17A-105 (3) Vill. ZONING PLAN EXAMINERS NOTES
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For......... ................................ Applicant .......
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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.
1. v
Owner or
Lessee
Bui Ider's
L. CIA License No.
Contractor
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I hove 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.
Si nature of applicant ( Address Application date
f " (:..
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
Dote Date
Permit or Approval Check Obtained 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 (� FOR DEPARTMENT USE ONLY
Permit number T
Building- L Use Group
..
Permit issued 19�_
Building /D.O
Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupant
$ ro by:
Drain Tile
Plan Review Fee $
TITLE
R2® ti CITY OF NORTHAMPTON
MASSACHUSETTS
• a
e OFFICE of the INSPECTOR of BUILDINGS
wt
.4Page 1214 Plot G/45" APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
• AT (LOCATION) �Y _-��`l C e' �_- i` o "�- DISTRICT
LOCATION (NO.) '(STREET)
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
M
1 Q New building Residential Nonresidential
2 Addition(/ residential, enter number
f 12 F-1 One family 18 E:] Amusement, recreational
of new bousing 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 ❑ Transient hotel, motel,
21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
I—I ----_-- - 22 ❑ Service station, repair garage
5 LJ Wrecking (1/multifamily residential, of units --� P 9 9
enter number of units in building in 15 ❑ Garage 23 Hospital, institutional
Part D, 13) 16 F-1 Carport 24 ❑ Office, bank, professional
P
6 ❑ Moving (relocation) -, 25 Public utility
7 ❑ Foundation only 17 � Other -�pecify ���' �`l„t �� ti ❑ Y
/,t C� 26 ❑ School, library, other educational
B. OWNERSHIP ` )—� X / �O 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,,,,,,,,,,,,,,,, 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 $ ; %
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, s ft.
34 a Other - Specify 1`. +� 42 ❑ Public or private company q' """""' � r
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35 [7 Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 ❑ Yes 45 [7 No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other - Specify Will there be an e'evatoO Full..........
-] 54. Number of
46 Yes 47 ❑ No bathrooms Partial........
Department of Building Inspections
212 Main Street ft
Northampton, Mass. 01060 BUILDING ZO
D-
xnaugx �IXXRRX 10.00
PERMIT
17A - 105
VALIDATION
DATE May 17, 19 84 PERMIT NO. 199
APPLICANT Eleanor Sicard ADDRESS 320 Bridge Rd, Florence nwnPr
(NO.) (STREET) (CONTR'S LICENSE)OF
New Building (_) STORY TOOL Shed NUMBER UNITS
PERMIT TO -� •-
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
320 Bridge Rd. Florence ISTR URA
AT (LOCATION) g � D DISTRI CT
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE 10 FT. WIDE BY 9 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:XXIiXMXXXXX permit to put a new storage shed made of metal
AREA OR 90 S ft. PERMIT
VOLUME q' ESTIMATED COST $ 247.00 FEE 0.00
(CUBIC/SQUARE FEET)
OWNER Ernest & Eleanor Sicard
BUILDI ./,, ,.
ADDRESS 320 Bridge Rd., Florence, Mass- M(1F,n BY '�•�(/�' %%�LL����SSL.���L�'"
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - A SESSORS COPY