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ZONING PERMIT 17-D
APPLICATION
Zoning Ordinince Secticii 1.0.:, C Filo 1,10. 1,1,111 File
Telephone Telephonc
T his section is to be filIrd out in on,ord�uco , iih t}io of and
�xrk the approyrinte 1jox to iuGicote the usr of Mir pzroeI:
[--1 Iloo-Coul"rmioC Ict "od/or Struoturo. 3Peoify~_-_____----_-_----___--__ ---_-_'
Pesideutinl L����in�le �r/`1]� l/uit [--lrult1-FnniIy
|-lDuplex F--l0tbei
�--lBum1uoso
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Industrial
[---1 lootitutinp~]
F�
Subdivision F� B P.U.D.
F--1 elnnt'r | | (`t)�nr
| | Sobdivioioo �itll "Aj)r.zov�l-�ot-Rp1uirr��v-J�nm�:
F--lPloonin8 �oord A.p/,rovnl:
Zooiug Board Approval WocinI Permit I(>,�:
= City �,rinnna�
�it� Council (8 i l ! tj }
Watershed Protection District Ov(-,rl.T.y: (Z.0. Sect. _"IV) Yes ro
Loading Space Requirement;E�: My. -7ect. 8.2) Requi1-(,'d_Fr')j,)0rCd
,Environmental Performance Standardn: Z,0. -Art. XJ_I) =Yer, ITO
Plot Plan Yes T, e Plan yes
Thin n�ctiou for OFFICIAL u-se only:
9;R&Dyroval am l`reoeut,d:
[--l1,1odiCicut1nuF.,, nc000rnr� for oI`p/'ovnl:
[---lBe uro: (0oro iolnrmnti"o
\ | Denial: Bpnrnos:
Signature of Applicrint Dutn 3 ~';u.tur, '){ 0'lmio" 0ffiuor Dnte
To the Inspector of Buildings:-
The undersigned hereby applies for a permit to build, move, alter, or repair, according to the
following specifications. ,
1. Owner's name ....... °. `» I »................................................................................
2. Owner's address . ....._., 0.S» ................._........ ._ . ........»..................................................................
3. Architect's name ........»....... ... .............,1.........»............................. ..._............._......................................................................
4. Builder's name ...... »..►»... ... » . . ..... ...... .................................................»...........................................................
5. Builder's address ..... . .. .... ..... f. :'�Lr„w::f«c::..... .! t�t.. .........................................................
6. Location of Building. Street No. .....,!d..»~r..................._ l .. ............................................. ...
7. Is this a removal or new building.....R.�. 1!ll..ft !-
8. If removal, from where ....................._. . ..... .. .... . .......ray..{?... . ...... . .....,........
9. What is the purpose of building ...... .... ... . . ........................................................................................_ ..............
10. Material of building ...................:............_................................................................._.............»............................»...........I.............................
11. If a dwelling, for how many families......................_.....................Number of rooms ...................................................
12. Is there to be a store in the building.....»....»......................................»......................................:.........._......................_......._...........
13. Size of building, No. of feet front .......................;No. of feet deep ................._.....; No. of stories.....................
14. Size of ell, No. of feet front ........................: No. of feet deep .......................; No. of feet high ...........»..............
15. Size of Lot ..............................................................................Feet Wide ................ .. .... ... .. Feet Deep .................................
16. How near the-line of street ......................................................................
17. How near the line adjoining lot. Right................._.................; Left...................................; Rear................._..............
18. Nearest building is.....m...... .................feet in a...................................................... direction .....................................................
19. Material of the floor...........................................................................................»...........................................................................
20. Size of timbers, 1st ........................: 2nd ....................... ; 3rd ........................; 4th .............................; 5th ...........................
21. No, of feet span......................................_............................. ; Distance on centers
22. Will the building be erected on solid or filled land .........................................................._................................................
23. What is the material of foundation ......»...».....................................»....»...._..................................; Footing .......................
24. Will the roof be flat or pitched ....................»........................................; Covering....................»..............................................
25. Heat; steam, hot water, furnace, stoves..........................................: Power oil burner............................»................
26. Fireplace .....».............»............................»....................; Insulation ..................:.................................................»........................................
27. How many sinks ............: Toilets ............; Lavatories .........; Bathtubs....._..; Showers............; Settubs.........
28. City Service; Water........................Sewer........................; Road Surface .....................,.....; Sidewalk .......................
29. Is lot on accepted street ......................_.......... ....... ...._../ ..:...:....:.... ».......».....................................».............»......... ....._..............
30. Estimated cost (must be filled out) ......... At?.L?.».... .».............................................._...............................».............
Applicant agrees to give the Inspector of Buildings 24 hours' notice before lathing or
plastering this building. This b ilding will conform to the requirements of the law.
Signatureof applicant ..... 4. ..... ... ..... ...»...._......................................................................................
No.. ...... ...._...........
REMARKS
r _
I hereby certify that the proposed ; ork is authorized` by;.tom` �dcr�er.} record
and I have been authorized by t e owner to, make this pppi�gfion;; xis, his
authorized agent,
SIGNATURE,,OF 'AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
I
DEPT. FILE COPY
Z
City of Northampton BUILDING
M
In
assachusetts PERMIT
VALIDATION
Office of the Inspector of Buildings
ATE -7 P MIT NO. f
APPLICANT ADDRESS
(NO.) (STR T) (CONTR'S LICENSE)
� NUMBER OF
PERMIT TO
(_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
�/
AT (LOCATION) ZONING
` w"�'" DISTRICT/®c
(N0.) (STREET)
rn BETWEEN AND
a
(CROSS STREET) (CROSS STREET)
CL LOT
m SUBDIVISION LOT BLOCK SIZE
a
O
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
GO
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
f
x (TYPE)
O
IL REMARKS:
AREA OR � 9�GC1(7, U CC) PERMIT
VOLUME ESTIMATED COST FEE
(CUBIC/SO UARE.FEET)
r
OWNER
S BUILD
ADDRES
BY
(Affidavit on reverse side of application to be completed by authorized agent of owner)