17A-091 (4) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or �' c^� (_ <f/
Lessee JC
/'I ,l Bui lder's
2. �� J (�f/ �!/V 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 ap r2ant 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 B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval Number B I Check Date umer
pp 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 J
Building
Permit issued NA4( Use Group
19 ��O
Building Fire Grading
Permit Fee $ ` Qi0 `' Live Loading
Certificate of Occupancy $ Occupancy Load
Ap ov by: �
Drain Tile $
Plan Review Fee $ i
TITLE
CITY OF NORTHAMPTON
�. MASSACHUSETTS
e OFFICE of the INSPECTOR of BUILDINGS
T Page Plot "'i APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C)
ZONING
I• AT (LOCATION) Cam' �-�XJ LLf C / S DISTRICT
LOCATION INO•) (STREET)
OF BETWEEN AND
(CROSS STREET)
BUILDING (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 F-1 New building Residen 'al Nonresidential
2[j�'Addition(lf residential, enter number 12 t One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 D Two or more family — Enter 19 n Church, other religious
number of units— — — — 20 Industrial
3 Alteration (See 2 above)
14E] Transient hotel, motel, 21 Parking garage
4 Repair, replacement or dormitory — Enter number
5❑ 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 F-1 Moving (relocation) 16 D Carport
17 D Other — SpeciJy 25 Public utility
7 ❑ Foundation only
26 School, library, other educational
B. OWNE SHIP 270 Stores, mercantile
8 Private (individual, corporation, 28❑ Tanks, towers
nonprofit institution, etc.) 29 E] Other Specify
9E] 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 of hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, ( ) t� 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 $
111. 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
30F] asonry (wall bearing) 40 �ublic or private company 48• Number of stories..............
31 lWWood frame 41 D Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 F-1 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F__1 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 D Yes 45 77� No 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator?�J Full..........
�
, 54. Number of
46 n Yes 47 No bathrooms
Partial........
i a DEPT. OF BUILDING INSPECTIONS BUILDING °- /e) t 6a
! 212 Main Street O<
Northampton, MA 01060 PERMIT <
17A - 91 VALIDATION
DATE September 25, 19 86 PERMIT NO. 558
APPLICANT Dan Whalen ADDRESS 20 Grandview St.
(NO.1 (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Addition (_) STORY One Family Dwelling DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
20 Grandview St. , Florence 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 the addition onto existing one family dwelling
AREA VOLUME ESTIMATED COST $ 2,ssi.G-00 FEE MIT 10.00
(CUBIC/SQUARE FEET)
( nkp �owNEa V R BUILD a
ADDRESS 20 (,r anrixripw Ct � Florpnrp BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY PINT P