17C-211 (29) PERMIT A `PPPLICATIO CHECK LIST
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` PAGE �_ PLOT �t� zoNE �"�� / � S NO DATE
1 . ZONING 0 RM APPLICATION
2 , PERMIT APPLICATION
3 , OWNER OCCUp�T STATEMENT / L IC A I F NOI -
4 . 3 SETS OF Ll
PLANS 2PLQT PL6N
5, NEW CO ST$UCTION
g Culls CUT
7 . WAIEB 6VAILABILITY S
8 . REMODELING INTERIOR
9 . ADDITION
jQ , ACCESSORY STRUCTURE
11 . SIGN AWNING q�
12 PERMIT FEE - CHECK( ONLY - MONEY ORDER i
13 , SPECIAL PEBMTT REQUIRED WITH DEED IF APPLICABLE
14 . UNDER SECTION 127 CMR 780
15 FORM A ,
1 & FILL
COMMENTS ;
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 586-1300 Alterations Interior
a NORTHAMPTON, MASS. 6 P4ay, 1993 19 93 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 85 P4ai n St. , Florence. 14A 01060 Lot No.
2. Owner's name_Florence Savings Bank Address Same
3. Builder's name P;onAAr C'nntrart-nrc Address P_n_ hox 1145 Nnrtham=ton f M8 01061
Mass.Construction Supervisor's License No. 017890 Expiration Date 6/30/93
4. Addition
5. Alteration Interior Renovations as per attached plans of 1/20/93
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- 38,000.00
The undersigned certifies that the above statements are true to the best of his, her
knD&Iied ge and belief.
Signalure of responsible appticanl
For Florence Savings Bank
Remarks
a
000 ,.,1 � �
Date Filed File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: Florence Savings Bank
Address: 185 Main St- 0 Florence.,e., MA_ Telephone: sg6_j3On
2 . Owner of Property: Same ,
Address: Telephone:
3 . Status of Applicant: X Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /7& Parcel#
Zoning District (s) (include overlays)
Street Address 85 Main St. , Florence. MA.
Required
5. Existing Pro Dosed b zoning
Use of Structure/Property
(if project is only interior work, skip to 6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side L R L R
- rear
Lot size
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) Alteration as per plans dated 1/20/93 & Attached
7 . Attached Plans: X Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: ���3 Applicant' s Signature: / � &fP
_ _ _ _ _ _ _ _ _ F r Florence Savings Bank
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented
aslofi for i 1:
ignat of Buildin ns to
NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of Health,conservation commission,Department of Public Works and other applicable permit granting authorities.
7/92 FXAS
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p�°��� City of orthampton REQUIRED INSPECTIONS
BUILDING DEPARTMENT 2. Structural Components in Place*
3. Complete Building*
No. 375 Office of the Building Inspector
Zoning Form No. 000451 Date 5/26/93 Fee $152 Check#p 1360
Page, '7C Parcel 211 ,Zone GB Section 127 ❑ Yes �' No
* Plumbing and Electrical Inspections required
BUI]LDINGPERMI r I
THIS CERTIFIES THAT Pioneer Contractors before Building Inspections
has permission to Interior renovations, per plans, lst floor Inspection on Site--Foundations
situated on 85 Pain Street, Florence Inspection of Plumbing—Rough
provided that the person accepting this permit shall in every respect Inspection of Plumbing—Finish
conform to the terms of the application on file in this office, and to the Gas Inspection
provisions of the Statutes and the Ordinances relating to the Construction, Inspection of Wiring—Rough
Maintenance and Inspection of Buildings in the City of Northampton.
Any violation of any of the terms above noted is an immediate revocation Inspection of Wiring—Finish
of this permit.Expires six months from date of issuance,if not started. Building Inspection—Rough
Note:A certificate of occupancy will be issued by this office upon return Insulation Inspection
of this card signed by the Plumbing,Wiring and Building Inspectors.
Building Inspection—Finish
Smoke Detectors(Fire Department)
Other
THIS CARD MUST BE DISPLAYED IN A CONSPICU US PLA ON THE PREMISES
Certificate of Occupancy
��ngInspector
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