17C-269 (5) ZONING •
DISTRICT �zs
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SIDE
Applicant REAR YARD 2"j Lo"
NOTES
For IX. SITE
OR PLOT
..........
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NOTES and Data — (For department use)
17c o2G �
At
�G AS-
0:110 t
f 14
..r.
U
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
Builder's
2. 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 app cant Address Application date
Le L
--- 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval Check Date Number B
Obtained Obtained y
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 i
Building.
t O Use Group
Permit issued L 19 �
Building Fire Grading
Permit Fee
$ � ��
Live Loading
Certificate of Occupancy $ Occupancy Load
$ Approved by:
Drain Tile �+
Plan Review Fee $
TITLE
�' ^* CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page 17C Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. n 0
- 51 ( ZONING
• AT (LOCATION) DISTRICT `V
LOCATION (N0.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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(If residential, enter number 12 FV1 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19❑ Church, other religious
number of units— — — — --> 20❑ Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (11 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 Car ort 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) ® j� L{.� 25 Public utility
7 ❑ Foundation only 17 ® Other — Specify A& ❑
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ 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•,,,,,,,,,,,,,,, $ 2,6z 0 school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
7'o 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 s3&'06
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 1
48. Number of stories............... Z[Z+
30❑ Masonry (wall bearing) 40 Public or private company A—
31 � Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, f / �+
all floors, based on exterior P13_o {
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 Public or private co pony
50. Total land area, sq. ft. ..........
43 Private (well, cisternm) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 Gas NN.)there be central air / 52. Outdoors........................
36 Oil condi 'oning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify fl I Will her a an elev 0 Full..........
54. Number of
46 Yes 47 bathrooms
Partial......
)epartment of Building Inspections
!12 Main Street I" t",
46rthampton, Mass. 01060 BUILDING i
j
O<
I CL
PERMIT
17C - 269 VALIDATION
DATE May 10, 19 84 PERMIT NO. 190
APPLICANT John A. Smith ADDRESS LiT.y`�eet owner
(N0.) (STREET) (CONTR'S LICENSE)
PERMIT TO Porch & Car Port (_) STORY One Family Home DWELLLRING OF
UNITS -
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
51 Lilly Street ZONING URB
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Car Port 13 x
)orch1VA1NM IS TO BE 21 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the construction of a porch and a car port (both new)
AREA OR VOLUME 195 sq. ft. Car Port - 252 Porch ESTIMATED COST $ 3,500.00 FEEMIT $ 20.00
(CUBIC/SQUARE FEET)
OWNER John A. Smith
ADDRESS
51 Lilly St. , Florence, Mass. 01060 BYILDING
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY