17C-211 (37) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE . SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
0 . ,
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, strut, city, and State ZIP code Tel. No.
1.
Owner or VQA Dl4bd
Lessee
Builder's
2
/0/ 0 /►/ 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 o applicant Address Application date
,y Owe
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 Date Number By Permit or Approval Check Date Number B
Obtained 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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued )' C`� t�' _ _�; 19
Building _ Fire Grading
Permit Fee Live Loading
Certificate of Occupancy $ Occupancy Load
Ap e � by:
Drain Tile $
� ,e
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
r •
$ OFFICE of the INSPECTOR of BUILDINGS
Page �❑� Ptotl li`.�y1 �
,�t t _ ) APPLICATION FOR
INSPECTOR1 � y ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANhT../- Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) ✓ �,L�'�Jw •� �A�1'PrG J�!L�, DIISTR CT
LOCATION (NO.) STREET ^—r
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
M
1 ❑ New building Residential Nonresidential
2 ❑ Addition(I/ residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
❑ Two or more family — Enter 19 Church, other religious
in Part D, 13) 13
number of units— — — — •—)� 20 ❑ Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory — Enter number
------- — 22 �❑ Service station, repair garage
5 ❑ Wrecking (If multifamily residential, of units -•� _
enter number of units in building in 15 Garage 23 ❑ H spital, institutional
16 Carport 24 Of
Part D, 13) ❑
fice, bank, professional
6 ❑ Moving (relocation)
17 ❑ Other - Specify 25 E] Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 L❑ 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,•,,,,,,,,..•... tWK-P 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.......................
D/�,Ef_� i9�P�'/rJ�n!.�rs,OG LD,dtl!✓
b. Plumbing .......................
c. Heating, air conditioning.......
.. a,f�.te r /0 ��,�l �rL.d.I(' .>a. .mob• 7�T�,r�t�►—
d. Other (elevator, etc.)............. �y 'e
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 ❑ 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 ❑ Other — Specify 42 L❑ Public or private company 50. Total land area, sq. ft. ..........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 D Yes 45 No
53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
54. Number of
46 Yes 47 ❑ No bathrooms
Partial.......
Department of Bu:Ll.din&.Inspections
212 Main Street BUILDING
Northampton, Mass. 01060 O<
PERMIT <a
17C - 209, 210, 211, 212, 294 VALIDATION
DATE October 3, 19 83 PERMIT NO. 500
APPLICANT Philip Ahearn, Jr. ADDRESS $XXMKXXUPK M 144 Federal 027255
(NO.) (STREET) Street (CONTR'S LICENSE)
Alteration Office Space NUMBER OF
PERMIT TO I—) STORY P DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
85 Main Street, Florence ZONING G$
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 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 to install partition inside the lobby approximately 10' x 10' glass and wood
high open at the top no ei ng
AREA OR $ 3,954.00 FEEMIT $ 16.00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Florence Savings Bank
ADDRESS 85 Main St. , Florence BUILD N
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY