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'i 1111 `• ::;•s:s•:::1:ia ::: ::,:•;s;:••�:s:: u�••g: si's:'s's=s a"s : s s.s:::.! s 'i s:s:aa:s••• • • • $aa ��: !!::'sisaa .:s. 1111� $ r�s'i I `e�1 �;'� . . ':$� ..: . : : :ls:....! 'seu: !: :!l:;a:l::•.sa:s t... i31aiiS11a1u ill i� $ + �l l lu:u uunIll isli. T;i...■s::::::::a r. aau:s;�:a :az .;�. ;�.. Y r,•. { y. .! ! ,r a! • •::a ss:uauan $s�ssss:a. . . s.... . . .. _ f t, ruihti:uisii !` # ' a alli v::: t' -- - .. i 1111111 •.s:iauss;;..sss :s s:ssilisg l :.::■.: ;$ ; _ is ;usaslasas�s+:�I;: umu n. _ t,+ i I NIMM usu u:u:uusM$$s.,*s PP NOTES and Data — (For department use) C IV. IDENTIFICATION - To be completed by all applicants Name s �1 Mailing address — Number, street, rtty, and .State _ ZIP code Tel.Tell... No. Owner or tvc W( A R L 5 �� er+ V k ©1 ✓/" V Lessee L Di3 t� �� Builder's 2. 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 appli .gnt Address � - Application date �,--sr. ill G alb 14 mf V&j _.19r1( I, Ill% DO 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 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 Permit number I i 3 FOR DEPARTMENT USE ONLY Building. Permit issued (t. a/ Use Group oA�C_z ( , 19. ) Building Fire Grading Permit Fee $ Cy(_) •(X) Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ / Plan Review Fee $ TITLE 3�^ � CITY OF NORTHAMPTON MASSACHUSETTS U t �Cr'� ,I.,i,i . OFFICE of the INSPECTOR of BUILDINGS Pa e S > Plot a=; =�' g APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0 I. AT (LOCATION) .S to.o c.�., DONING '�� �t�\)pJ S . DISTRICT /� LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D xi A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m -1 1 I I New building Residential Nonresidential 2 I I Addition(1/ residential, enter number 1235<1 One family 18 Amusement, recreational $ of in new housing units added, if any, 13 [ I Two or more family — Enter 19 L Church, other religious in Part D, 13) number of units— — — — ' 20 Industrial G 3.Alteration (See 2 above) 14 I I Transient hotel, motel, 21 Parking garage 4 I I Repair, replacement or dormitory — Enter number 5 I Wrecking (1f multifamily residential, of units — ,, , 22 Service station, repair garage enter number of units in building in 15 1 I Garage 23 Hospital, institutional Part D, 13) I 16 Carport 24 Office, bank, professional 6 I Moving (relocation) 17 Other — Specify 25 Public utility 7 I Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 83K Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 I I 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 ,3'l (3 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 _be) 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 w� 30 I I Masonry (wall bearing) 40'Public or private company Number of stories CSC 31 Wood frame 41 1 Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 I I Structural steel dimensions acoo 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY ....--- 34 I I Other — Specify 42Public or private company 50. Total land area, sq. ft. ?‘7147/•.5 43 I I Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 I I Gas Will there be central air 52. Outdoors 36,oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 pi Electricity 44 L_J Yes 45 No 53. Number of bedrooms. -3 38 LA cool C 4owik1''\ "kid.L 39 Li Other — Specify Will there be an elevator' 1 Full Agr 54. Number of — 46 L_ J Yes 47Wo bathrooms Partial