17A-177 (5) ZONING •
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NOTES and Data — (For department use)
2�Q 5o
IV. IDENJIFICATION To be completed by all applicants
A �J Name Mailing address Number, street, city, and State ZIP code Tel. No.
0
Builder's
2. License No.
Contractor el
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 A plication date
�VCW 7-,-l'
00 NOT W R I T E BELOW T H I S L I N E
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
Dae Date
Permit or Approval Check Obtaitned Number By Permit or Approval Checkl 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 Use Group
Permit issued 19&)
Building Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Drain Tile $ Approved by:
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
9• .� MASSACHUSETTS
• a
$ OFFICE of th INSPECTOR of BUILDINGS
�t
Page Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
/- / `' '` 7 /ll,",�•�,�X..
DISTRICT/�
(• AT (LOCATION)��
LOCATION (RO') (STREET)
OF
BETWEEN lL�rr, f.' AND
BUILDING (CROSS STREET) (CROSS STREET) ! J
LOT
SUBDIVISION LOT BLOCK SIZE
4f1
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 Re idential Nonresidential
2 Addition(IJ residential, enter number 12X One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 Two or more family - Enter 19 ❑ Church, other religious
in Part D, 13) s- - - - ->
f unit 20 ❑ Industrial
3 Alteration (See 2 above) number o
14 E Transient hotel, motel,
21 �_� Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1f multifamily residential, of units ------- - i 22 �� Service station; repair garage
enter number of units in building in 15 [7 _Garage 23 � ] Hospital, institutional
Part D, 13) 16 E1 Carport 24 Office, bank, professional
6 Public utility
❑ Moving (relocation)
17 C Other - Spec Specify 25
7 L-] 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 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
ry processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 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........
1,-7j111A1Jz1 W/
d. Other (elevator, etc.)............ — n
11. TOTAL COST OF IMPROVEMENT $
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 Masonry (wall bearing) 40'M Public or private company 49 ,
31 Wood frame 41 ❑ Private (septic tank, etc.) . Total square feet floor area, j�r
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........................
36 FX Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 J Electricity 44 C-] Yes 45 �K No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - .Specify Will there be an elevators Full..........
- 54. Number of
46 [_� Yes 47 No bathrooms
Partial.......
DEM. OF SUILDING INSPECTIONS BUILDING z0
212 Main Street 0
Northampton, MA 01060 PERMIT
17A - 177 VALIDATION
DATE July 13, �g 87 PERMIT NO. 456
APPLICANT Birdsong Property Developmen ADDRESS or�Cir. , #1551 Greenfield 007547
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO
Addition One Family NUMBER UNITS
(_) STORY
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
21 Howes Street, Florence ZONING 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 for the addition of 270 sq. ft. on 1st fl . & second fl . 1st. fl . will be an
addition of a family room, and the second fl . will be an addition of a bedroom andXxxlia
bathroom
AREA OR 276 sq. ft. on 1st & 2nd floor ESTIMATED COST $_4 FEEMIT
VOLUME
(CUBIC/SQUARE FEET)
1'
OWNER Michael Murphy BUILD
ADDRESS 21 Howes St. , Florence BY zjorez
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSES ORS COPY pjNT' P