Loading...
17A-158 (4) ZONING • DISTRICT USE IFRONT YARD SIDE YARD SIDE - • REAR YARD NOTES IX. SITE • - PLOT PLAN For . •♦ w. w ■ {j��j �1�`1«■1M� ■#1�•4■�I1�gt�i l..!■Nf\��Il�ilM�1 • o tr•fu■r nnn■.rrrrs■nuout■u am arfia•�■iaiiiui NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Cot- -_ Name M 'ling a ss — .A'gun n°r 1, cit%, aml State' ZIP code Tel. No. 1. ? \ Owner or " ' �/ ti� v /'o q Lessee —rviS ,�a�q�F S lam' 1 69, ��� 7 L. C�Qi Builder's License No. Contractor '7) "` ` h C red c -.✓i, G SS ---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 thi application as his authorized agent and we agree to c iform to all applicable laws of this jurisdiction. Signatur 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 Date Plans Fee Started By Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS rova I Date Date Permit or A PP 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 Permit number Building Permit issued 19 Building `r Permit Fee $T"4. /_�/xl Certificate of Occupancy S App by: Drain Tile Plan Review Fee _ TITLE ■ � � �Tilassxcl}ttsetfs .' (office of the �ns}tertor of '3uilbings APPLICATION FOR ZONING PERMIT AND Page Plot BUILDING PERMIT IMPORTANT — Applicant comp a all items in tions: 1, 11, III, IV, and IX. p I. )< Sl3 DIOSTR C AT (LOCATION) LOCATION (NO.) (STREET / OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT _BLOCK SIZE f� II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 ❑ New building Residential Nonresidential 2 ❑ Addition(11 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— — — — •-o 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ 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) ❑ 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 �3;,ze x 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) ' 29 _] Other — Speci/y 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................ 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 $J, cU. 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. D E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS O m 30❑Masonry(wall bearing) 40 ❑ Public or private company 48• Number of stories............... 31 ❑ 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 51. Enclosed ......................F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... 54. Number of 46 D es 47 ❑ No bathrooms Partial........ .,_ , - �. , ,, .. �:.. �e >�- . . ,�, �.e _ �° w � -; ���� , �. � � 3 � ��< �.,.. �, > ��Y . .=�5 r� �° .. � --� � �; ',;� � � .r,a. � ���, Kf �. t` nA�r x*.,, ,. n t �' �'_ � � Nx �� � �. d k s ., .. � a,. F QL � -0 a,�- Y9 �.� � eP �Y- �� �� � K '� �� ax ' � a _ ,t�.? _ «��'� �` .yam , :=o-�"."s��§k. .�';_..,�.�4 .Rz:.v m ` .. y 9 a 5 31 x � � e"�� ��d'-x 3.*,� �#4 � s..• `L. t y3 �7s�� �~ g� 'µ��S�a"� � f .Z 4- 4 TZ BN 'a a r "a ,,_''. 3% r� .,a; - `'=`r' 'fie, •'`�, 3;'„ `A201- hereby certify that the proposed works !' , authorized by-the owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT- ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE lg W j a DEPT. FILE COPY CITY OF NORTHAMPTON BU I LD I r1lG 0< NORTHAMPTONr MA. 01OW 17A - 158 PERMIT VALIDATION DATE j]^i1 ��� 19 78 _ PERMIT NO. 92 APPLICANT KatherIng M. Cra.$8Y_ ADDRESS R= pi9y"gi(STREET)Pmad (CON7R'S LICENSE) NUMBER OF PERMIT TO Tniatel l Pool (`) STORY 1n9MUnd BWMT'nB 1>021 DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING �RA AT (LOCATION) DISTRICT (STREET) a BETWEEN AND o (CROSS STREET) (CROSS STREET) rn LOT CL SUBDIVISION LOT BLOCK SIZE u BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O ao Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I ,,ry ; (TYPE) REMARKS: ust�±-sue pool 16 x 32 - --- AREA OR ESTIMATED COST $ 32000 FEEMlT 10100 VOLUME (CUBIC/SQUARE FEET) OWNER Be=ard J 0,016'ee,.ti', -- B ADDRESS 53 Fox Farms Road, Florence, Ma. B (Affidavit on reverse side of application to be completed by authorized agent of owner)