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IDENTIFICATION - To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or 41D.0 SOK `71 9 QIoS�Lessee Bui Ider's Contractor 10 2. License No. 3. 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. SignatureA applicant Address Application date 3cf V, 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans Date Plans Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Dote Number B Obtained Obtained Y 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 ig V Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by4. Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON „l, MASSACHUSETTS $ f OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. 0 f ZONING 1• AT (LOCATION) �n�I IG%a (� �tJ�ctlU1 11 DISTRICT LOCATION (STREET) OF BETWEEN AND— BUILDING (CROSS Sr+TREE 7) (CROSS STREET) / J1_ SUBDIVISION r�. Y"r�It✓/1 �■ LOT V BLOCK S�ZE A�- N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m –1 1 New building Residential Nonresidential 2 ❑ Addition(IJ residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 T Enter or more family – 19 Church, other religious number of units– – – – 20 Industrial 3 ❑ Alteration (See 2 above) 140 Transient hotel, motel, 21 Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage enter number of units in building to 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 0 Office, bank, professional 6 ❑ Moving (relocation) 17 Other — SpeciJy 25 ❑ 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 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 57U&O a. Electrical..................... /I b. Plumbing ..................... Uuv c. Heating, air conditioning.......... f1U� d. Other(elevator, etc.)............. it. 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 V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS �. 48. Number of stories................ 30❑Masonry (wall bearing) 40(5�Public or private company 31 FKWood 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 /. 4 Public or private company 50. Total land area, sq. ft. .........,. 34 ❑ Other — Specify � p – 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........................ conditioning? 36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44,jm�es 45 LEI No 53. Number of bedrooms.............. �f 38 ❑ Coal 39 ❑ Other — SpeciJy Will there be an elevator? 54. Number of Full.......... 46 Yes 47 bathrooms / Partial........ DEPT. OP*ftdING INSPECTIONS BUILDING z-° ��� , 212 Main Street Oa Northampton, MA 01060 PERMIT 5-3�� VALIDATION 29 � 4—� DATE j l v 28T PERMIT NO. 497 19 71 , Lud I ow APPLICANT Kent Development DRESS P 442 IND.) (STREET) (CONTR'S LICENSE) New Building Two Family NUMBER OF +2 PERMIT TO I_) STORY DWELLING UNITS (TYPE Of IMPROVEMENT) NO. (PROPOSED USE) Lot 8 jy Indian Hill ZONING URA k AT (LOCATION) DISTRICT- IND.) (STREET) BETWEEN AND (CROSS STREET) ICR 033 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, permit for the construction of a two family dwellin ara e 2 floors and a finished asement AREA OR 2860 Sq. Ft. ESTIMATED COST $ 80,000-00 FEEMIT $ 782.60 VOLUME (CUBIC/SQUARE FEET) OWNER Same as Applicant BuIL ��'�'�i 7fy ADDRESS Same as Applicant's BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PQP