36-169 (7) ZONING •
FRONT DISTRICT
.D
SIDE YARD � NMI I Fj
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NOTES and Data — (For department use)
9 a c
1 I
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No 4' �It
—7/j C"l r7 I. C�
Owner o r / -'7— `7
Lessee
Bui Ider's
L. tY- License No.
Contractor �w
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 t re of a p i nt 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 Is I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval Check Date Number B
Obtained y PP Obtained 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit issued 19 Fe
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Appro
Drain Tile $ \ ��
Plan Review Fee
Li
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page ' Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
` ZONING
I. / � ! 4 � J� DISTRICT
AT (LOCATION)
LOCATION (NO.) (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
1 ❑ New building Residential Nonresidential
2 ❑ Addition(IJ residential, enter number 12 One family 18 ❑ Amusement, recreational
of neu, bousing units added, if any,
in Part D, 13) 13 ❑� Two or more family — Inter 19 �❑ Church, other religious
number of units— — -- — --� 20 L� Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑ Repair, replacement or dormitory — E_'nter 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 E] Moving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only Lir 26 ❑ School, library, other educational
B. OWNERSHIP ��� ��--� 27 ❑ Stores, mercantile
28 Tanks, towers
8 X Private (individual, corporation, ►ti ...mac ❑
r t t J�.�1'i ❑
nonprofit institution, etc.) -
29 Other — Specify
9 D 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,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department 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 $ 7_1 <
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 , Public or private company 48. Number of stories...............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 L❑ Reinforced concrete H. TYPE OF WATER SUPPLY
cci 42 Public or company
50. Total land ores, sq. ft. ..........
S
34 l � Other — p� Jy private com an
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 52. Outdoors........................
LJ WillYlyere be central air
36 '—] Oil conditionlr�q\ L. RESIDENTIAL BUILDINGS ONLY
37 Electricity >, es ! 45 No 53. Number of bedrooms.............38 _ Coal 39 L Other — Specify be an elevators Full../......
54. Number of
46 f Yes 47 r No bathrooms
Partial......
I
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
FIELD COPY
ECTIONS
BUILDING
manj NrMq MA. 01060 PERMIT
36 - 169 !� 8 r,
DATE October 28, 1980 Rd.
NO. 651
APPLICANT ADDRESS 747 Florence Rd.
IN 0.) (STREET) (CONTR'S LICENSE)
�����.�iiii,,,,,,, NUMBER OF 1
PERMIT TO b L at"ft ) STORY For w"d-burning stove DWELLING UNITS
(TYPE F IMPROVEMENT) (PROPOSED USE)
ZONING
AT (LOCATION) 747 _y FlovAuce Read DISTRICT SR
(NO.) R E )
rn BETWEEN -'- AND
`o (CRO TREET) (CROSS STREET)
rn
LOT
IL
m SUBDIVISION ol LOT BLOCK SIZE
pa Y ,
BUILDING IS TO BE FT, WIDE BE• FT. L G BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m )
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
� - (TYPE) '!
w
LL REMARKS: NOW Ulerk chimney and wood-burning stave
AREA OR FEE in in an
VOLUME ESTIMATED COST $ ►�j
(CUBIC/SQUARE FEET)
OWNER Daniel Pepin
B D
ADDRESS 747 Florence Rd., Northampton, Na. 01060 e