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29-352 (9) VIII. ZONING PLAN EXAMINERS NOTES 4 DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use :-::--.;-„;:-,f;z;:T d.i'.',r'a T t.€t S v4¢t V'h t^s A r�i d b ot..-.-a t�.�=¢.,_",.p+k.<;;..+{t!;,�:.-..:.,.."-Y�x�+g d�P h°g�x�?h g S&'s r8 te r§+ac g t r",a a t�a-r 4P d 1 9#a$e.�,t e a�>,_aw§+.t�,o-rr',,.,.--...;_t,.-v,a,t-,r a Pi p_3.�-a r�.&§q§£r$ap k r g L'-'b a I+gN;a P r�"r$+aa^9,'�vr4 r`-w.i�x§rd1#bY s r z'rI tr t t•.�.-s.rt««�es,a�rte`.;ti�,,.°:.:-."..:,-;«-.-_--,-�v.a}.t p t§''4 r a§#-r�4�#�°4°.'f'S r#q,$#t#$�`�y rz§a!-p-,..4'+�wf§r+r°?t.-+d�ba�z b a".a sr u;,yati t.........*.;a r os @§r E�"'..'a�-'-.-..�1 y.,1�'.p�C'}�g r q'�;l @ L$h "„,�j�t P t,§Y r r��t'��-s a q$r xa i}a,teF--'�w r i�§ga"E#--��,1 i i§o s g§�+r€r s�Y S$a�g�p7}g-.�'.�`.Y a d#§t f�§�aq°-':a,.�4<+rP P r4'Z rt.-"-m':+:E.»�'�a�fia€r%,Y:.;-.�«�e�.-a va#r"#,�rF r€�v¢,.-t�i t#g,P g a�p§rEr C"-.+$-�-,��q e�sat:7,-^"-+,.`r at t t„�h s m-y-=°d�'�,�s t�a�r,--'.-.�+"-.a,€a c+?'a a}�{},�z t-`-.,�#a t6 b vss t��--.a�d ff t•6,e:..�i"«.--..--$-'pj.#+4[,+T�4r s tg=€.-,"-'...Y#f¢ys€3 j§¢hr_-�-rr a 4 Y{y Y�5�l»a'F r•=s'p.��h t 1 5z S i M,-1..ri Y,j�t^a'a�'tr b`P,---''-#�.,ro+r i�d±g.t i-,-..*-wa+pLr+§y§}t'4}t-"-�_-'.-.�.:"a�r x4+.r'4+€{.t s.,_n-.,--'�'..d ee^..-t§91��t'i,r§r�.r--^-,.-$i.€aY#�rtg-'�s3r�^tr�fr--.wY b#ri{#-`.tax 44h"y"-'�.�R`�ta�M tt�as-"t-'°°.+fi q�e9ry^'°f�t:`�-"E.-.-..--�,��t"�+at r}`_E.-"-.-."'='_�*tr�?_-}rr k 4�s t F F 4-�4#§�d f-°s t Yef�ig6��'t yv--s$+rp t.r#{3--.$'-k$�+arFa t5+tt,,:r r'�.---4 a«.,„.3 L+#t'j"+i�+a Y,tr-.--#.,.-t9��°+r 6 s#2..}-.-�t 1te Li74 s�y`+`r.s�q`...«._-.°-�«.Y.-y'.r§;ax(��ai fi;-,'.-�-...-fi.-,�4 a r aY4 4 spzkTz{e«§rr r.,---.}-fi d t h a�r+1 4 s a�-'2¥aY t§a'+'i.+{rP�I4$-.«a7'q 3 I#f"s e,,'p-f...'-�-.�.+}a°t§�:z d�i*�r�a pa t 4.."`v'.--__.r,,a}f,;+a,"F..~.t-,.#j�..:d.r g�,•. � -}$§a ztA'Y�>rz a t�a �-. L +1 t t§2?a I ' . P .,�§T€'@,•t t` a d t I a A »r i i d I - a ;- t§ " a g 44 ' a- . I a � �--x.¢}¢r +bx kI it. g°am¢ Y- a fr - a y 1 ti `� t q1t€ t r Y k " f F z--4 ; .} j; . i l 113:r t e - 1;+ 'lltl 41 4A § s + + . i J fi ; '�. I - + } r-,i.; r t 1 414 a } €° 1 f i _+ , 1 a :174E a « Cr t - t - �m. �-;-9 ._:;t.:.. .: ., - '.- .. ... `_. ` , ., t } �- r a ar r g €. .a ...., Y ,.,«.. b a- a... g r a-� r 2 �`-A -++r } - o- t o.i ;d».€ Y § h P '*'s-{b; § Y 4'i.Y d 1 -�b . 3 t �. .-e ,[-s§, t g it; . �{' -T-i- f ..mss .._'.� $ BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Ampj US T+ i .n ' 1 % 'VPn(P 'i 1/I . G� I��U 5 C 3 Lessee Builder's 2 ,AVh 'A -'i ✓-1 G}/(' License No. Contractor C5W,1P 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 r/ ?V n c P /!A_ 9- DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans By Plans B Notes q Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date )ate Permit or Approval Check Obta ned 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 FOR DEPARTMENT USE ONLY Permit number Building ,i Use Group Permit issued 19f`f-- Fire Grading Building Permit Fee $ C& Live Loading Occupancy Load Certificate of Occupancy App e by: Drain Tile Plan Review Fee TITLE NOTES and Data — (For department use) CITY OF NORTHAMPTON 1 OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. -��-//// O -y^ C ZONIN� I• AT (LOCATION) 3� � U S / . ` �-'� �- �' DISTRI LOCATION (NO.) I (STREET) -)s OF BETWEEN C r -'�,�l^C� k AND i� /`I/I 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(If residential, enter number 12 r5� 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 22 ❑ Service station, repair garage 5 ❑ Wrecking (If multifamily residential, of units ------- - --> enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) p 17 ❑ Other - Specify I iPW (f 'N^07 25 ❑ Public utility 7 ❑ Foundation only r 26 ❑ School, library, other educational B. OWNERSHIP ` i.-'Z P tAS I�.i 00 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) I, ✓ A 5 _37-a ✓C 29 ❑ Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonr idential - Descri a 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, deportment 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 $ 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 Q Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior / /-1 32 F-1 Structural steel dimensions ..................... 0 (� 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42 W Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... 0 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 ❑ Yes 45 K] No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other - Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47 © No bathrooms Partial....... I hereby certify that the proposed work is authorized by the owner 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 DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY 212 MAIN BUILDING ZO NORTHAMPTON MA. 01060 BUILDING 2 LL 29 - 352 PERMIT VALIDATION DATE ju!y 21, 19 s0- PERMIT NO. 368 APPLICANT _ ferd ADDRESS Q2 AU5ti'a Circle (N0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO P PROVEMENr) O 0. STORY p posed USE) DWELLING UNITS ZONING AT (LOCATION) s Circle DISTRICT USA (NO.) STREET a BETWEEN AND b - (CROSS STREET) (CROSS STREET) . P LOT 4 m SUBDIVISION LOT BLOCK SIZE a 0 BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O , 00 O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f (TYPE) O LL REMARKS; Instal I now d&ck AREA VOLUME 17a ESTIMATED COST $ 350.00 FEEMIT ¢ 10.©0 (CUB(C/SQUARE FEET) ,P OWNER Tames W_ La ford BUILD ADDRESS 32 Axlatin Circle; Northamptony Ma. BY (Affidavit on reverse side of application to be completed by authorized agent of owner)