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Vill. ZONING PLAN EXAMINERS NOTES
DUSTRICT
FRONT YARD
SIDE YARD SIDE YARD
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IX. SITE OR PLOT PLAN For Applicant -Us_e______ ____z .................
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NOTES and Data — (For deportment use)
F
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
I
Owner or
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
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Date Number B Permit or Approval I Check B Date Number
Obtained Y pp Obtained 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 j FOR DEPARTMENT USE ONLY
Permit number
Building.
f G' Use Group
Permit issued i .l.i27 L � i 19
Building / 1 t Fire Grading
Al ermit Fee $ f � 1-.- t
Live Loading
Certificate of Occupancy $ Occupancy Load
A by:
Drain Tile $
Plan Review Fee $
TITLE
+ CITY OF NORTHAMPTON
�« MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Page �� Plot 7 7 APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, II, III, IV, and IX. 0
1 ZONING
`A
I• AT (LOCATION) DISTRICT�� �� �` l
LOCATION (NO.) (STREETt
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
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 X 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
3 Alteration (See 2 above)
number of units— — — — --p- 20 L❑ Industrial
❑
I 14 ❑ Transient hotel, motel, 21 E] Parking garage
4 u 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 ❑ Carport 24❑ Office, bank, professional
6 ❑� Moving (relocation)
17 ❑ Other — Specify_ 25❑� Public utility
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,,••,••.,....... /000 . 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 $ !QOD
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
34 [7 Other — Specify 42 t—J 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
37 ❑j Electricity 44 Yes 45 ❑ No
53. Number of bedrooms..............
38 ❑J Coal
39 ❑ Other — Specify Will there be an elevators Full..........
54. Number of
46 Yes 47 ❑1 No bathrooms
— Partial.......
Department of BqV ding Inspections
212 Main Stream'
Northampton, Mass. 01060 BUILDING
Oa a.
PERMIT a
17A - 77
VALIDATION
DATE April 13, 19 84 PERMIT No. 138
APPLICANT Francis W. Cardwell ADDRESS 26 Carolyn St. , Florence Home Owner
(NO.) (STREET) (CONTR'S LICENSE)
New Building Storage a Shed NUMBER OF
PERMIT TO (`) STORY DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
26 Carolyn Street ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 4 FT. WIDE BY 4 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 storage shed in the rear of existing dwelling O PER
oLUME 16 sq. f t.
ESTIMATED COST $ 1 000.00 FEEMIT � 10.00
(CUBIC/SQUARE FEET)
OWNER Francis & Beatrice Cardwell
26 Carolyn Street BUIL
ADDRESS y BY
WHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY ■ PINK - ASSE SORS COPY