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N ' F15522 s �SSSS !!$ $� . $ Feee: F :eFee$F s .a a ssle55..s e us at w- .tee NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. /s 'G C Z- (�� � /� T��'i� L v d" yid Owner or O�U��eJ Lessee Builder's 2. License No. Contractor 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. ign ture of applicant Address Application date 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 Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtatned 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 ,� 19 Use Group Permit issued � Building / . Fire Grading Permit Fee $ �/ Live Loading Certificate of Occupancy $ Occupancy oad Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �+ MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS ,OT . Page Plot Qf)" APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT —/�A.-.pplicaantt to complete all items in sections: 1, 11, 111, IV, and IX. /� O 1. AT (LOCATION) 6144 IA �G �L�t-t � �U ZONING I ��►�{' DISTRICT'v 7� LOCATION p (NO.)�a �( f (STREET) n n `} OF BETWEEN / r C sb� �Gl�-- <\Ib/Z) <5 AND J4C /' F /I�GV A BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE LA II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D __q A A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m M 1 ❑ New building Re i ential Nonresidential 2 ❑ Additicn(lf 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 3 [L2*A�Ilteration (See 2 above) number of units- - - - -- 20 Industrial _ 14 ❑ Transient hotel, motel, 21 Parking garage 4 �Repoir, replacement or dormitory - Enter number 5 ❑ Wrecking (11 multifamily residential, of units ------- - --0- 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24�� Office, bank, professional 6 ❑ Moving (relocation) 7 L� Foundation only 17 �� Other - Specify 25 C� Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 �❑ Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 C� Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food e.lf��{'`` processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, ! V V 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 ..................... 1 c. Heating, air conditioning........ d. Other (elevator, etc.)............. f 11. TOTAL COST OF IMPROVEMENT $ 2--ird0 III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L,- for wrecking, complete only Part J, for aft 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 are 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 37E--' Electricity 44 Yes 45 ir_ No ❑ 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - .Specify Will there be an elevator? Full.......... 54. Number of 46 [_� Yes 47 I❑ No bathrooms Partial........ .. „VP a -'DEPT. OF BUILDING INSPECTIONS BUILDING �O D'� 212 Main Street $a t Northampton, MA 01060 PERMIT 29 - 165 VALIDATION DATE Sent_ 28, 1Ao S nPf@rF NO. 625 owner APPLICANT Morris Cave ADDRESS LL 17111 C11 a 1 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Alteration/ReplaFem`►n TDRY One Family NUMBER NG UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 22 Gilrain Terr. ZONING DISTRICT URA (NO.) (STREET) BETWEEN AND (CR083 STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: oermit for the installation of a skylight and replace window in living room AREA OR 2�500.0 PER T 10.00 VOLUME ESTIMATED COST .$ FEE $ (CUBIC/SQUARE FEET) OWNER Same as ftolicant B IN EPT, ADDRESS Same as App l i cant I s 8 WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p01-11P