17A-152 (7) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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naN•Nf:11::pi,N•Hs'1 NN r•! Ni i lllr#HN,#:1RH ■\i Nls••\aS .fIN.NHHHNN,N•tMIK•NIx N•N HlH•NNN•NlwNHN,H•Hr!!!Hr
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n CaCpS•rrHr •:NN peaRNrrrl Hai•Hrriflr NlR!•NBIHIH,tpa Hal.-...r■.N.auor.- *!O■NHi,NNl N•,AHN■i#,!Y!•w,a■•i!r„a,alt •■
nIN••Mrl H::w N NrHHrN rNNt HNrNNNHarNNNN{HNN#NNa■/aNH HHN•NNNSIaN•NUUSNIHHflaNHruHwNHOiH■NHrs 1\`N
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tli.Ss - ■�M.!!�t � Nr:t1`gars 11.1:1: :MY:1::a:talk r ..MHH•!H•..tiff NNHINNHii i :H\••:w rlHa n! iINNNN fHr•a rwHftHlM■tH\HIiY•
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants 4 ``
Name / Mailing address — Number, strut, city, and State ZIP code Tel. No.
Owner or o 6/
a k t Q
Lessee
Bui Ider's
2.
License No.
Contractor
3. S�
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 Re wired Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date 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 f ! FOR DEPARTMENT USE ONLY
Permit number Pik
Building. Use Group
Permit issued f/1 19
Building }� Fire Grading
Permit Fee $ j�: ��t Live Loading
Certificate of Occupancy $ Occupancy Load
A ove by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• R MASSACHUSETTS
8 OFFICE of the INSPECTOR of BUILDINGS
�1
, Page 17R Plot IS 2- APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANJT/— Applicant to complete all items in sections: 1, II, 111, IV, and IX. O
I• AT (LOCATION) ( A&- S �/4c, ��Ui-C_ /VC C-� �1.4 a DIOSTR CTI.I4
y (N0.) (STREET)
LOCATION (�7- .,(r ' / r� 7
OF BETWEEN f'y ,C-6C-� AND `J / lg4w sceIE! ' /�f /L.�
BUILDING V (CROSS STREET) (CROSS TREET)
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
—f
1 New building Residential Nonresidential
2 Addition(I 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 Wrecking (11 multifamily residential, of units ------- - -- 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 ❑ Public utility
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP `"$"'- x 27 ❑ Stores, mercantile
8 Private (individual, corporation,
28 ❑ Tanks, towers
nonprofit institution, etc.) 29 ❑ Other - Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
+(' processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement••,,,,,,,,,•,,,, l'iv school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.....................
b. Plumbing ....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT 1$ 1, 1(40
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 4a• Number of stories................
31 t4 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 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 F7 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 CJ Electricity 44 ❑ Yes 45 _ No 53. Number of bedrooms..............
38 ❑ Coal
39 Other - Specify Will there be an elevators FuII..........
54. Number of
46 C Yes 47 Cl No bathrooms Partial........
DEPT._O„r-, Bt,ILDING INSPECTIONS BUILDING Z0
211E Main Street 0
Northampton, MA 01060 PERMIT <a
17A - 152 VALIDATION
DATE October 4, 19 84 PERMIT NO. 471
APPLICANT Wallace E. Judd ADDRESS Fox Farms Rd., Florence
(NO.) (STREET) (CONTR'S LICENSE)
New Building torage Shed NUMBER of
PERMIT TO g (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
54 Fox Farms Rd., Florence ZONING T um
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 8 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. Permit to build a storage shed to be used for residential use.
AREA OR 96 sq. ft. ESTIMATED COST $ 1 140.00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Helen Judd '
54 Fox'XX Farms •7 Florence, ass. 01060B u1
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P0-11P