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Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT
SUE YARD SIDE YARD
REAR YARD
NOTES R All
IX. SITE 1
OR PLOT PLAN For Applicant Use
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NOTES and Data
C.r
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IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No. •
Owner or LL
Lessee �. TErUCS D � Ai m 71)A—
Builder's
[. License No.
Contractor f)
3. �f
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.
Signature of applicant Address Application date
'Y� ' ' / S 9
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 B Permit or Approval I 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
VII. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number 13c� 17
Building- Use Group
Permit issued 19 2—
Building Fire Grading
Permit Fee $ �-
Live Loading
Certificate of Occupancy $ Occupancy Load
Appr
Drain Tile {
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
$` `e MASSACHUSETTS IT
r r
b OFFICE of the INSPECTOR of BUILDINGS
'VT Page Plot 72
APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
I. ZONING {�
AT (LOCATION) J *ea C-e f y d DISTRICT
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
m
--f
1 ❑ New building Residential Nonresidential
2 54 Addition(If residential, enter number 12 One 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
number of units- - - - --)� 20 ❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1l multifamily residential,
of units ------- - -� 22 ❑ Service station, repair garage
enter number of units in building in 15 aroge 23 ❑ Hospital, institutional
Part D, 13) ❑0
16 CarportZ �L �" �� 24 ❑ Office, bank, professional
6 ❑ Moving (relocation) j
17❑ Other - Specify `�- 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 [4 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
&I7��rhfL�/ 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.
To be installed but not included �S 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 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 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 F-1 Other - Specify 42 Public or private company 50. Total land area, sq. fT. ........... Oo0
43 � Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air < 7z, 52. Outdoors........................
36 ❑ Oil conditioning? % L. ESIDENTIAL BUILDINGS ONLY
37 37 Electricity 44 ❑ Yes 45 :k4-No 53. Number of bedrooms.............. t An'1L
e
38 ❑ Coal j
39 ❑ Other - Specify Will there be an elevatorP Full...!.....
54. Number of
46 L❑ Yes 47 �tNo bathrooms Partial........
7-47 Awww-(j
_
D artm I Builgio In p l�itaas
21 t 8bit, DING
NoVtbvaptm, Ma. 01060
36 . V2 PERW
I VALIDATION
DATE >� July 1-5► 19 E PERMIT NO. 328
APPLICANT y�l„� y � $ ADDRESS 771 Flcky* nee Road
(NO.) (STREET) (CONTN'S LICENSE)
NUMBER OF
PERMIT TO i ( _) STORY DWELLING UNITS
YP OF IM OV
(TEMENT) NO (PROPOSED USE)
ZONING
AT (LOCATION) 72'A e'1ategee DISTRICT
(NO.) (*TREET)
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: Addition of a be drebr►na lagp_m closet & stgrsse room, sulayidust exiltinR kitGYieu,
PERMIT
AREA OR ESTIMATED COST $ FEE ;moo
VOLUME
(CUBIC/SQUARE FEET) � f�
. Yf
OWNER &illv K. Cb=l jmkjtl BUILDI
ADDRESS IZ3 Plarenee 01060 BY
WHITE - FILE COPY . GREEN FIEL !COPY CANARY - APPLICANT COPY PINK - ASS SSORS COPY
f;
a
Department of Building Inspections
212 Main Street BUILDING
Northampten, Ma, 01060 0a
36 - 172 PERMIT
i VALIDATION
DATE .1121Y 15. 19 A2 PERMIT NO. 329
APPLICANT yi%41;��?eaks ADDRESS 723 Flory-mce Road
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (�_) STORY DWELLING UNITS
1
(TYPE F IMPROVEMENT) NO.
(PROPOSED U5E)
ZONING
AT (LOCATION) 773 F1or-ace Road - DISTRICT SR
(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: Addition of a bedroom, large & storage room, enlarging existing kitchen,
living room.— ./
AREA OR T $ FEE 12-00
Q� 12-00
VOLUME ESTIMATED COST W
(CUBIC/SQUARE FEET)
OWNER Pbilin R. �+�sxyi Jenks BUILDI
ADDRESS 723 Florence Rd_, North on, "I8:_.01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY