17C-316 (9) ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
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.......
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NOTES and Data — (For department use)
r:wTRY
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HONDROGEN DESIGN & CONSTRUCTION°
DESIGN/BUILDERS
14 CADWELL STREET -PELHAM,MA - 01002
(413) 253-7310
Yi;SLY R�MOV�L
p�ASt M�xfJj QLAW
lu date:
o ;r 4 6 8 1 o F*T revised:
IV. IDENTIFICATION — To be completed by all applicants�
Name Mailing address Number, street, city, and State ZIP code Tel. No.
Owner or L �L T2E",V�,
Lessee
2. Builder's
'L�!,`VZi'- LL License No.
Contractor
3
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 pli t
-9p I c,%n Address --JA�p
plicotion date
A,
00 N O T WRITE S E L 0 W T H I S L I N E
V. PLAN REVIEW RECORD For office use
Plan Review Date Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approva I 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
V11. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building
Permit issued �j 19 Use Group
Building Fire Grading
Permit Fee $ (Y"
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
3 OFFICE of t" INSPECTOR of UI� DINGS ff ;;It Page Plot , APPLICATION FOR
�T ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, 111, IV, and IX.
ZONING
s' ? , DISTRICT
AT (LOCATION)
LOCATION (NO.) (STREET)
0 F 1 ia. AND ,.�,1'v[-
BETWEEN (CROSS STREET
BUILDING
(CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 L❑ Additicn(IJ residential, enter number 12 One family 18❑ Amusement, recreational
of new housing units added, if any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13)
number of unzts— — — — -4- 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 �. � Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (If 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 E] Carport 24 Office, bank, professional
6 ❑ Moving (relocation) 25 ❑ Public utility
17 ❑] Other — SpeciJy
7 C7 Foundation only 26 School, library, other educational
{�`'1`�1X�`:�r f}�'•� r �� dJ
B. OWNERSHIP 27❑ Stores, mercantile
28 Tanks, towers
8 X Private (individual, corporation, ,^ r � A l ❑
nonprofit institution, etc.) Tlxzl� 51 r�.E.1./ 29 Other — Specify
9E] 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,,,,,,,,,,,,,,,, Id, O`?O 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 F�
a. Electrical.......................
b. Plumbing .....................
s
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
48. Number of stories...............
30❑ Masonry (wall bearing) 40 L❑ Public or private company
41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame p 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 .......................
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 ❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevators 54. Number of Full..........
—
bathrooms
46 1 Yes 47 D No Portial........
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
212 Main Street 0
Northampton, MA 01060 PERMIT <a
17C - 316&1/2276 VALIDATION
DATE Apr; l 14, 19-7-1 awe IIRMITPeNQh�m 211 6394'
2
APPLICANT John Hondrocien ADDRESS 1
IND.) (STREET) (CONTR'S LICENSE)
One Family NUMBER OF
PERMIT TO Alteration (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 48 Hi l lcrest Drive DIISTR CT URA
(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 finish off existing basement area (no bedrooms)
AREA VOLUME 820 so. f t. ESTIMATED COST $ 1 1 ,600•00 PERMIT $ 82.00
(CUBIC/SQUARE FEET)
OWNER Alexander Vesle /y BU)LDI i E
ADDRESS 48 Hillcrest Drive, Florence BY
WHITE - FILE COPY . GREEN - FIELD COPY s CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pQP