06-031 (8) — DEPT. FILE COPY
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BUILDING h
014
b ~ b 3f PERMIT
VALIDATION
DATE April 17. 19 77 PERMIT NO. 136
APPLICANT John P. Laflamme ADDRESS M Ler.nani $+tea+, LAMM
I NO.) (s TREET) ICONTR'5 UCENSE)
NUMPERMIT TO AwnnTrnti n» Ann4AnnDWELLING
OF
(TYPE OF IMPROVEMENT) n«NO. 1 STORY 1 (PROPOS!O USE) SOW ELUNG UNIT$
AT (LOCATION) 61 Leonard qtreerit, Land DSTRG
IMOO (STRAEETI DISTRICT tib
o BETWEEN AND ...
: (CROSS STREET) ICROs5 STREET).
LOT
m SUBDIVISION LOT. BLOCK SIZE
U
O BUILDING IS TO BE FT. WIOE BY FT. LONG ST FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
al
O
X TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
9 (TYPE)
ix
0
A REMARKS: One-family Residence
ARA OR
VOLUME ESTIMATED COST $ in,WV 00 EMIT 30_00
ICUNIC/SQUARE FEET) $
OWNER John P. Laflamme /yJI(//j/} /'''
ADDRESS 6t Lennarri CtT•eet, Yawls ByIL {� zok., J �%�'�"""
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposedwork is authorized by the owner-of record
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED By TITLE
DATE 19_. 'i.
otr " rl..a--0-:-.---,,:4... -
(Lit of Northampton
u" ` easac4nseta
.ira Office of the 3Inapector of jituilbings APPLICATION FOR
�o Plot � �� ZONING PERMIT AND
Page
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I. II, III, IV, and IX. p
I. AT {LOCATION) 69 ryy��('�
a K ZONING DISTRICT UIg
LOCATION 1Xpd ' (MEET]
OF BETWEEN .....IANC h
BUILDING (Cease STREETI 1Cpass stem,
LOT
SUAOIVISION_.. LOT °LOCK ..SIZE
CO
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D S
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
t I I New building Residential Nonresidential
2IX,Addition(If residential, enter member 12 XOne family 19 I Amusement. recreational
of new Lousing units added, if any,
in Part U, 13) 13 I Two or more family - Enter 19 I Chards, ether religious 1
_
number of units--
3I Alteration (See 2 above) -.. y, 20 Industrial r
141 I Transient hotel, motel, 21 [ I Parking garage
4I I Repair, replacement or dormitory - Enter number
5 I I Wrecking (II mutt fianriiy residential, of units - . 22[1 Services ,,ion, repair garage
ter member of units In buildeng in 15 ❑ Garage 23 Li Hospital, institutional Q
Part 0, 13) 16 J Carport 24[J Office, bank,professional
6 I Moving (relocation)
17 LI Other - Specify _ 25 1 I Public utility
71 I Foundation only 26[—I School, library,other educational
B. OWNERSHIP 27[ I Stores, metcana le i
8 g Private (individual. torpor
ol o 28 Li Tanks, towers
nonprofit in timtlron,a ,) 29 in Other — Specify..
9 1 I Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
96 ,-6
� h A processing plant, machine shop, laundry building at hospital,elementary
1Q. Gast of Impmvemenl b -/ !^v school, seconders school, college, pnmchiel school, parking garage for,
deportment store, rental office building, office building at Industrial plant.
To be installed but nor includedIf ase of existing building is being changed, enter proposed use.
in the above
�l on ^id
a. Elect Icl )C)
b. Plumbingp
c.Heating, air conditioning
r�J L1 .. —.
d.Other(elevator, etc) 0
I1, TOTAL COST OF IMPROVEMENT $ /0 toe 0.
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for oil others skip to IV. A
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL . DIMENSIONS '0
.
/
30 fl Mmonry (wall bearing) 40 ® Public or private company 46. Number of at ri 1
31 Wood frame 41 I i Private(se k, etc.) '9 Total square feet of Ilam area, /31O r 4n,
P`iO s� all floors,based on exterior
32 LI Structural steel dimensions 603 t49)
331 I Reinforced concrete H. TYPE OF WATER SUPPLY 6�}
34 I I Other - Spif,y ec42 NPublic or private company 50. Total land area, sq,ft
'!16'✓
43 FTPrivate(well, cistern) K. NUMBER OF OFF-STREET d
_ PARKING SPACES
F. PRINCIPAL TYPE OP HEATING FUEL I. TYPE OF MECHANICAL S. Enclosed d
351 j Gas Will there be central air 52. Outdoors `I
37 Electricity Y L. RESIDENTIAL BUILDINGS ONLY � 'l
36 1 � Oii conditioning? I�
Iii s 45, No 53. Number of bedrooms _3 W
38 ri Coal e D
39 I_I Other - Specify Will there be on elevator? y Full
—I 54. Number of J`1
46I Yes 47 X No bathrooms yrs
Partial V
IV. IDENTIFICATION – To be completed by oil applicants
�...
Name Z1P cede Tei. No.
owme, or -Ar ew {
? c ks4vrws Act
w CrCe { S� .�cQ.cc—.ro�F .—.._ ores-3 5d`L- 9303
—:
Lessee
Con!?ec c
_SJ1?Cr 1. I`s.L_IX_—. l� l 35>_�350 L=,
Architect or
hereby certify that the proposed work is authorized by the owner of record and that I have been outhoti zed by the owner to
make this application as his authorized agent and we agree to conform to all applicable laws of this ;urisdiction.
S'4(rq r ore of uppl Address aPniy�t,on date
} C2 / Lq_ ,n<,I< sfi 4-0.4c).5A , t,77-77
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD – For office use
Plans Review Required Plan Review Dore Plans B Dote Plans I ByNotes
quRe CheckFee Started y Approved
BUILDING SS J
PLUMBING S
MECHANICAL S
ELECTRICAL S
OTHER S
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObaDined Number By Permit or Approval Check Obtained Number r By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING 1-- USE OF PUBLIC AREAS
r. ._. _.—._. �.__. J—...—....
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building ?! .
Permit number /tic,
Building
Permit issued 1977
Building
o�
Permit Fee S -
Certificate of Occupancy S
Ap• .ved by:
f�/J
9 _ .
Drain Tile S_.. _—..—.---- r._, / ��
Plan Review Fee S_ t
TITLE
. ZONING PERMIT Li17/77 Ti t+. .p r .eLot-3 I
APPLICATION 1�
zoning Crdinn;:ce Sue isn (10.: '+' ccits1:: File Po. I inn File -
saner iAit�'ri �C - L a;\tr..tyv-'rim __ Applic': t `-xrn4
Address (t I �iLf n star X 51- �--e ' NaAd-lres:.
telephone - SK(. - t/3U �... Telephone
This section is to be filled out. in accordrnce vi lb the el!.hle of Dtheesianrl nod
Density Re latione: Z. . /fliCLt; VI)
"oningt.. '}� use Let Front Depth tae Bld. Din. Op.
Dist iot� — bn_24 .— Area Width Front Side Ac,r _Cover. ; Space
. i A up
P. :.xistini,- `' ilk 1 til.) '
Present Proposed '3 ) % %
;lark the approprinte lox to S.ndi.crte the bite of the pored:
Cl pion-Conforming let nd/or Struc lure. Specify
Residential 2CiSingle F niIy Unit F'It:ulti-Fa ,ily
( I Duplex MO thei
1"'1 Business;
(-1 Industrial
1 Institut)onsl
in Subdivision El Regular ri P.U.D.
I I Cluster L_1 othor-
1. 1 Subdlvinin With "Apprev ,l-.p'otons ott r : '-,St' up:
I ) Planning Poor d Approval:
I__J Zoning Board Approval (Specini Permit .10.9: Variance)
1 1City Council (Special Exception S. 10.10)
1 Yes I I No
'Yatershed Protection District Overtyy: (Z.O. Sect. :IV)
Parking Space Requirements: (Z.('. ,Sect. 2.1) Required___._Pro posed
Loading Space Requirements: (Z.O. Sect. 8,2) Required Proposed _
Signs: (Z.0, Art. VII) 1 1YerNo
Environmental Per£ormanae Standards: (Z.0. Art. X1.I) 11cs I Ipso
Plot Plan 121 Yes Cl ro Site Plan LU Yes CEZNo
(S. 10.2) (5. 10.2 nod 10.11
!Waiver Grunted: Ds to I 1
This s;. ction for OFFICIAL use only:
Approval ns Presented:
(flNodificati ons necerinry for optaovnl.:
I (Return: (dere information needed)
I I Denial: Reerons:
ig�� (2 t ( Jrfe-rtn- ciAb7 _I / / o te.ei
isS77�
rn+ nture of S{',;�licant Date SI rture of A3min. Officer Do Le
NOT ES and Data — (For department use)
DISTRICT - ' L -__--�__�---
FRONT YARD1 + __--_--SIDE RD
SIDE YARD ---
REAR YARD , -_ ------
---
�,
---
--------
NOTES._._-._. *-i -----
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1
PLOT PLAN •
in acco:dnnce with Article XI of the Zoning Ordinance, an application for a ,
ZonSnct Pornit muat include a Plot Plan. The following characteristics of the
parcel rust be shown. -
1. Dimensions of the lot,
2. locations a size of all, buildings.
3. Average finished grade of all structures existing and Proposed.
4, Use of all buildings existing and proposed,
5. Set Backs as indicated on the enclosed plan.
Abutters Macs
Lot - Yo. .
Lot Ft.
Rear Yard
Abuttors Abuttors
Name
•
Name
Lot No. Lot No.
if this is a . Sideyard - > House � ' Sideyard % If this is a
corner lot, write I - corner lot, write
in the name of the in the name of the
other street, other street,
as
Set Back
Y +3
o o
a a
Lot ' D Ft.
1..:7.11 of Street
Indicate location of garage or accessory buildings with a dashed line,
Iol _::e location of Se::er -up AHI
List all past plans, applications, permits, variances etc, and corresponding dates that
have been p-ocossd by this office.
I c:rtlfy that the enclosed nl sago( and plot p are complete and correct.
-r — -�
Sign=ti:r_ of ismer 'e ,
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