17C-261 (7) ZONING
DISTRICT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants '
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
/�
Owner or ^' IL
Lessee
/04,c)
Builder's
2
48V-1M (: ? i / License No.
Controctor
4 `/
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.
Signal a of ap licant 1 Address Application dote
DO 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
Building Use Group
Permit issued
Building ++ Fire Grading
6 Permit Fee $ "
Live Loading
Certificate of Occupancy $ Occupancy Load
Ap d by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page `?C Plot OX°' APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. •/'� O
ZONING
}y�{
I• AT (LOCATION) L�/ o /lo 94%A F/axze.,,e DISTRICT
LOCATION 1N0.) (STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
rn
1 ❑ New building Residential Nonresidential
2 Addition residential, enter number
❑ f 12 XOne 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 l
l
Transient hotel, mote ,
❑ 21 Parking garage
4 Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1/multifamily residential, of units ------- - -0 23 L Service station, repair garage
enter number of units in building in 15 LJ Garage 23 j Hospital, institutional
Part D, 13)
16 Carport 24(_� Office, bank, professional
6 ❑ Moving (relocation)
17 Other - Specify 25�_� Public utility
7 C❑ Foundation only
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................ �Q� - school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
7o 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 IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
-I 48. Number of stories...
30 ❑] Masonry (wall bearing) 40 i, � Public or private company .............
49
tic tank, etc.) . Total square feet floor area,
31 Wood frame 41 Private (septic all floors, based on exterior
32 L❑ Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other - Specify 42 r 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 Lj Electricity 44 l_. Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 L 1 Other - Specify Will there be an elevator? Ful
54. Number of
46 1 Yes 47 !❑ No bathrooms
Partial.......
a _DEPT,OF BUILDING INSPECTIONS BUILDING '° t � ;
! 212 Main Street o<IL
Northampton, MA 01060 PERMIT
17C - 261 VALIDATION
DATE October 18, ig 88 PERMIT NO. 675
APPLICANT Martin Mahoney ADDRESS 24 Fort Hi l l Rd. , Haydenvi l le 040602
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Altpr;;tlon (_) STORY one F�mi 1 v DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED BE)
80 North Main St Florence ZONING URB
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: normi+ for : hg ronair- and rgcenstr_uctian of PXistinq roof
AREA OR
ESTIMATED COST $ FEEMIT $ 16 On
VOLUME
(CUBIC/SQUARE FEET)
OWNER BY
D•Yi1
ADDRESS
. �
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY pop