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28-017 (2) ZONING • DISTRICT FRONT • . SIDE YARD SIDE • . REAR YARD IX. SITE • • PLOT PLAN For Applicant ��p pi,i�S •� iu NNr ar .:U:LH.... ru!lfUNf S .w • ¢�u■ *lt r M ■3•nwu•uNMUU/uwoa ■ L � ` all * ••. •Y� L $an.l.a.f.M /fr,■Uarea• ,�if•aur::ua:•r•uMwu/f wn"wn.•aw uua, L' +• N ■ • N N�.i•rfirrM•iiM•N•f/NM■ Y• .wNUNUr/+.•NMNU/r ■■� wM uwNOU/ua•ru■NYf • • w WEEH::H::auaau:::::::i::u:: •. • .. +++ ' + aYUlnlow a:raN�i a-- .a::.....:Han: as So : a : ::L:: � L �::L "S :i:'ara:ia �:�'a:::::: .aa■::::a::: + • • oaa L,i:°a aui:::LL::uu:ai num: .o r r . ■ • • • uuuuNOOfrwo•uuuu■ sr wt-rauuuNl■NY..u...r .• Nuuu •�.tlN.•.•Y+■111—■ s N •.w N .► �' .iii �i'•3uu•M/MUU/■:S.wu"wa: N M • u !■aN !■M• /M! w/U arfUMO■„Nf U/MfNMa Y•. : w : zl. • L 1R.i.i L.N•L•aH irufr•.Yarar•UNN ...a. + •N■i I M■■ a a. • / .a•�u�_ ••HHHHHur NfrUf/M•■r.w aw•■•■ ■ !� • u'i�i 35 i��•' L•iiiaL�:UUH:1 no wL:::Lp:L:�,:LLLf:fr 2 an affiUlKwur �- ■ *' • ■ f M # ■ ::M,M.Naura+•ara.lua• ■ N /r. MNf■•/ar N.N■ u■• •L H.■NiuNN■L■N• a S al� r�r•.u■u•N.Na ,a a::■ aL aU::::::iws::own ::MI::.`:: ::L::::: is Has Blame + .�Yr • as a.i as No L::a�u:Zso ■ ll"� sz ::::oon •a N. 4 .r a'� 'r�3'pq t ri//'R `; : •� ••11Y • • tlr•■/iriN LiLU:a & LaiUpH „ � a . ai� 1st: ,: as a Hill I� «:..• Z: � +�i'ii -tea : w:riiii:i:::arTi::C: I I I ' f i .: NlNN U:■r• • Np /tr••I ! at as iLL a:: 1a1ayyi�:i.- .s:gze:sun= son games Nnaua l t r ■ w Nf•�N��N�rra■N■r•,aY•!1 .. � - NN. . • NUN G •L..L..N 1 tY. : auSi: :a ■ a :N :.gi1 as • ■ a _• n 11 go a on Uff In iH l .M • :La : aai{:'.i•��.iiL'SS :i NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants _ Name F 2Mai ling address y—J .A'urnbc•r, .ztrr/el, �rt N, rm`rl rf Ifc� ZIP code Te I. No. Owner or �. er O V i `��"r Lessee r- Builder's L. �7� License No. Contractor Architect t 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 lows of this jurisdiction. Signature of applicant Address _ Application date D NOT WRITE 4ELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By y Date Plans B Notes 9 Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approva I Check Obta ned Number By Permit or Approvo I 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 Permit number Building Permit issued �.�Ae�, All 19) 7 Building pf Permit Fee l V�L1� Certificate of Occupancy S A e by: Drain T i l e Plan Review Fee S- TITLE t'p� Tp'Y • •� Crit� of Xort4alllvtou � � �Iassxchllsetfs r Office of the �ngvertor of r�'Ouilbiugs APPLICATION FOR t Plot ZONING PERMIT AND Page s c BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. p ZONING I• AT (LOCATION) �3 �t"1'�,�IU �r '---+ Ra 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 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, 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 F-1 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) 17❑ Other — Speci/y 25 7 ❑ Foundation only 26 ❑ 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,•,•,....•••.... 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 $ Q 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. D 0 E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ` m 48. Number of stories............... 30 F1 Masonry (wall bearing) 40 ❑ Public or private company 31 � Wood frame 41 k Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 13. 7S- 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 O 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 Oil 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.......... l 46 ❑ Yes 47A No bathrooms Partial....... • c. � � � `�` �, 'l� ��h� ',��x � to t M+,, S"� k #" �` F' � a � x s �8 ✓ � ` aa�g ='e s � K 7 7 ! �k tr k .k LT r ; x 3 F} 3 o- ! rra T a tYp d e W a` ym IWIVERM Sf Qe r m� � � 1 h _ v= sg moo. -. � r*� �° n s R �> F. s� �. � Nowm I hereby certify that the proposed work is authorized by the ,*w r of refi` ord , F3hd -I hsve been-,,.buthorized by the owner to make this''op on . .. authorized` agent- � r SIGNATURE OF AGENT ADDRESS (NUMBER) (STRiwT1 (CITY APPROVED BY TITLE DATE 19 i - _ 4 � - v S i DEPT. FILE COPY BUILDINGa PERMIT VALI ATE 19 EERMIT NO. APPLICANT DRESS '�^� a,d& /I/'1) (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO NUMBER OF (_) STORY DWELLING UNITS (TYPE OF IMPROVEM NT) NO. (PROPOSED USE)d21I 04 AT (LOCATION) ZONING DISTRICT_ (NO.) (STREET) a BETWEEN AND 'O (CROSS STREET) (CROSS STREET) _0 IL LOT m SUBDIVISION LOT BLOCK SIZE a 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O M O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I It (TYPE) O I+- REMARKS: AREA OR 1 L9� PERMIT (� VOLUME ESTIMATED COST $ r•r— FEE zi�t_o (CUBIC/SQUARE FEET) OWNER B T. ADDRESS BY (Affidavit on reverse side of application to be completed by authorize agent of owner)