17C-170 (3) VIII. ZONING PLAN EXAMINERS NOTES
SIDE YARD
SIDE • .
REAR YARD
NOTES
IX. SITE YJ�
OR PLOT PLAN For Applicant
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NOTES and Data — (For deportment use)
q
1 I
0
i'
I
' I
,
FIRSt FL&Df, FL>UR PLR N
RrAR
Scat
i
;
o
il�;lll ) ia I FT '40
sC ALE %y "c I Fr
�r VELVY
IF 7
It
PEllp
3czaWn
ocrnini� I i
0 3b•o.
PEeta
IA w`3
i IIf'f
51 n
rff«
= 1 t T
OTear out walls to provide full access,
Insulate walls with 31' fiberglass & sheetrock
with I" sheetrock, Enlarge closets to size
Indicated on drawing
OInstall bifold doors (Erosco # 800) or 1 3/8
hollow core luan as indicated on drawing. U
y^ Remove walls,
�J Remove plaster, insulate& sheetrock.
flInstall folding stairway to attic, insulate I c4 \
attic with 62" fiberglass & provide ventilation, " a�
Install Velux f1 window. ��c455
(,
h
'7 Tear out bathroom & relocate to addition &
install closets in old bath area per drawing,
Of 10' x 20' addition per attached sheet -
CL
I
l
P<° srof"; c
� o
,i FCO,VO Ftooa fLOM, PG,;A l SC,41"C' = / Fr.
IV. IDENTIFICATION — To be completed by all applicants fi
^—� Name Mailing address — .A'iunbcr, s/rc ci, crtN, tm(l Ctatc� ZIP code Tel. No.
1. ) y
'L tiC t r. ��i e' !1 �� l.Ll,t f'( 1 1 L 7(5(%('
owner or .-
Lessee 1rt, x
Builder's
(�
� ��( 'if." , � �' l' l- lG l� �C1'1 / t'If1 LicenseNo.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that ! 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.
Signe+i4 e 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 B Date Plans B Notes
q Fee Started y Approved y
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate Date
Permit or Approval Check ObDtai ed 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 G2
Permit issued % I19
Building
Permit Fee
Certificate of Occupancy S
Approved by:_..
Drain Tile S -
Plan Review Fee
TITLE
o� ro
$ � �lxssrtclplsetfs
of Xort4amvton
Offixe of the �Jns}rertox of 'Auilbiugs APPLICATION FOR
ZONING PERMIT AND
Page S�Plot �' BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O
„ I ZONING
I• AT (LOCATION) DISTRICT
(sTRE r) }
LOCATION ("O.)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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(If residential, enter number 12 One family 18 ❑ Amusement, recreational
J c of new housing units added, if any, 13❑ Two or more family - Enter 19 ❑ Church, other religious
in Part D, 13) number of units- - - - 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l
Transient hotel, mote ,
❑ 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) 25 ❑ Public utility
17❑ Other - Specify
7 ❑ Foundation only 26 ❑ School, library, other educational
B. OWNERSHIP 27 E] Stores, mercantile
28 ❑ Tanks,'towers
8,� Private (individual, corporation,
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................ `-' �'' 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 $ '
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. y
O
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
48. Number of stories...........
30❑ Masonry (wall bearing) 40 Public or private company
Private (septic tank, etc.) 49. Total square feet floor area,
31� 41=
Wood frame p all Floors, based on exterior
32 ❑ Structural steel dimensions ..................... .
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
42 ublic or private company 50. Total land area, sq. ft. ...........
34 ❑ Other - Specify �J r p
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... � r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
Will there be central air 52. Outdoors.................. -
36 ❑ Oil \ conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 ❑ Yes 45,tYl No 53. Number of bedrooms. t(ci
38 ❑ Coal
39❑ Other - Specify Will there be an elevator? 54. Number of Full..........
46 F7 Yes 47� No bathrooms
Partial.......
I hereby certify that the proposed work is 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 19
F DEPT: FILE COPY
z
CITY OF NORTI3ANIPTO BUILDING N f a.
NORnfiAPmNr MASS. 01060 17C — 16A PERMIT VALIDATION
DATE Fabruaj!y J , 19,78 PERMIT NO. 12
APPLICANT Paul a=en ADDRESS_34 High Streets Florence
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO Addition — Residence ( 2 ) STORY Residence DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 34 DISTRICT LIM
(NO.) (STREET)
a BETWEEN AND
io (CROSS STREET) (CROSS STREET)
a
LOT
IL SUBDIVISION LOT BLOCK SIZE
m
U BUILDING IS TO BE �� FT. WIDE By 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
to
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
0:
0 REMARKS: Addition to residence per plans
AREA OR ESTIMATED COST $ 13 000 FEEMIT $ 39.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Pa71i QLgan BOIL I DEPT.
ADDRESS :5 Nin'r S rRPt F1c�renc+e� MAgg BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)