17C-227 (25) ZONING •
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE , ►�
• • PLOT PLAN For Applicant
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NOTES and Data — (For deportment use)
i
IV. IDENTIFICATION To be completed by all applicants
---Name Mailing address \'umbcr, strcct, c i t>, and Ciafc Z I P code Tel. No.
1.
A
Owner or
Lessee
Bui Ider's
L. License No.
Contractor
3.
Architect or
Engineer
21
I hereby certify at 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
C 7J '�-IL 7
0 0 N O T W R I T E BE � 0W T H I S L I N E
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans
Plans Review Required Check Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. 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
Permit number
Building
Permit issued 19
Building
Permit Fee
Certificate of Occupancy $
Approved by
Drain Tile
_!e,
Plan Review Fee S_
INSPECTOR (-)-PL 31-11-1,D—INC2
TITLE
$ Crx r of Wort4a pion ��r
� � �lsssMCllnsetfs
T Offire of the �nspertor of Auilaings APPLICATION FOR
ZONING PERMIT AND
Page-,/Z /— plot BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. .� O
1 i f DISTRICT P�!�ZONING
I. AT (LOCATION) 'a I">�,
LOCATION (NO') (SVRE T)
OF BETWEEN L" .y..i� t9 all AND (.=> 7 •� 1
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE I CA
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
of new bousing units added, if any, 13 ❑ Two or more family - Enter 19❑ Church, other religious
in Part D, 13) number of units- - - - -i 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 F-1 Wrecking (If multi/amity 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❑ Office, bank, professional
6 ❑ Moving (relocation) 25❑ Public utility
17❑ Other - SpeciJy
7❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 27 Stores, mercantile N.
8 Private (ind ivi du al corporation, 28� Tanks, towers
� p oration,
nonprofit institution, etc.) 29❑ Other - Specify
Public (Federal, State, or
9 ❑ h '
local government) a\
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................ I C"C - 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 1V. D
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
31 X1 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet Floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions ....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other - SpeciJy
42 ❑ Public or private company 50. Total land area, sq. ft. ...........
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
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44❑ Yes 45 ® No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify i,: z Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 ❑ No bathrooms Partial........
I hereby certify that the proposed:work is oAp'rized- by* the owner`-df record
and 1 have been authorized by the, -owper:to -nid this`4ppl—cation as his
authorized agent.
SIGNATURE OF '-AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
z0
DEPT. FIU COPY
City of Northampton BUILDING PERMIT
massachusetts VALIDATION
Office of the inspctor of Buildings
DATE April t4,_,9 7— PERMIT NO. 10
APPLICANT M=n F_ rl ark ADDRESS
(ND.) (STREET) (CONTR'S LICENSE)
PERMIT TO Store Addition (_) STORY ?napery Store DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
1b N. Maple Street, Florence DISTR C
AT (LOCATION) -
T CB
(NO.) (STREET)
a BETWEEN AND
(CROSS STREET) (CROSS STREET)
0.
IL LOT
m SUBDIVISION LOT BLOCK SIZE
a
0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
O
GO
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
LL REMARKS: Store Addi ti nn
AREA VOLUME ESTIMATED COST $ 100 FEEMIT P 20.00
(CUBIC/SQUARE FEET)
OWNER Joseph R. Vinci
� �� BUILDING DEPT.
ADDRESS J �� N&S i. la Strciat. Flor. AneA BY
(Affidavit on reverse side of application to be completed by authorized agen of owner)