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Vill.-ZONING PLAN EXAMINERS NOTES
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
1. d/✓L: /
Owner or
Lessee
Builder's
L. a/ MS License No.
Contractor
y�
a a M� 0 0,A 'gel
3. J)Ayt0 --s 2
Architect or
Engineer T Q --;2 L/ j?
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.
Sign ur of applica Address _ Application date
�Y�Est f r rn S A
� b bS
D0 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 Is
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check Obtained Number By Permit or Approval Check Date 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
Building. Use Group
Permit issued =% 19
Building ( Fire Grading
"�)r
Permit Fee $ C
Live Loading
Certificate of Occupancy Occupancy Load
App e
Drain Tile
Plan Review Fee
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
r
OFFICE of the INSPECTOR of BUIL INGS
Page 17 C" Plot— APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. ��/ O
I• AT (LOCATION) (.J�/L°sf�l.(..J t /'1dC� �(1�('f�('c°_ DISTRIW
LOCATION L N0.) �l y (STREET)
^yy��
OF BETWEEN 1 alt/0 �tiC'�t°L°f 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 ❑ New building Residential Nonresidential
2 El Addition(I residential, enter number
J 12 F-1 One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13 \ Two or more family - Enter 19 �❑ Church, other religious
Part D, 13)
number of units- - - - --> 20 ❑ Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - --)0- _ 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 L� Foundation only 17 ❑ Other - Specify 25 ❑ Public utility
26 ❑ School, library, other educational
B. OW 27 L❑ 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 is (� Q
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 W.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 ❑ asonry (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. TYXublic WATER SUPPLY
50. Total land area, sq. ft. ..........
34 ❑ Other - Specify 42 or private company
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 Electricity 44 �] Yes 45 % No 53. Number of bedrooms..............
38 ❑J Coal
39 Other - Spc•c-ify Will there be an elevator
54. Number of Full..........
46 ❑ Yes 47 [/No bathrooms
Partial......
irtiment of Building Inspec Ions,
?fain .S treat
thumpton, Mass. 01060 BUILDING o° loiob
PERMIT 4a 0
17C " 164 VALIDATION
DATE June 15, 19 83 PERMIT NO. 282
(CANT_ Georac D'Astous ADDRESS 242 West Farms Road 010602 _
(NO.) (STREET) (CONTR'S LICENSE)
AIT TO enclose notch (�) STORY_ 3 fa,; NUMBER OF
y DWELLING UNITS _
(TYPE OF IM ROVEMENT) N0. (PROPOSED USE)
81 Chestnut Street Florence ZONING
(LOCATION) 0 DISTRICT UF;g
(NO.) (STREET)
7WEEN
I-lain Street AND High Street
(CROSS STREET) (CROSS STREET)
LOT
)DIVISION LOT BLOCK SIZE
1LDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
:MARKS: permit to enclose porch (existing)
REA OR PERMIT ()q
OLUME ESTIMATED COST $ 1,200.07 ��
FEE '
(CUBIC/SQUARE FEET)
)WNER Clive Andrus G�
NDDRESS 81 Chestnut Street BYILD
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - AS ESSORS COPY