36-143 (6) ZONING NOTES
FRONT DISTRICT
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REAR YARD
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and Stair ZIP code Tel. No.
,. e4 �,� �d� /4��'✓lc� �1/1� QIQLoO �lv^ t9
Owner or �`""'
Lessee G /n 1 /� ,/�
2. �J ��/^( �01. l7lJ� �� �t`� 1`l le- Licenser 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.
Signot xy of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans B y Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or Approval Check Obta ned Number By Permit or Approval Check Obtained 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 DEPARTMENT USE ONLY
Permit number rC
Building Use Group
Permit issued �� 19 ��"'�
Building
Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ occupancy Load
Approved y:
Drain Tile $
Plan Review Fee $ f
TITLE
CITY OF NORTHAMPTON
�• MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page b Plot l4 3 APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1,, V, )'f
11, 111, IV, and O
�IX.
ZONING VAj-
• AT (LOCATION) ' `- O k- loR rf ry z% e r ! ! + DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
t/t
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(If residential, enter number
12 One family 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 Two or more family — Enter 19 L❑ Church, other religious
3 Alteration (.See 2 above)
number of units— — — — -� 20�❑ Industrial
❑ _
14 ❑ Transient hotel, motel,, 21 1 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 El Wrecking (If multi family residential, of units -------- — 22 ❑ Service station, repair garage
enter number of units in building In 15 Garage 23 L Hospital, institutional
Part D, 13) 16 ❑
6 [❑ Moving (relocation) Carport 24�� Office, bank, professional
7 ❑ Foundation only 17 C� Other — Specify 25❑ Public utility
26 ❑ School, library, other educational
B. OWNERSHIP 27 L❑ Stores, mercantile
8 T— Private (individual, corporation, 28 ❑ Tanks, towers
T— 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,,,,,,•,•,•,..,. u � school, secondary school, college, parochial school, parking garage for.
deportment store, rental office building, office building at industrial plant.
7'o 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 ❑ Masonry (wall bearing) 40 D Public or private company 48. Number of stories..............
31 ❑ Wood frame 410 Private (septic tank, etc.) 49. Total square feet of 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricit 44 I Y 45 No
y es 53. Number of bedrooms..............
38 Coal
39 '❑ Other — Specify Will there be an elevator" Full..........
54. Number of
46 1 Yes 47 No bathrooms
Partial.......
DEPT. OF BUILDING INSPECTIONS z o
212 Main Street BUILDING 04
Northampton, MA 01060 PERMIT Q
36 - 143 VALIDATION
July 25,
APPLICANT Howard & Loretta ��berson ADDRESS M roo sideR�°ir. , s
(NO.) (STREET) (CONTR'S LICENSE)
Above Ground Pool One Family NUMBER of
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
308 Brookside Cir. , Florence ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. permitfor the installation of an above ground pool
AREA OR 4,000.00_— PERMIT/$, 10.00
VOLUME ESTIMATED COST EE
(CUBIC/SO DARE FEET)
OWNER Same as Applicants BUILDING K�i�j % W ADDRESS Same as Apo 1 i cant 1 s BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK -,"ASSESSORS COPY pjNT P