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IDENTIFICATION - To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. Owner or '/v/ ! �� / 4+11C &� Lessee Builder's Q 2. L� 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. Signature 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 $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date, 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 C{ FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued 9-b 19 r Building Fire Grading Permit Fee $ y4o�' Live Loading Certificate of Occupancy $ Occupancy Load Approve Drain Tile $ Plan Review Fee $ r TITLE CITY OF NORTHAMPTON �. .� MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page "77 P10t `a - APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to I• complete oil items in sections: 11,, 11,, 111, IV, and IX. o ZONING AT (LOCATION) LF6 �l� s,Q/ `"E DISTR CTaRh LOCATION c,.•(� " •1 (STREET) '��-!-•� J /� OF BETWEEN IN V /C �� T' 1 AND .F ) �� BUILDING �� (CROSS STR EI/ �' (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE rJt II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 1 ❑ New building Residential Nonresidential 2F-1 (1 residential, enter number ❑ � 12�0 One family 18 ❑ Amusement, recreational of new bousing units added, if any, 13 Two or more family — Enter 19 ❑ Church, other religious in Part D, 13) number of units— — — — -•� 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 parking garage 4 ❑ Repair, replacement or dormitory — F.nter number 5 ❑ Wrecking (11 multifamily residential, of units ——————— — --� 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) 17 Other — Specify 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•,,•,,,,,....... 5 t�� 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 $ 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.............. 49. Total square feet floor area, 31 ❑ Wood frame 41 Private (septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 4S 42 Public or private company 50. Total land area, sq. ft. .......... �ss�� j 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET zZ / /�. PARKING SPACES 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 37 Electricity 44 [— Yes 45 1 No� 53. Number of bedrooms.............. 38 ❑� Coal 39❑ Other — .Specify Will there be an elevator? Full.......... —" 54. Number of 46 F Yes 47 ❑ No bathrooms Partial....... DEPT. OF BUILDING INSPECTIONS BUILDING z° 212 Main Street 04 I IL Northampton, MA 01060 PERMIT 29 - 193 VALIDATION s DATE 1 U Tr I T �LTT 46CE-UG�1ET APPLICANT David Morrissey & Barbara DRESS "F4� ee � r 1 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Above Ground Pool j_i STORY One Family NUMBER OF (TYPE Of IMPROVEMENT) NO. (PROPOSED USE) DWELLING UNITS 143 Deerfield Drive ZONING UNA AT (LOCATION) DISTRICT (NO.) (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) REMARKS' permit for the installation of an above ground pool AREA OR 6 145.OQ PERM) 24.00 VOLUME ESTIMATED COST .$ FEE (CUBIC/SQUARE FEET) OWNER Same as Applicants BUILDIN r� ADDRESS Same as Applicant's BY '- v WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK SSESSORS COPY pjNT IIP