17A-284 (7) 0 0 1
VIII. ZONINGPLAN EXAMINERS NOTES
DISTRICT
FRONT
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, anri State ZIP code Tel. No.
Owner ar
Lessee
Builder's
License No.
2.
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
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes
4 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 By
PP l ec Obtained u Obtained
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- 'C Fire Grading Use Group
Permit issued 19
Building j�
Permit Fee $ /0- 06 Live Loading
Occupancy Load
Certificate of Occupancy $
Ap by:
Drain Tile $ // el
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�o tit MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
, Page�L�� Plot 29Y APPLICATION FOR
. INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p
1. �K[d LpS�n� � ZONING mow{
AT (LOCATION) ///����. DISTRICT��.
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
SUBDIVISION LOT LOT
BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D `�f
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use to
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,
in Part D, 13) 13iVTwo or more family — Enter 19 ❑ Church, other religious
Industrial
number of units— — — — 20
3 ❑ Alteration (See 2 above) ❑
140 Transient hotel, motel,
4 ❑ Repair, replacement or dormitory — Enter number 21 ❑ Parking garage
5 ❑ Wrecking (It multifamily residential, of units ——————— — --0. 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑� Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ Carport 24 �❑ Office, bank, professional
7 ❑ Foundation only
17 ❑� Other — Specify `@ft� � 25 ❑ Public utility
(t 26 ❑ School, library, other educational
B. OWNERSHIP t ) 40 LC ej 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,,,,,,,,,,,,,,,, 1600 .- 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
7/
a. Electrical................ ....
b. Plumbing .....................
c. Heating, air conditioning..........
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT
111. 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
30❑ Masonry (wall bearing) 40 ❑ Public or private company 48. Number of stories................
31 Wood frame 49. Total square feet of floor area,
41 Private (septic tank, etc.) 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 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 �� Electricity 44 ❑ Yes 45 !� No
--
38 Coal
53. Number of bedrooms..............
❑
39 Other — .Specify Will there be an elevators Full..........
r 54. Number of
46 l Yes 47 ❑ No bathrooms
Partial.......
Department of Builcling Inspections
212 Main s;, ► t BUILDING zo
Northamp , I�'iass. 01060 04
PERMIT
VALIDATION
DATE July 6, 19 84 PERMIT NO. 281
APPLICANT Sheryl A. Grabon ADDRESS 246 Chestnut Owner
(NO.) (STREET) (CONTR'S LICENSE)
Addition Pool Deck & Storage She yEOER OF -
PERMIT TO (_) STORY_ f , EL LING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 246 Chestnut Street ZONING
DISTRIC LiA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 8 FT. WIDE BY 8 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP _,BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: - - - perms-t to errect an above ground pool, and 8' x 8' storage
shed and a deck —
VOLUME Pool 24' diameter ESTIMATED COST . 500.00 FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER Joseph & Sheryl Grabon
BUILD G p
ADDRESS 246 Chestnut St. , Florence, Mass, 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY