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29-388 (2)
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IMI'm l....sawasomme HM• • $$:':$. $s= =: ss.■ s■ ■■l:.f .:a.■ r! ::::;HHO.:a:m:a:a _• : is :���==;;���� • • -• •- = = i :..= a..:. :u nju•i::• NINE He ::mi 1• 1 Ill $. • ......... . :.. t 11101 N: ame.■ n. Im Evorm =a=s�-s°: $ $$= a $iiii:so a li=junn =$$ do 40 NOTES and Data — (For department use) or ss a IV. IDENTIFICATION — To be completed by all applicants Name Moiling address — Number, street, city, and State ZIP code 'Teel. No. Owner or R t:^l/�'v f �/ '1 A�+C �IC7'1��/'j Y✓CJ CJ � I�ALL�N�� /� JVb� � Lessee .�✓ Bu'lder's p �y 2. @ .S` 6i leer/ c /I y �C?0 �L/l1�'�d%C �✓ License No. Contractor *023 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 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans By Notes Fee Started y Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS ate Permit or Approval Check ObDtained Number By Permit or Approval Check Date 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 Q Use Group Permit issued / 19 g'6 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load A d by: Drain Tile $ • Plan Review Fee $ TITLE -wt + CITY OF NORTHAMPTON �+ MASSACHUSETTS e OFFICE of the INSPECTOR of BBUIIL-DINGS ,,,t a Page Plot- o APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 I• AT (LOCATION) LJ �a©/l Woo U �+ lJ �` DISTRI LOCATION (NO.) (STREET) y� �/j b y/ OF BETWEEN t'`' �{/L�R �L/I✓q re�V AND ��\ /\ Wee D'` / I e: BUILDING (CROSS STREET) (CROSS STRE'E'T') r� O L SUBDIVISION LOT BLOCK SIZE ` �" � 7+�� ' 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❑ One family 18 Amusement, recreational of new bousing 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 C_ Parking garage 4❑ Repair, replacement or dormitory — Enter number 22 �� Service station, repair garage 5 F-1 —_—_——— —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 i 60 Moving (relocation) 17 ❑ Other — Speci/y 25 ❑ Public utility 7 ❑ Foundation only rt 26 ❑ School, library, other educational B. OWNERSHIP t ivy ARrA ,/fE''ARd1'M 27❑ Stores, mercantile 8 Private (individual, corporation, 28❑ Tanks, towers nonprofit institution, etc.) 014 IR l4 J p e 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 Q processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 1 V L� a 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 i a. Electrical..................... • b. Plumbing ..................... c. Heating, sio-caw iiiawing.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT is 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 W. 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........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑f Electricity 44 [—] Yes 45 !7 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an eievator? Full.......... I , b54. Number of 46 ❑ Yes 47 U No bathrooms Partial...... 00 ~ DEP OAF MBUILDING INSPECTIONS : BUILDING q4, oc 212 Main Street o Northampton, MA 01060 PERMIT - 29 388 VALIDATION J 388 VALIDATION May 29, 19 86 PERMIT NO. 277 APPLICANT Sicard Construction ADDRESS — Cottage Ave. , Southampton 023427 (NO.) (STREET) (CONTR'S LICENSE) Addition Garage/Mud Room NUMBER of PERMIT TO (_) STORY D WELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) 52 Brookwood rive ZONING URA AT (LOCATION) DISTRICT (N0.) (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) permit for addition Of a 12' x 19' living area "mud room" and garage REMARKS: AREA OR ESTIMATED COST $ 229800.00 PEE $ X�R 92.00 VOLUME (CUBIC/SQUARE FEET) OWNER Mr. & Mrs. Jeff Walsh ADDRESS 52 Brookwood Dr. , Florence BYiLDIN WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY a PINK - ASSESSORS COPY pjNT P