17A-126 (5) ZONING •
DISTRICT
- FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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III- H
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
me Mailing address — Number, street, city, arm state Z:P code Tel. No.
Owner or
Lessee 14?A
�l Builder's
L. P 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 Applicati pn date
r
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started By Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
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 CA FOR DEPARTMENT USE ONLY
Permit number
Building. Use Group
Permit issued 19V_
Building Fire Grading
Permit Fee
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee
• CITY OF NORTHAMPTON
MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
"t Page Z Z Plot— _ APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, 1V, and IX. O
L ZONING //h
• AT (LOCATION) DISTRICT f
LOCATION (NO.) (STREET)
OF BETWEEN �//�/ '��� AND 1515
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vr
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 ❑ New building Resid ti Nonresidential
2 ❑ Addition(If residential, enter number 12ZOne 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
number of units— — — — --> 20 ❑� Industrial
Alteration {See 2 above) 14 Transient hotel, mote ,
❑ T i h l l 21 ❑ 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 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) p � {Q
17❑ Other — Speci/y �"'"�r�✓`. 25 ❑ Public utility
7 ❑ Foundation only // 26 ❑ School, library, other educational
B. OWNERSHIP e ZIAI< Pole 27 ❑ Stores, mercantile
'rivote (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,,,,,,,,,,,,,,,, 'If-1"e 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 .t
d. Other (elevator, etc.)............. r
11. TOTAL COST OF IMPROVEMENT $ " CW.
111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for a1I others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑ Masonry (wall bearing) 4�Public or private company 48• Number of stories................
31;�.00d frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior �l
32 ❑ Structural steel dimensions ..................... V
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total land area, sq. ft. ...
34 ❑ Other — SpeciJy Public or private company """"
4 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... •�
33,;F!;PGas Will there be central air 52. Outdoors........................ C/
36 ❑ Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45�, 0 53. Number of bedrooms..............
38 Coal
39 C❑ Other — Specify Will there be an elevator? Full,.........
54. Number of
46 Yes 47 o bathrooms
Partial......
Department of Building Inspections
212 Main Street BUILDING Zo
Northampton, Va. 0f060 0, /�. f c/// 7z
PERMIT
17A - 126
VALIDATION
DATE Juye 14, 19 82 PERMIT NO. 25A
APPLICANT Robert Ficalora ADDRESS 297 Bridge Rd.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_�) STORY cloag exis g porch DWELLING UNITS 1 _
P 0 •P OVEMENT) NO. (PROPOSED USE)
AT (LOCATION) �07 $t-{�qp ZONING URA
j�(j DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS. gytt4U& ,pp tWo-Wal]S over exinting fe indat on & roOf to enclose rear porch
AREA OR VOLUME ESTIMATED COST .$__1,non PER $ 10.00
(CUBIC/SQUARE FEET)
i
OWNER Rahprt Firalarsm
BUIL NG PT.
ADDRESS 2„47 Bridge Rd. , Northami ton, Ma- 01060 BY J-4A�
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT C - ASSESSORS COPY