32C-153 (3) ZONING •
DISTRICT
SIDE YARD SIDE
REAR - /
IX. SITE • • PLOT PLAN For Applicant
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NOTES and Data — (For department use)
ZONING PERMIT
APPLICATION
q-/y- 7 / Lot
. 1 .
Zoning Ordiiinixe Section 1.0.:1 '?eccivc (1: File r0. F 1'.-111 File
yn er, L-4/?/A,,S 1,C A /c'/etc A p 1,1 i c 7 t i;,
C /,C
Address )d
/4 C//
Telephone -6 S& 0(4 1 Telephone
This section is to be fil lc,d out i ii iccord.r.itce ,,:i t li tie "Tf,b)-o of Diricnsiorr-1 and
Densit R L-rylationq,:. (Z.O. A!'TICLE' V1)
.y
Zo ni n g C C5:13 1.0 t Front De Atli S)G,t c!: 3 --li,ax.Bld. Pain. Op.
Distri Area ''idtll Frunt 'Side M"ar Cover. Space
Past Existi-11 , %
�resent Propoced %
I
vl,.irk the appr6printe 1,ox to indicLite the use of the 1),,rcol:
Non-Conforminf; 1,(�t :irid/or structure. Specify
Residential " Single Fr,nily Uiiit =Vulti-Fnmily
Duplex =Othei
Business
Industrial
Institutor-I
Subdivision Q Re,.,u.1 ':r P.U.D.
Cl o,-.t' I, th er
Subdivizint) Wi-th
= Planning lloord Approval:
Zoning Board Approval (Special Permit 1(x.0:
Vari,1 nc E.-)
= City Council (Special Exception S. 10.101
Watershed Protection District Overll'y: (Z.0. "ject. _!IV) Q Yes Q I'To
Parking Space Requiremento: MO. .";Cct. "'.1) Required Proposed
Loading Space Requirement,-: MO. sect. 8.2) Required Proposed
Sirms: (Z.O. Art. VII) Q Y Igo
,Environmental Performance Standardr-.:. 7. 0, Art. Xjj) =Yer, IT o
Plot Plan Q Yes ro Site Plan ye�; =,I\,o
(S. 10,.2) . C," -'�' and 10.11
(_ 10.-
!Vaiver (3rant(_,c1:_Dnte
This section for OFFICIAL use only:
C ]Approval as presented:
=Modificati.oiin necec,snry for z,j)pj-(.)v,-,j:
Re.turn: (Hore information
Denial: Rezirzons:
Signature of ApPlic-int Date 1',i,,'n-)turc of A(linin. Officer Date
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Aumber, strucf, rrt%, n,x1 Stntc ZIP code Tel. No.
Owner or / 1 iz
Lessee 51Cr1YH1,C A J C4 C/ i
Builder's
`L.
License No.
Contractor
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.
Si aiture of applicant Address / Application date
00 T WRITE BELOW THIS L I N
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y lans B Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained ned 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
VII. VALIDATION
Building
Permit number
Building /J
Permit issued ��� �� 19
Building
Permit Fee $
Certificate of Occupancy S
A p p r,9,eeb
Drain Tilea 1 t
C
Plan Review Fee S_ n
TITLE
o� To
� � �i I.R58rit)j1TSCtIB
T Office of the 3Inovertor of 'Auilbillgs
7
��� APPLICATION FOR
ZONING PERMIT AND
PagePlot A15- BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. p
,,�f — -- ZONING
I• AT (LOCATION) -^ �j� c I 5 ct /y � i DISTRICT' ,
LOCATION (NO') (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
il. 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 ❑ Addition(If 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, Se number o units— — — — -->
J 20 ❑ Industrial
3 Alteration (See 2 above)
t{L—�t 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 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) F-1 25❑ Public utility
17 Other — Specify
7 ❑ Foundation only 25. drool, library, other educational
B. OWNERSHIP ' ! ` O 1,t•,(: 27to"res, 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................ LL�e 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.....................
e'
b. Plumbing ..................... L'A
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. y
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m
48. Number of stories..............
30 Masonry (wall bearing) 40 Public or private company 41 Private (septic tank, etc.) 49. Total square feet floor area,
31'�Wood frame p all floors, based on exterior /
X
32❑ Structural steel dimensions .....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
42 Public or private company 50. Total land area, sq. ft. ...........
34❑ Other — Specify p
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... r
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O
35❑ Gas
Will there be central air 52. Outdoors........................ Lre
36X'OiI conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44❑ Yes 45 No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other — Specify Will there be an elevator? 54. Number of Full..........
46 ❑ Yes 47 bathrooms
No Partial........
I hereby certify that the proposed work is authorized by the owner of record
and l 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 14
DEPT. FILE COPY
CITY OF NORTHAMPTON ;�
MASSACHUSETTS BUILDING a a
PERMIT VA LIDAT(ON
DATE A �1 19_T _ PERMIT NO. 112
APPLICANT .hart eG R. Si ki ewi . ADDRESS_ 2�.g Pleaa.nt
(NOJ (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Alteration Bt1Sin$s ) STORY Driving School DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
AT (LOCATION) 239 Pleasant ZONING
DISTRICT GB
(N0.) (STREET)
o BETWEEN AND
(CROSS STREET) (CROSS STREET)
a
n LOT
m SUBDIVISION LOT BLOCK SIZE
a
U
0 BUILDING IS TO eE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
OLL REMARKS: Riini ass alt[?ratiori
VOLUME ESTIMATED COST $ 1,500.00 PER 10.00
(CUBIC/SQUARE FEET) _
OWNER Charlpa R. S onki wig .
ADDRESS 1E?K BaTRoad- Hadley,�Ma-�—D.JQL 5 e
(Affidavit on reverse side of application to be completed by authorized agent of owner)