17A-176 ZONING •
FRONT YARD
SIDE YARD
SIDE YARD
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.
Owner or gdal,ed
Lessee
t Builder's
2. r may_, / ` License No.00 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
00 NOT WRITE BELOW THIS LINE
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
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. Use Group
Permit issued� t� 19
Building � /��"'Y /\ Fire Grading
Permit Fee .'x/ /[ ,�)(/
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
r
e OFFICE of the INSPECTOR of BUILDINGS
Page Plot �� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, I1, 111, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRIC
LOCATION N0.) (STREET)
OF BETWEEN e 12-4 ��(/ /�e// t AND
BUILDING (CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 Residential Nonresidential
2 Addition(If 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
3 Alteration (Se
in Part D, Se e 2 above) number of units- - - - -�
20 ❑ Industrial
� 0
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 rr❑ Repair, replacement or dormitory - Enter number
5 L_� Wrecking (If multifamily residential, of units ------- - --). 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional 0
Part D, 13)
16 ❑ Carport 24 Office, book, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17❑ Other - Specify 25 L� Public utility
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,,,•,,••,,•,,.,, 'iJQ: school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
7'o be installed but not included If use of existing building is being changed, enter prop sed use.
in the above cost i
a. Electrical....................... ,,goo .A
b. Plumbing .....................
C
c. Heating, air conditioning.......... '
d. Other (elevator, etc.)............. A
11. TOTAL COST OF IMPROVEMENT $ ®d, /�
III. SELECTED CHARACTERISTICS OF BUILDING — For new buil ings and addit' ns, complete Parts E L;
for wrecking, complete only Part J, for all others s p to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 ❑ Masonry (wall bearing) 401 or private company 48. Number of stories..............
31 Wood 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 NoPublic 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 j Electricity 44 [—] Yes 45 No 53. Number of bedrooms..............
38 E__1 Co-,
39 'F] Other - Spccify Will there be an elevator? Full..........
54. Number of
46 L-1 Yes 47 _V No bathrooms
Partial........
Department of Building Inspections
212 Main Street DD
Northampton, Mass. '�01�G6(i' BUILDING °
PERMIT
7 11.1
17A - 176 VALIDATION
DATE March 20, 19 84 PERMIT NO. 96
APPLICANT Diggins & Worden ADDRESS 59 Conz Street 014271
(NO.) (STREET) (CONTR'S LICENSE)
Alteration Existing Family NUMBER OF
PERMIT TO (,) STORY- g ne am Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
29 Howes St. , Florence ZONING
DISTRICT 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 to remodel kitchen take out existing window and put new one in its place
and install new kitchen cabinets
AREA OR 900.00 PERMIT
VOLUME $ 12.00
ESTIMATED COST 3�
(CUBIC/SQUARE FEET) "
OWNER Ernest Boynton
ADDRESS 29 Howes St. , Florence, Mass. 01060 BYIL c C,g7
WHITE - FILE COPY - GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY