17C-316 (8) ZONING •
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
IX. SITE OR PLOT
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NOTES and Data — (For department use)
L
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
O wner Or A ,n S ILLG E LG� CF . Giof;l 4 9r:�
Owner
Lessee
D �7 Builder's
2. TOi{hl �Gk11�fZCC ( ��Nei �j r �/" License No. .253-73 1 c
Contractor
X944
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 is authorized agent and we agree to conform to all applicable laws of this jurisdiction.
Signature gf ap c Address Application date
00 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 $
OTHER $
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
II. VALIDATION
Building // FOR DEPARTMENT USE ONLY
Permit number l
Building. Use Group
Permit issued Q 19 _
Building Fire Grading
Permit Fee $ Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by ��"'"^"'{
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
9• MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
Page Plot lr —74::�, APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
/� ,1 ' 1 / _ t� ZONING
I• AT (LOCATION) AzL a- LLG0�T wis/L - FI-G'R��� DISTRICT
LOCATION (NO.) (STREET) r
OF BETWEEN . RI AND 4441-�F if—' l/ P4)NE
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® Addition(1/ residential, enter number 12❑ One 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
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 ——————— — -i 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)
17 I Other — Speci/y 25 ❑ Public utility
7 ❑ Foundation only
t t 26 ❑ School, library, other educational
I
B. OWNERSHIP E.RIOfZ 17Eej< JO x �6 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................ S I"47`�Q 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.)............ i
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
34 ❑ Other — Specify 42 F__1 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 ❑ 0 i I 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 elevator? Full..........
54. Number of
46 ❑ Yes 47 ❑ No bathrooms Partial.. .
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
212 Main Street O<
I IL
Northampton, MA 01060 PERMIT
XXXX 17C - 316 & 1/2276 VALIDATION
DATE 211-4 19 PERMIT NO. 90
APPLICANT John Hondrogen ADDRESS 14 Ca well St. , Pelham, Ma. 039442
(NO.1 (STREET) (CONTR'S LICENSE)
Addition NUMBER OF
PERMIT TO (_) STORY Exterior Deck DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
48 Hi 1 lcrest Drive Florence ZONING URA
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
XB(OIDA*1 'S TO BE 10 FT. WIDE BY 16 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS; _permit for the addition XKX onto existing deck 101 x 161
AREA OR 160 sq. ft. 1 ,000.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE s
(CUBIC/SQUARE FEET)
OWNER Alexander Vesely
BOIL
ADDRESS 48 Hillcrest Drive, Florence BY
i
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pJN p