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29-344 (5) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use ! a ' ' ,� .+ k=+�"".w I.I•"�"€-r��-tt E°7' -v r�-�-r �i�;,,�¢- v. _I,. a +..P _F... .z-(` °a.rt?�-a,?"'� �, °'� TM"E t € .a .g� ,-��.....��. '� . +- "`°.,p.-��i r .�-at 4-' air+I �-,. _5�y�. v v-..,�.+ ...:� ':.}. d d�.aw'r-.��.,.F,.. 'T° - rd.a, .I. ,-.va...a...a< :a....w� ,°"°*- »-; a.• .y . v a i t -6 § a '$s .L + �. ; -vT8 o- ;.t �" -¢ .:;..s p iii �" r+ -i by.I ) .,.. L{ Se.d d $3 -} + .! L�S .. +77 * ,4 . s? i[ r � r �d yP �°d r-v .La ¢ 'a€� t 4 t9." 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No. Owner or Lessee '�,���� ®40 2. IaCJY`�'\ h C L-. V` t.�vt ✓� ( �Y C'✓�C ` License No. Contractor j yp vJ 01014 0 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 applicant Address ) Application date D0 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL Is OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B pp 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 Building Use Group Permit issued 19 Fire Grading Building Permit Fee Q. n© Live Loading Occupancy Load Certificate of Occupancy Approved by: Drain Tile Plan Review Fee T ItT LE a• '* NOTES and Data — (For department use) CITY OF NORTHAMPTON t� OFFICE OF THE INSPECTOR OF BUILDINGS 3 1 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING /9 I• AT (LOCATION) DISTRICT LOCATION (NO.) STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 1 kpn New building Resi ential Nonresidential 2 Addition(If 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 F-1 Alteration (See 2 above) 14 l l h Transient hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — --)o 22 ❑ Service station, repair garage enter number of units in building in 15)< Garage 1✓lr 23 ❑ Hospital, institutional Part D, 13) 16 Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) 7 [] Foundation only 17❑ Other — SpeciJy 25 E] Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 1 28 ❑ Tanks, towers 8 Private (individual, corporation, Specify Other — S nonprofit institution, etc.) 29 ❑ p fy 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••,••••••••••.,. 0 1�) 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 1$ QQ 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 j 30 Masonry (wall bearing) 40 Public or private company 48• Number of stories...........J.. 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. TYEOF WATER SUPPLY 50. Total land area, sq. fT. ........... 34 ❑ Other —Specify 42 Public or private company 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES Z F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .. .. ... 35❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37X Electricity 44 ❑ Yes 45;�No 53. Number of bedrooms.............. 38 F-1 Coal 39❑ Other — Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47 No bathrooms Partial....... hereby certify that the proposed work is authorized by the�owtier of record- and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DBPARDOW OF BUILDING INSPECTIONS Z o DEPT. FILE COPY A- 212 NAM SIRELT BUILDING NORTHAPIPTON s Mk. 01060 Cods ,#79 la' PERMIT VALIDATION 29 - 344 DATE Tiny 5. 1979 PERMIT NO. 305 APPLICANT Va3me IH- F.Ar ! _Jr. ADDRESS 9.4.A g-hin Gj rel a _P1 or-enea (�i0.) (STREET) (CONTR'S LICENSE) PERMIT TO AdUt✓ion ( 1 STORY Detached Garage NUMBER OF UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) CA Aila-bin Glrele 0 STR CT tI�3A (N0.) (STREET) rn BETWEEN AND °0 (CROSS STREET) (CROSS STREET) OI IL LOT m SUBDIVISION LOT BLOCK SIZE a U A 0 BUILDING IS TO BE i FT. WIDE BY 74 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION E Ir (TYPE) 0 REMARKS: F°.ftnftt2R1/St, Qn^ CA?% datat"hed Ka r8ge AREA VOLUME ESTIMATED COST W 3. FEEMIT $ (CUBIC/SQUARE FEET) OWNER Kattly KelIx BUI/INI T. ADDRESS 94 aUnt.1n a rQl @! l"e8 @e, NI9 WCA0 BY (Affidavit on reverse side of application to be completed by authorized agent of owner)