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ARTICLE VI) Zoning Use Lot Front Depth Setbacks Max. Bld. Min. Op. District Area Width Front Side Rear Cover Space Past Existing % % Present Proposed % Mark the appropriate box to indicate the use of the parcel: ❑ Non-Conforming Lot and/or Structure. Specify K) /✓ .c- �3 �0 , X SP Lt'e,3 ❑ Residential ❑Single Family Unit XMulti-Family ❑ Duplex ❑ Other ❑ Business ❑ Individual ❑ Institutional ❑ ❑ Subdivision Regular ❑ P.U.D. ❑ Cluster ❑ Other ❑ Subdivision with "Approval-Not-Required"-Stamp: ❑ Planning Board Approval: ❑ Zoning Board Approval (Special Permit 10.9: Variance) ❑ City Council (Special Exception S. 10.10) Watershed Protection District Overlay: (Z.O. Sect. XIV) ❑ Yes jZ No Parking Space Requirements: (Z.O. Sect. 8.1) Required 7 Proposed _ Loading Space Requirements: (Z.O. Sect. 8.2) Required Proposed Signs: (Z.O. Art. VII) ❑ Yes ❑ No Environmental Performance Standards: (Z.O. Art. X1 1) ❑ Yes ❑ No Plot Plan ❑ Yes ❑ No Site Plan ❑ Yes ❑ No (S. 10.2) (S. 10.2 and 10.11 Waiver Granted: Date O This section for OFFICIAL use only: ❑ Approval as presented: ❑ Modifications necessary for approval: • Return: (More information needed) • Denial: Reasons: Signature o Applicant Date Si ure of Admin. Officer Date P 121, P IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and Stag ZIP code Tel. No. 1. Owner or i WO CL FfVy r I`4-0 i- �/1�C Lessee - Builder's 2. t /Y/ S,4�7 `ti-- License No. Contractor Q 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 �6) Application date 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 Doe Date Permit or Approval Check Obtained 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 Bui Iding � �� Permit issued ��������� ^� 19 use Group Fire Grading Building Permit Fee Live Loading Certificate of Occupancy $ Occu y d Approved by Drain Tile $ WAO Plan Review Fee $ TITLE CITY OF NORTHAMPTON �. .� MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS �1 Page— Plot l APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) 3_e -H✓� L 't'. l/ ST DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (caoss 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 m 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 F-1 One family 18 Amusement, recreational of new housing units added, if any, in Part n, 13�Z Two or more family - f:'nter 19 Church, other religious number of units i- - - - 3 � Alteration (SSee e 2 above) 20 n Industrial 14 Transient hotel, motel, 21 Parking garage 4 ❑ Repair, replacement or dormitory - F.nter number 5 ❑ Wrecking (11 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) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 17 Other - Speci/y 25 7] Public utility 70 Foundation only 26 L� 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,,,,,,,,,,,,,,,, a Oc- 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 rr�� a. Electrical..................... of G'L- 0 � b. Plumbing ..................... %C, 0 /{ / c. Heating, air conditioning........ 6,0 d. Other (elevator, etc.)............. l - 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new Kuildings art1d 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.............. 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 - Specify 42 Public or private company 50. Total land area, sq. ft. .......... 43 L__] Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF'. FUEL I. TYP "OF MECHANICAL 51. Enclosed ...................... 35 Gas re be central air 52. Outdoors........................ 36 Oil con 1 ing L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 [-] Yes 45 '! No 53. Number of bedrooms.............. 38 Coal T1 39 n 54. Number of Other - Specify Will there be an elevators Full.......... 46 - _� Yes 47 K� No bathrooms Partial...... a DEPT, OF WILDING INSPECTIONS BUILDING Z° - ! 212 Main Street Oa IL Northampton, MA 01060 PERMIT 32A - 168 VALIDATION DATE Mar. 23 19 89 PERMIT NO. 118 APPLICANT / Wnrden ADDRESS 91 Chestnut St. , Florence Owner r,�- (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY Four Family DWELLING UNITS AMP OF IMPROVEMENT) NO. (PROPOSED USE) 1;n Ha )1P / �t ZONING CT r AT (LOCATION) iL��- Le�'-- (NO.) (4TREET) 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 to made existing four family dwelling more efficient by updating kitchens, new tubs in baths, building new walls to divide bedrooms W X all interior alterations also create parking lot for 8 cars. 46,000.00 PERMIT AREA OR ESTIMATED COST $ XXXHUROX FEE $ 112.00 VOLUME (CUBIC/SQUARE FEET) OWNER Same as Applicant BUIL ADDRESS SaMP_aC ATT 1 irant i C BY WHITE - FILE COPY GREEN - FIELD COPY ■ CANARY ^ APPLICANT CO PINK - ASSESSORS COPY pJNf p moommosw