
bathrooms
46 [-1 Yes 47 No Partial........
Department of Building Inspections
212 Main Street BUILDING Z°
Northampton, Mass. 01060 � 0<
PERMIT a
VALIDATION
17C - 26 August 3 83 381
DATE g � 19 PERMIT NO.
APPLICANT Neil Homstead ADDRESS 408 North Farms Rd. , Florence 031249
(NO.) (STREET) (CONTR'S LICENSE)
Addition One Family UMBER OF
PERMIT TO (_) STORY Y DWELLING UNITS _
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
90 North Maple Street ZONING URB
AT (LOCATION) DISTRICT
(N0.) (STREET)
BETWEEN Bardwell AND Bridge
(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 kitchen alteration and U new exterior wall and a new carrying beam
AREA OR PERMIT
VOLUME ESTIMATED COST .$ 42000.00 FEE 16.00
(CUBIC/SQUARE FEET)
OWNER John Christenson
ADDRESS 90 No. Maple Street, Florence BU
BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - /SESSORS COPY