28-020 (5) ZONING •
FRONT DISTRICT
USE _40
1
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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, street, city, and Statc° ZIP cede Tel. No.
C-H I b5 700 �vv Ref? .ci,eEw cE CIA--� F, c�0 5-Y6-f/78
Owner or
Lessee �ID11*A Yy1. C.fI�L�� ,
Builder's
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.
Signatu of applicant Address Application date
r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
ate Date
Permit or Approval Check ObDtained 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 4 FOR DEPARTMENT USE ONLY
Permit number T
Bul lding. Use Group
Permit issued %LD 194_
Building Fire Grading
Permit Fee $�A<
Live Loading
Certificate of Occupancy $ occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TI L
CITY OF NORTHAMPTON
9` *� MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page 1 Plot 20 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT —/A�np�pplicnan/t to complete all items in sections: 1, 11, 111, IV, and IX. 0
I• AT (LOCATION) !v0 /1 Z 'V 6d ZONING � y
DISTRICT
LOCATION (NO.) (STREET) ���" ,' •ma�y,
OF BETWEEN 0,b0 rr��V1V:LL �_ —AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT + Z�G ✓H 1
SUBDIVISION LOT BLOCK SIZE (,
N
I1. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building Reside��e Nonresidential
2 ❑ Addition(1J residential, enter number 12 mily 18 ❑ Amusement, recreational
of new bousing units added, if any,
in Part D, 13) 13 r more family — Enter 19 Church, other religious
3 Alteration (See 2 above)
number of units— — -- — --> 20 El Industrial
❑
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
• ------__ — 22 ❑ Service station, repair garage
5 ❑ Wrecking (If multifamily residential, of units --�
enter number of units in building in 15 [; /Garage 23 L❑ Hospital, institutional
Part D, 13) ❑
16 Carport 24 ❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ Foundation only 17 ❑ Other — Specify 25 L❑ Public utility
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................ 00 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 $ -6-00 0
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 ❑l?Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, base n exterior
32 ❑ Structural steel dimensions . .X.-;U...
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 ❑� Public or private company 50. Total land area, sq. ft. ........... (v C,
43 ❑] Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑J Yes 45 ❑U!No 53. Number of bedrooms..............
38 ❑ Coal )
39 �ther — Specify /tV6NG Will there be an elevator? Full.......... Cj
54. Number of
46 ❑ Yes 47 lo bathrooms
J Partial........
- Pep;,rtment of Building Inspections
212 Main Street BUILDING 0°
Northampton; Ma. 01060 PERMIT fa /
p a
28 " 20 J VALIDATION
DATE .limo+ A. 19 81 PERMIT NO. 776
APPLICANT nnnal d 1 Chi 1 ds ADDRESS Florence
(N0? R (STRT) _
(CONTR'S LICENSE)
NUMBER OF
PERMIT TO Npw ('nnatriirtinn_ (2—) STORY raraA __ _ DWELLING UNITS 1 _
(TYPE OF IMPROVEMENT) NO. fi3OSEO USE)
ZONING SR
AT (LOCATION) DISTRICT
(NO.) (STREET
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 23 FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
AREA OR
VOLUME 190 ESTIMATED COST $ 5.000 FEEM)T $ 15_00
(CUBIC/SQUARE FEET)
OWNER nnnal d I- & Edith M. Childs BU DIN DEPT
ADDRESS 700 Ratan Rd- ,, Florence, Ma. 01060 B
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT PINK - ASSESSORS COPY