17C-207 (3) NOTES and Data — (For department use)
Vill. ZONING PLANEXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
IX. SITE OR PLOT PLAN For Applicant Use
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IV. IDENTIFICATION — To be completed by all applicants ri
Name Mailing address — Number, street, city, and .State ZIP code Tel. No.
Owner or ...Gr�'•G'Le.�-�C 4 �• /� /
Lessee
"t Builder's
2. �� 1e;iCt .:ter � Z ,.f� /�s/�.v�r 'rj License No.
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
,r 'L
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 Dote Number B Permit or Approval Ch Date Number B
Obtained y rova
PP ec 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
11. VALIDATION
Building
Permit number J�S FOR DEPARTMENT USE ONLY
Building Use Group
Permit issued ` % 19 ,
Building C) Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
p ov d by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
�` P I o t a� a�
Page APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
r ZONING
I,
AT (LOCATION) i DISTRICT
r Wr
LOCATION (NO') (STREET)
OF BETWEEN 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
1 ❑ New building Residential Nonresidential
2 ❑ Addition(l/ 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
i Part D, number of units— — — — -i 20❑ Industrial
3 ❑ Alteration (SSee e 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5�.Wrecking (11 multi family 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 24p Office, bank-, profess6ene�
6 F-] Moving (relocation) ❑ Carport
17❑ Other — Speci/y 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
EI Private (individual, corporation, 23❑ 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................ S 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.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 C�asonry(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 F__] 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 1 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 ❑ No bathrooms
Partial.......
Department of Building Inspections
212 Mian Street )
Northampton, Mass. %-I* Y BUILDING "D
PERMIT as
17C - 207 VALIDATION
DATE September 28, 19 84 PERMIT NO. 455
APPLICANT Associated Wreckers ADDRESS 352 Alb—any Street
(N0.) (STREET) (CONTR'S LICENSE)
Demolition NUMBER OF
PERMIT TO (.`l STORY Office N Space DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
69 Main Street Florence ZONING �+p
AT (LOCATION) OISTRICT_�_._:�711
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS 40 FT. WIDE BY 30 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the demolition of existing building
AREA OR E 2.000.00 PERMIT 35.00
VOLUME 12O SQ. ft. ESTIMATED COST � FEE $
(CUBIC/SQUARE FEET)
OWNER _- Florence Savings Bank
ADDRESS main St., Florence LBUDI
WHITE - FILE COPY - GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - ASSESSORS COPY