28-023 (2) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
som
USE
FRONT 1
SIDE YARD SIDE YARD
REAR YARD
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NOTES and Data — (For department use)
._�______-__- --_____-__-_ __ _
-____'~____'_ -____--_--__--`_ �_- �~
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IV. IDENTIFICATION — To be completed by all applicants '
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or /. - 1�4Q C, D/Obo �'c4C–jo�f3
Lessee
Builder's
2. 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.
Signature of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started BY Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number 8 Permit or Approval Check Date Number
Obtained Y pp By
Y
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
Building -�(''� Use Group
Permit issued 1 t t Iq
Building FireGroding
$
Permit Fee __��_�,,^IL������
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by: 7
Drain Tile $
Plan Review Fee $
TITTE
4aCITY OF NORTHAMPTON J ),
�. I 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 ING
I• AT (LOCATION) y�° r -7 < L' " ^_ `� DIOSTR CTC—'
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
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 0 New building Residential Nonresidential
2 ❑ Addition(It 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 l
Transient hotel, mote ,
❑ 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 L�J Garage 23 ❑ Hospital, institutional
Part D, 13) 16 Carport
24❑ Office, bank, professional
�
6 Moving (relocation) 25 Public utility
17 � Other — SpeciJy
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•••••,•...••.... $ c, ` 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 beiyhanged, 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
50. Total land area, sq. ft. ...........
34 Other — Specify 42 Public or private company ^,
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 52. Outdoors........................
36 ❑ oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 n Yes 45 No 53. Number of bedrooms..............
36 Coal
39 Other — Specify Will there be an elevators 54. Number of Full..........
C bathrooms
46 1 Yes 471 No Partial........
a DEPT. OF BUILDING INSPECTIONS BUILDING Iza
212 Main Street C`
Northampton, MA 01060 PERMIT
28 - 23 VALIDATION
DATE May 22 19 P RMIT 331 Owner,
APPLICANT Barry Cohen ADDRESS `t0 onne 1 �r. ��'orenc
(NO.) (STREET) (CONTR'S LICENSE)
New Building �_) STORY Gara a NUMBER of
PERMIT TO � DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
40 O'Donnell Dr. , Florence ZONING
AT (LOCATION) CT
(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: permit for the construction of a new XWl9XKXffiXX.*XXN§jXXKgX garage
AREA OR 480 sq. ft. 1 500.00
PER 24.00
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Same as AT,nl i can - B L ING DEPT.
ADDRESS Same ac, Arnlirant ' s BY
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pw p