17C-211 (39) ZONING •
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NOTES and Data — (For department use)
i
1 ,
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and .State ZIP code Tel. No.
1. C-71
Owner or
Lessees
Builder's
2. License No.
Contractor
3.
Architect or �""
Engineer J
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.
Sig ature o applicant Address Application date
D0 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required 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
Date Date
Permit or Approval Check Obtained 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 FOR DEPARTMENT USE ONLY
Permit number l�
Bui Iding.
Use Group
Permit issued GLrti� �-3 19 $/
Building Fire Grading
Permit Fee $ Q tl
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ /
Plan Review Fee $
TITLE
�o y CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
j Page IX Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING or (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
X
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 E New building Residential Nonresidential
2 El Addition(If residential, enter number 12 One family 18 Amusement, recreational
of nezv housing units added, if any,
in Part D, 13) 13 Two or more family — F.nter 19 Church, other religious
number of units— — — — --> 20 Industrial
3 Alteration (Sec: 2 above) 14 Transient hotel, motel, 21 E] Parking garage
4 n Repair, replacement or dormitory — Enter number
5 �_ Wrecking (I(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 [K Office, bank, professional
6 n Moving (relocation)
7 � Foundation only 17 � Other — Specify 25 n Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 ® Private (individual, corporation, 28 n 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 IJ331— 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.)............. } 4
11. TOTAL COST OF IMPROVEMENT V -l.7 z_
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 Z
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 ..................... .3v
33 L� 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 a Gas Will there be central air 52. Outdoors........................ 2,
36 'I Oil conditioning?
_ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 7� Yes 45 r No
53. Number of bedrooms..............
38 Coal
39 Other — Specify Will there be an elevators Full..........
���` 54. Number of
r
46 l � Yes 47 �6 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 applicatidn o his
authorized agent.
SIGNATURE O:E:AGENT
ADDRESS
(NUMBER) {STREET) (CITY)
APPROVED BY TITLE
DATE 19
DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY
Zp
212 MAIN STREET A'(� o a 3 pp 1-13-01
BUILDING ow /. p
°°NORT�TON, MA. olabo PERMIT
VALIDATION
17C • 211
DATE Januaxy 13. 19 81 PERMIT NO. 16
APPLICANT ki r-hard Mandel ADDRESS i&d= b Ca=rutti
(NO. (STREET) (CONTR'S LICENSE)
Teller NUMBER OF
PERMIT TO jlj,�ratipn (_�) STORY 24 $rr DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT(LOCATION) gg Main Flnrence DISTRICT GB
(NO.) (STREET)
o. BETWEEN Kevea - AND
m (CROSS STREET) (CROSS STREET)
LOT
e. SUBDIVISION LOT BLOCK SIZE
m
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f (TYPE)
Ir
a REMARKS: Breaking through existing window area and inatalling 24 hour teller window
VOLUME ESTIMATED COST $ 12,332.00 FEEMIT .� 39-00
(CUBIC/SQUARE FEET)
OWNER Florence Savings Bank
BUIL
ADDRESS 85 Main Street* Florence$ Ma, 01060 BY
(Affidavit on reverse side of application to be completed by authorized agent of wner)
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
DUARTK9I1IT OF IIUtLDZW INSFEC'PZ4NS
FIELD COPY
21JI'MAIN SMIRT BUILDING
THAW " j, NA. 01060 PERMIT
17C - 211 <s_)5
..1 d DATE Jaas�an 13• 19 $1 PERMIT NO. 16
APPLICANT Richard MRM41 ADDRESS MR"" & cgrTuttl
(NO.) (STREET) (CONTR'S LICENSE)
�!
NUMBER OF
PERMIT TO Alteration (2) STORY 24 Mr. Tell* DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) Male Flo=mca D STR CT(N0.) \ F (STREET)
rn BETWEEN as ,`'� AND
„1('CRO STRE (CROSS STREET)
rn
d SUBDIVISION �y LOT BLOCK SIZE
GB
p BUILDING IS TO BE FT, WIDE BY`' '�T. ONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
O
Z TO TYPE USE GROUP_ " BASEMENT WALLS OR FOUNDATION
f (TYPE)
O: y
O REMARKS: l #�11^3�& exiitiag window area and installing 24 hoar taller wis4ow
b:
AREA OR PERMIT
VOLUME ESTIMATED COST $ 12-332.00 FEE 39,00
f (CUBIC./.SQUARE FEET)
OWNER Fla�reme Savings Bmk A
?.i ADDRESS 85 Main Street. Florence. Ma. 01060 gylL