07-012 (10) DEPT. FILECOPY
DEPARTMENT OF BUILDING INSPECTIONS
212 Mani STREET BUILDING2.
NORTHAMPTON, MA. 01060 PERMIT
VALIDATION
7 — 11 Code #79 �p
DATE October 12, t, is 79 PERMIT NO N9
APPLICANT Nail TmmptPFd ADDRESS 2408 No. Farms Rd., Florence
q�.. (RO.) (STREET( (CONTR.; LICE ISE)
PERMIT TO AnX. B1dR. 1 2 ) STORY Storage Barn NUMBEOF
DWELLRING UNITS 1
(TYPE OF IMPROVEMENT) N0. (PROPOSED On)
LOS North Farms Rd. ZONING
AT (LOCATION) ...... DISTRICT RR
0.0.) (STREET(
B. BETWEEN AND
o (CROSS STREET) I CROSS STREETI
o.
m LOT
SUBDIVISION LOT BLOCK S12E
Balm
p . G is TO BE 18 FT. WIDE BY 18 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
0
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
Z (TVPEt
0B.• REM flK3: Construct storage barn
CY..eTVF.N Pr 6aat.+t e., wed r .14611 G k gill
Ca4 "ii eNc
e. arry- e
AREA
OLUMRESTIMATED COST $ 1500.00 ;Era $ 10.00
( "S`I1lME milOWNER TQpII 'lomat-Awlnmat-AwmatvA�1
ADDRESS 4o8 lin. Farms Rd., Florence saakaeria
(Affidavit on reverse side of application to be completed by authorized agent of owner)
I hereby certify that the proposed work 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 - - f
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
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' 1' CITY OF NORTHAMPTON
OFFICE OF THE INSPECTOR OF BUILDINGS
212 MAIN STREET APPLICATION FOR
NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O
ZONING
AT (LOCATION} `'62.5 POP-7N 6}9et4 S 2-D. DISTRICT ��
LOCATION 'X0., (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE /Of X ®!!
"I
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —i
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
is,
1 New building Residential Nonresidential —I
211 Addition(If residential, enter number 12 X One family 181 I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I Two or more family - Enter 191-1 Church, other religious
31 Alteration (See 2 abaue) number of units-----.>. 2011 Industrial
14 1 1 Transient hotel, motel, 21 Li Parking garage
4 Li Repair, replacement or dormitory - Enter number 1-1 Service station,5 1 Wrecking (If multifamily residen Hal, of units -y repair garage
erste}number of units in building in is 1ET Garage 23 1 1 Hospital, institutional
Part D. 13)
16 1 1 Carport 241 Office, bank, professional
6 L1 Moving (relocation)
Foundation only l7 Other - Specify 25 LJ Public utility
71 I26 LL School, library, other educational
B. OWNERSHIP SY"o2A-tjE ' l�/4'�'+..1� 271 I Stores, mercantile
8 ® Private (individual, corporation, 28 n Tanks, towers
nonprofit institution, etc.) 291 1 Other - Specify
9 1 I Public (Federal, State, or
local government)
C. COST (Omit rents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement g /c-C, Of-- school, secondary
ondary school, college, parochial school, parking garage for,
departmentstore, 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
a. Electrical tip
•1`,.414-‘2 ,7;
c4-4 , , '>4141
b. Plumbing /Lie/Lie
c.Heating, air conditioning P
GU
1 d. Other(elevator, etc.) O
11. TOTAL COST OF IMPROVEMENT 6/S00 ---
III.
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
30 C]Masonry(wall bearing) 401 1 Public or private company 46. Number of stories
31 0 Wood frame 41 IR Private (septic tank, etc.) 49. Total square feet of floor area, /b itYlCi''O'
all floors, based on exterior
321 Structural steel — dimensions 3 11-
33 L Reinforced concrete H. TYPE OF WATER SUPPLY
341 Other - Specify 42(r)c1 Public or private company 50. Total land area, eq. It 5.C, °O6)
431-1 Private(well, cistern) K. NUMBER OF OFF-STREET
�''� PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE • ECHANICAL \ 51. Enclosed
35 1 Gas Will ere be central air 52. Outdoors
361 Oil cond tioning?
L. RESIDENTIAL BUILDINGS ONLY
371 1 Electricity 44 a Yes 45 Ea No 53. Number of bedrooms
38 1 Coal
39 Lg Other- Specify W/`ip Will there • .n elevator? { Full
54. Number of
- Yes 47 IT No bathrooms
Partial
NOT ES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Humber, street, ray, and Stam ZIP code Tel. No.
Owner or lJcl NUMSTehl) ZlO6 AJOe7N FpletinS RD, 0/(26,0sbei-ws' .1—
Lessee
FC0414 st
2[,fJCE
} Builder's
z Sp,—Th V License No.
Contrormr
3. 5 4 M (-
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.
Sign2u7 F appli can Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
quire Fee Started y Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DPermit or Approval Check Obttained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT _—_- ROOFING
ELEVATOR _--- SEWER
OR BILLBOARD
ELECTRICAL
.■■, USE OF SIGN
FURNACE STREET PUBLIC
GRADING AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building (ry FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued ri 1/ 197 5
Building Fire Grading
!!�
Permit Fee $ V Live Loading
Certificate of Occupancy $ Occupancy Load
rem ed by: NI) 9
Drain Tile $ I
Plan Review Fee $
1jLX!n
I TITLE
VIII. ZONING PLAN EXAMINERS NOTES EX
DISTRICT /n2_ "".
USE ✓ le- —
FRONT YARD it& ---CD
SIDE YARD -c ,. 51DE YARD Ce/--C)
REAR YARD + "C
NOTES
IX. SITE OR PLOT PLAN For Applicant Use i
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