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REAR YARD
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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 GG 046Gl3 s7 Fd iee�-'` 62*4HOT
Lessee
✓CJ"/ Builder's
1• 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.
Signature of applicant Address Application date
`etc 1i zo
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obta 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 (o 23
Building ,/ Use Group
19
Permit issued '
Building
Fire Grading
/Q
Permit Fee $ ( �
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro r
Drain Tile
Plan Review Fee $
TITLE
i CITY OF NORTHAMPTON
�. MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
�V T
Page L7 G Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
Z ZONING
I• AT (LOCATION) '° � / '-'/ ° �l f ``❑ DISTRICT ` RU
LOCATION (NO.) (STREET)
` I/ ��
OF BETWEEN // //a/ �/!�C AND !�/� 4+f
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
M
1 ❑ New building 9 Reside 'al Nonresidential
2 ❑ Addition(1/ 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
i Part D, 13) number of units- - - - --).
3 Alteration (See 2 above) 2 ❑ Industrial
14 ❑ Transient hotel, motel, 21 1 C-� Parking garage
4 0 Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (It multi family residential, of units ------- - --0. 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑� Hospital, institutional
Part D, 13) 16 ❑
6 ❑ Moving (relocation) Carport 24❑ Office, bank, professional
17 ❑ 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 (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•,,,,,,,•,•,..., ..Z 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..................... 1$_M
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT is -7 Z5-,
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..............
31 [ Aood frame 41 ❑ Private (septic tank, etc.) 49. 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........................ Z_
36 Oil conditioning?
_��f� L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 [_ Yes 45 `KIJo 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an elevatoro Full..........
46
❑ 54. Number of
Yes 47 o bathrooms
Partial.......
10tPT.-OF BUILDING INSPECTIONS BUILDING Z°
+ !
/0'212 Main Street 1IL oo
Northampton, MA 01060 PERMIT
17C - 128 VALIDATION
DATE November 20, 19 86 PERMIT NO. 683
APPLICANT Robert Aller ADDRESS 55 No. Maple St. , Florence Owner
(NO.) (STREET) (CONTR'S LICENSEI
Alterations NUMBER of
PERMIT TO (_) STORY One Family Dwelling DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
55 North Maple Street ZONIN CT URB
(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 is to install new walls in basement for dark room
AREA OR ESTIMATED COST $ 725.00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET) + ''-�
OWNER Robert Al 1 Pr/D Rpaudoi n BUILD
6DPT. � V
ADDRESS 55 North Maple St- , Fl orenrP BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I, P