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17A-234 (2) Vill. ZONING PLAN EXAMINERS NOTES FRONT DISTRICT SIDE YARD SIDE YARD REAR YARD NOTES ' IX. 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IDENTIFICATION — To be completed by all applicants j Name Mailing address — ;\'umber, street, city, and State ZIP code Tel. No. ,. /'Pass ©iaLO 683 Owner or //!fie �J( T �Y��C`Y' � +� Lessee Builder's tt c / 10) 4Z Q �L• 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 o eA�ddress �� Application datee�) D0 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans By Plans B Notes 9 Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obta ned Number By Permit or Approval Check ObtOan d 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 .S�J Building- Use Group Permit issued F - 19 e;, Fire Grading Building Permit Fee $ //�_ /�� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee TI i �o CITY OF NORTHAMPTON 6►` `>� MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS "t Page Plot c�2,�T_ APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O / ZONING '/{� I• AT (LOCATION) 97 z �-e� DISTRICT(/ l /3 LOCATION (NO.) (STREET) OF BETWEEN x3iel;,c A ,, AND /�e / { !9 G- BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 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 Re idential Nonresidential 2 E-1 Addition(If residential, enter number 12SXOne family 18 ❑ Amusement, recreational of new bousing units added, if any `���'Vhl in Part D, 13) 13 ❑J Two or more family — Enter 19 ❑ Church, other religious number of units— — — — —o- 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 ❑J 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) 7 ❑ Foundation only 1 7,K Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 88 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) �� L � —2�/ `� 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.)............. Or 11. TOTAL COST OF IMPROVEMENT $O O LU 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) 4OX Public or private company Number of stories............ 31X 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 ❑ Other — .Specify 42XPublic 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 ON Y f 37 E-11 Electricity 44 L❑ Yes 45,)(N o 53. Number of bedrooms...... 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevator° Full.......... 54. Number of 46 Yes ❑ No bathrooms Partial........ hereby certify that the proposed work is authorized by the owrier of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPT. FILE COPY DEPARTMENT OF BUILDING INSPECTIONS D° // 212 MAIN STREET BUILDING as�le"4a (gf-OG NORTHAMPTON, MA. 01060 PERMIT VALIDATION 17A • 234 DATE OCtabor bj 19 $D -- PERMIT NO. 532 APPLICANT_(liver Be Bradley ADDRESS A7 Lake Streets Florence (N0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_1) STORY DWELLING UNITS 1 "TYPE IMPROVEMENT) NO. (PROPOSED USE ZONINGS AT (LOCATION) DISTRICT (NO.) ) m BETWEEN Hardwall AND Bridge Mad (CROSS STREET) 16J (CROSS STREET) a o LOT m SUBDIVISION �0 B C SIZE a O BUILDING IS TO BE FT. WIDE B FT. O ONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMEN LLS OR FOUNDATION f (TYPE) O: a REMARKS: Con8* ur_ PX inr masenary chimney and install wood•burniug stove in cellar. AREA OR $ VOLUME ESTIMATED COST $ 8w)-no FEEMIT 10.00 (CUBIC/SQUARE FEET) t OWNER nZiver B- Bradley ADDRESS V T.ak . , treEt� Fl erc±nce� Ma„ 01060 BYIL ING r (Affidavit on reverse side of application to be completed by out ized agent of owner) INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR FIELD COPY iii D�c INSPECTIONS STREET BUILDING � WORTIUMTOIlls Xh. 01060 PERMIT 17A - 234 DATE October 6 19 An PERMIT NO. 3Z APPLICANT_014y►1 It- lkr&dtey ADDRESS 87 Lake Street Florence (NO.) (STREET) (CONTR'S LICENSE)OF PERMIT TO (_l) STORY For r NUMBER UNITS (TYPE O IMPROVEMENT) NO. (PROPOSED USE ZONING AT (LOCATION) 87 Lake DISTRICT (NO.) (STREET) rn BETWEEN Ibar roll AND Iri•dge Road n (CROSS STREET) (CROSS STREET) rn LOT Q. SUBDIVISION LOT BLOCK SIZE m a U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) 2 LL REMARKS: Construct exterior »asmnA= chi.man and install w ad-bUrniZZ stOVe in cellar AREA OR PERMIT VOLUME ESTIMATED COST $ 800-00 FEE $ in.Inn Oliver FEET) ) OWNER Olver Bradley i s tI BUI ING /T ADDRESS 87 Lake Street• Florence, Ma. 01060 BY