17A-279 ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
-------o. ._._.._ Applicant ..
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1 -
NOTES and Data — (For department use)
I;Zspectioncte —
,� r
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or 1�./r1 ate` �T 60
Lessee II-- y f
[. G �4 I at f1 it C d.= LB ens er'N0.
61 na"
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
0
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 Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number pp Obtained Y pp N b By
Y
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 C FOR DEPARTMENT USE ONLY
Permit number
Building. t
Permit issued �(y T— 19 Use Group
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Aq by:
Drain Tile $ � t
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
$
Page � � Plot 41 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. ��yy 0
./ a ZONING t
I• AT (LOCATION) DISTRICt
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING «JJ ICROSS STREET) (CROSS STREET)
O
SUBDIVISION LOT BLOCK SZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
—f
1 ❑ New building Residential Nonresidential
2 ddition(I residential, enter number
f 12 One family 18 ❑ Amusement, recreational
of new bousing 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 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — --� 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 — Specify 25 ❑ Public utility
7 Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 t Y Nrivate (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
16 'Doo 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 �3 QC,0
a. Electrical.....................
b. Plumbing ..................... .E''
c. Heating, conditioning u r `
9, 9........
d. Other(elevator, etc.)............. Fj
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
30❑ Masonry (wall bearing) 40 ❑
Public or private company 48• Number of stories........
31 ood 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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 [KGos Will there be central air 52. Outdoors........................
conditioning?
36 Oil � L. RESIDENTIAL BUILDINGS ONLY
37 CJ Electricity 44 ❑ Yes 45 i'� i No 53. Number of bedrooms.............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 Yes 47 [P No bathrooms
Partial......
Department of Building Inspections
No Main Street BUILDING '°
Northampton, Mass. 01060
17A - 279 PERMIT as
VALIDATION
DATE December 8, t9 83 PERMIT NO. 680
APPLICANT Robert Wade ADDRESS North Farms Road 019025
(NO.) (STREET) (CONTR'S LICENSE)
Additions Existin g One Family UMBER OF
PERMIT TO (,) STORY Y DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USEI
63 Oak Street, Florence ZONING CT URB
AT (LOCATION)
(N0.) (S TREETI DISTR
BETWEEN Bridge Road AND Bardwell Street
(CROSS STREET) (CROSS STREET)
LOT 150' x 85'
SUBDIVISION LOT BLOCK SIZE
Addition
IKOWIS TO BE 10 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 a 10 foot addition to the whole house which would be making the kitchen,
upstairs bedroom, and bathroom all larger by 10 feet
AREA OR XX4 21,000.00 PERMIT 64.00
VOLUME ESTIMATED COST $ FEE .p
ICUBIC/SQUARE FEET)
Ken Nutt le OWNER BUILD
ADDRESS 63 Oak Street, Florence, Mass. 01060 BY ~ ' -
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY