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28-020 (5) ZONING • FRONT DISTRICT USE _40 1 SIDE YARD SIDE REAR YARD IX. 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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