29-428 (3) ZONING
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR •
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v
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name {y( {/ Mailing address — Number, street, ,rite, anel .State- ZIP code Tel. No.
1.Owner or ��N 1 t °� '.� `U \�S VC� V'-1��' VC7 c-a+'vV' C ItV�L.t,'
Lessee
Builder's
2. L License No.
Contractor 3
oc. 4i0 f 5— . /v0rTA4 7i,)
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.
Signs r a p ant V� �, v G Address Application date
00 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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit Approval Check Date
or ec
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
II. VALIDATION
Building / f /? FOR DEPARTMENT USE ONLY
Permit number
Bui(ding_
Permit issued n-" t-,"dYf- lq use Group
Building \ Fire Grading
Permit Fee $ �� .���
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
g+ MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS
t Page r Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT
yf— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. j� O
I. \�s C. --._`...,..12� old
AT (LOCATION) �-- = r� � - D STR C
LOCATION INO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) )CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 ❑ New building Residential Nonresidential
2® Addition(I/ residential, enter number 12 ROne 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
3 Alteration (See 2 above)
number of units— — — — -� 20❑ Industrial
❑
14 Transient hotel, motel,
4 ❑ Repair, replacement 21 Parking garage
p p or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
26 E] 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................ S 0 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 '
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
30❑ 48. Number of stories.........Masonry (wall bearing) 40 Public or private company 't
31 fl Wood frame 41 E] Private (septic tank, etc.) 49. Total square Feet floor area,
all floors, based on exterior
32 ❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 ® Public or private company 50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n Yes 45 R! No 53. Number of bedrooms..............
38 ❑ Coal
39 Other — Specify Will there be an elevator? Full..........
— 54. Number of
46 ❑ Yes 47 ❑ No bathrooms
Partial........
DEPBUILDING INSPECTIONS BUILDING Z �
12 Main Street o
Northampton, MA 01060 PERMIT a a
29 - 428 VALIDATION
DATE October 9, 19 84 PERMIT NO. 479
APPLICANT Assoc. Buildingr Contractors ADDRESS 1 Pearl 't. NO LIA)'}'�1'on 010936
(NO.) (lTRE T) (CONTR'S LICENSE)
Addition Car Port NUMBER OF
PERMIT TO (-) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION)
78 Golden Drive ZONING r�TmT�Vl�[-1
,��
(N0.) (STREET/ DISTRICT
BETWEEN AND
(CROSS .STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 18 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: )Q22M permit for the construction of a 18' x 24' addition (attached) to be used
or a carport
VOLUME 432 sq. ft. ESTIMATED COST � 2,500.00 FEEMtT 12.00
(CUBIC/SQUARE FEET)
OWNER Edna R. Maggio
ADDRESS 78 Golden Drive, Florence, Mass. 01060 BY" G Avlryw -/A
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK SESSORS COPY P - �iP