17A-121 (3) ZONING •
DISTRICT
FRONT YARD 1)
SIDE YARD SIDE YARD _/5
REAR YARD
NOTES
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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.
j[//�� t ,�J d � � ,V'
Owner or t/V� �(� G t f/i .� /TVdV- �c e-- / v
Lessee �D LI^
Builder's
2. 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
C14rP(f 7/0 P'r- c
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y Plans B Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained 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
Building I
7 Use Group
Permit issued 19
Building Fire Grading T, oc-)
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: ,
lu
Drain Tile $ gUf/
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
9• g MASSACHUSETTS
$ f OFFICE of the INSPECTOR of BUILDINGS
T Page — Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
I• AT (LOCATION) ZONING
DISTRICT
LOCATION (NO') (STREET)
OF BETWEEN �1 00 6k: ' `� AND
BUILDING (CRO55 STREET) (CROSS STREET)
Q LOT
SUBDIVISION LOT 1 BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 F__1 >d<building Re 'dential Nonresidential
2 Addition(If 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 l
l
h
�l Transient hotel, mote ,
u 21 Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential,
of units ——————— — --> 22 n Service station, repair garage
enter number of units in building to 15 Garage 23 Hospital, institutional
Part D, 13) 24 Office, bank, professional
16 L� Carport
6 Moving (relocation) 25�� Public utility
17 �� Other — Specify
7 Foundation only 26 School, library, other educational
B. OWN SHIP / 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — .Specify
9 D Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
/tv processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•,,,•,,......... i! 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.)............
it. TOTAL COST OF IMPROVEMENT I$
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[_1 Masonry (wall bearing) 40 Q Public or private company
49
31 ood frame 41 r� Private (septic tank, etc.) . Total square feet floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
Public or private company 50. Total land area, sq. Ft. ..........
42
34 � Other — Specify �� p
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 F]] Yes 45 Nc 53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevator? 54. Number of Full..........
46 1 Yes 47 J No bathrooms Partial.......
a DEPT. OF BUILDING INSPECTIONS BUILDING
! 212 Main Street 04 ►'r I IL
Northampton, MA 01060 PERMIT
17A - 121 VALIDATION
DATE August 18, 19 87 PERMIT NO. 556
APPLICANT Mike & Helaa Rn,vle ADDRESS 54 Claire Ave. . Florence Owners
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Add i t i nn (_) STORY Deck DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 54 Claire Ave. . Florence DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
DuEuCy(K
)ORYFIYK4X uy q
IS TO BE 15 FT. WIDE BY .L-2-FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS; nArmit fnr thin ariditinn of a dpCk nntn roar of Pxicting dwelli�n
AREA OR 180 sq. f t. ESTIMATED COST 800.OO FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER BOIL
ADDRESS Sam@ as AppliGaPFt' S BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK SSESSORS COPY p f P