17C-137 (6) Vill ZONING
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address - Number, stmt, city, and State ZIP code Tel. No.
-
Owner or
`(-
Lessee
2. _ Builder's
�c License No. 1
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 licant Address Application date
yre
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans
Fee Started y Approved BY Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or A roval Check obtained Number By
Obta i ned Y PP
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
n
Permit issued �)L lq
Building - :-,�.. _ Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:,"---
Drain Tile $
Plan Review Fee $ '
TITLE
CITY OF NORTHAMPTON
B. .� MASSACHUSETTS
i OFFICE of the NSPECTOR of W)IIILVINGS
Page Plot 4- 5 APPLICATION FOR
t ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
ZONING
(• AT (LOCATION) Co O AID_�O ry/ ,6 J / DISTRICT
LOCATION /�(NO.) (STREET)
/V CS~ �tlJ f�1 Q /C lJ
OF BETWEEN MA/ J AND (CROSS STREET)
BUILDING (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 F-1 New building Residential Nonresidential
2E] Addition 0f residential, enter number 12 F_� One family 18 Amusement, recreational
of new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious
in Part D, 13)
number of units- - - - -i 20 n Industrial
3 F-1 Alteration (See 2 above) 14 Transient hotel, motel,
21 El 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 Garage 23 �� Hospital, institutional
Part D, 13) 16 F--] Carport 24 Office, bank, professional
6 Moving (relocation) 25 Public utility
17 D Other - Specify
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
28 Tanks, towers
8 Private (individual, corporation,
nonprofit institution, etc.) 29 Other - Sped/y
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..................... ��O�r L 1/f �!CN/�/y
b. Plumbing � 5'00' 90
�' )rLt7y.?
c. Heating, air conditioning.......
d. Other (elevator, etc.)............. /�
11. TOTAL COST OF IMPROVEMENT $ ) ,90,
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 W.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories...............
30❑ Masonry (wall bearing) 40 Public or private company
41 Private (septic tank, etc.) 49. Total square feet of floor area,
31 Wood frame p all floors, based on exterior
32 Structural steel dimensions .....................
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
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
r-�
37 Electricity 44 n Yes 45 No 53. Number of bedrooms..............
38 Coal
39 n 54. Number of
Other - .Specify Will t'7ere be an elevator? Full..........
-
f bathrooms
46 l 1 Yes 47 1'- No Partial........
DEPT. OF BUILDING INSPECTIONS BUILDING z°
+ ! 212 Main Street Oa
Northampton, MA 01060 PERMIT <a
17C - 137 VALIDATION
QQ
DATE March 9. 19� PERMIT NO. 108
APPLICANT Ronald Hodges ADDRESS 60 Nn Manle I;t._ . Florence 0030`+q
2
(NO.) (STREET) (CONTR•S LICENSE)
Two Iwo Family NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
60 North Maple Street5 Florence ZONING CT
AT (LOCATION)
(N0.) (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 to remodel existing kitchen and bath on first floor
5,500.00 PERMIT $ 20.00
AREA ME OR ESTIMATED COST ' FEE
VOLU
(CUBIC/SQUARE FEET) ��//��)) `►''
OWNER Same as Applicant BUILDI C ,q)
ADDRESS Same as Applicant' s BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY pm p