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No. OF Owner or +v Lessee ale Builder's 2. 7O r License No. Contractor © O 3. �I ' J o� 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 ap licant Address Application dote 1 -- — I +J V 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 Is OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check DO}Q Number B Obtained y pp Obtained 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 (("(0,) Building C' Permit issued _ ,= ( lq� use Group Building Fire Grading Permit Fee $ cp Live loading Certificate of Occupancy $ Occupancy Load $ Approved by: Drain Tile ' Plan Review Fee TITLE CITY OF NORTHAMPTON g« .� MASSACHUSETTS • a $ OFFICE of the INSPECTOR of BUI DINGS �r Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX. O J ZONING 3 I• AT (LOCATION) � L �a� DISTRICT LOCATION IN 0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) '' (CROSS STREET) LOT SUBDIVISION LOT,�� BLOCK SIZE/049 to 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([/ residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religious in Part D, 13) number of units— — —,— � 20 Industrial 3 F__1 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 0 Repair, replacement or dormitory — I,nter number 5 F-1 Wrecking (11 multifamily residential, of units ------— — 22 Service station, repair garage enter number of units in building in 15 F---] Garage 23 L _I Hospital, institutional Part D, 13) 24 r Office, professional 16 Carport � i 6 ce, an p Moving (relocation) r r� 17 Other — Specify 25 I _] Public utility u 7 Foundation only 26 L� School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 C� Tonks, 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•,,•,•,•,•,..... 04's 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 pp,ryry a. Electrical..................... /L/ LG � � b. Plumbing ....................... IV C;rZ OC c. Heating, air conditioning.......... C> d. Other (elevator, etc.)............. /L—/ 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 � Public 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........................ ?i i di contonng . &r" 36 � oil �( v L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 n Yes 45 No 53. Number of bedrooms.............. 38 Coal ��}} 39 Other — Specify�L/ti.0 Will there be on elevators 54. Number of Full.......... 46 C � Yes 47 'D No bathrooms Partial....... a DEPT. OF BUILDA INSPECTIONS BUILDING z0 212 Main Street $a Northampton, MA 01060 PERMIT 29 - 461 VALIDATION DATE Sept. 28, 19 87 PERMIT NO. 663 APPLICANT i•Ir1CC fnntraftors ADDRESS 1 Lynn Ave. , Chicopee, Mass. 315 (NQ.) (STREET) (CONTR'S LICENSE) px NUMBER OF PERMIT TO Add 1 t i nrl (_) STORY Car RXXXX Port DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING Cr stview Drive DISTRICT AT (LOCATION) URA (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: normi t for tho addition of a carport to hp, attarhpd to PX1 Stln4 dwel l in1_ AREA OR 576 sq. ft. ESTIMATED COST $ 6400-00 FEEMIT 28.00 VOLUME ,- (CUBIC/SQUARE FEET) OWNER games LaGapr6lGiii t BUILDI � ADDRESS 55 grestyi e�1— rive-, Ner%hampt8n BY `.. ��►► WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PwP