17C-148 (10) Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For Applicant Use
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Nome Mailing address — Number, street, city, and .State- �jZIP code Tel. No.
1.
Owner o, G/d��
Lessee
/J Builder's
2. (f/— f"C /C ?f 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 B Date Plans B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obta ned Number By Permit or Approval Check Obtta t ed 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number 5 �
Bui Iding• ] Use Group
Permit issued y /Il /l: b5 19
Building �0�0
Fire Grading
Permit Fee $ S! Lie Loading
Certificate of Occupancy $ Occupancy Load
Appro y:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• r MASSACHUSETTS
oil
OFFICE of the INSPECTOR of BUILDINGS
Page l7 G Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0
` / ZONING 4123
I• AT (LOCATION) &-�/ /4J DISTRICT
LOCATION (N0�.) // (STREET)
�
OF BETWEEN ��z AND
BUILDING CROSS STREET) —� (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
H
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 Residential Nonresidential
2 ❑ Addition(I/ residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
3� Two or more family — Enter 19 Church, other religious
in Part D, 13) 1
number of units— — — — --)P. 20❑ Industrial
3 Alteration (See 2 above) 1q ransient hotel, mote ,
❑ T h l l 21 ❑ Parking garage
4 Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multi family residential, of units ——————— — -i 22❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 El Moving (relocation) 16 ❑ Carport 24❑ Office, bank, professional
17 E:] Other — Specify 25 E] 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
r processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,••••••,••,••••, ;Z y 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 L
a. Electrical..................... z: /
b. Plumbing ..................... 4/
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT E Aron
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 F-1 Masonry(wall bearing) 40 F__] 48. Number of stories.........Public or private company - """
31 7 Wood frame 41 49. Total square feet of floor area,
Private (septic tank, etc.) 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
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 C Electricity 44 ❑ Yes 45 i� No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — .Specify Will there be an elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms Partial........
DEPT.W BUILDING INSPECTIONS BUILDING Z JJ
212 Main Street O;i
Northampton, MA 01060 PERMIT ( '
17C - 148 VALIDATION
DATE June 3, 9 88 CPERMIT NO. 322
APPLICANT Philip Ahearn ADDRESS /t�T e era Jt. 0272
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Alteration (_) STORY One Family -DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
URB
AT (LOCATION) 33 Keyes Street DIOSTR CT
(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: install 2 skylights
AREA OR 2 258.0� PERMIT $ 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Karen Mock �'► -
:Y U I LD I
ADDRESS 33 Keyes Street, Florence _� �LA
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I, P