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29-227 (2) ZONING FRONT YARD J/ SIDE YARD SIDE YARD 45 IX. 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"we UNION: •...rr..S......••..N ..::•:•asa :t/a..:•C•.ia .... .t•.•i • a:: : •. • .. .N N • • • .N.s•N. .o:::: s s s Ns:: : s a: s• sss: sss n ... ::::ss::S: s .•ssi s : :.:.its :s:s'esassas sas.Ba:-s....issi..mss::sis..l................ • . . ■...•e .. Ra• 1...••a...e•.0 .i s Somali s : :s assn sau ....s••:•••s••' 'ILI 'si'ss �scasisf � iss.si.s.:..•••...... •• seem:: s s ..asa:sc:::s:::::••.••. . ! �• r pn ss s mass We sa1ssissa ssi sie ��$ #+� �� #�S �li�:iiii:gtl�i$����•:3 l�:i:�:�:ail:::C:::N�' :.. .s NOTES and Data — (For department use) t: IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. owner or ' " ' VX60 2 Lessee © _ y , Builder's 2. ��./ License No.012 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. Signatur of ap ica ion Address Applicat d to Z)Qc�brDd� 00 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 $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained 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 7 1 Use Group Permit issued 19 C� Bui Iding $ � ��� Fire Grading Permit Fee ' Live Loading Certificate of Occupancy $ Occupancy Load Appr d by: ;� Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �+ MASSACHUSETTS r $ OFFICE of th INSPECTOR of BUILDINGS Page Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT -- Applicant to complete all items in sections: I, 11, 111, IV, and IX. O ZONING (• AT (LOCATION) �© 6 G ��� v� D S T R C� LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 New building Residential Nonresidential 2 Addition(l/ 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 3 Alteration (See 2 above) number of units— — — —- > 20 n Industrial � _1 14 Transient hotel, motel, 21 LJ Parking garage 4 0 Repair, replacement or dormitory — Enter 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) 7 � Foundation only 17 ❑ Other — Speci/y 25� Public utility 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,,,,,,,,,,,,,,,, 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....................... f7 00 • ad b. Plumbing ..................... c. Heating, air conditioning.......... IT Da. Ce> d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT 1$ r,Cl no 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................ ( ' Jr 31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area, l 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 ores, sq. ft. ........... S6 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 C Electricity 44 L J Yes 45 3< No 53. Number of bedrooms.............. 38 Coal 39 Other — Specify Will there be an elevators Full.......... 0 54. Number of 46 Yes 47 �X No bathrooms Partial....... v DEPT. OF BUILDING INSPECTIONS BUILDING z° d. (,�� 212 Main Street oa Northampton, MA 01060 PERMIT 29 - 227 VALIDATION DATE Nnvamher 15. i9. 88 PERMIT NO. 723 APPLICANT MY Il�Fhio At�/� ADDRESS 160 ArrPhrnok Dr. Owner (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Addition (_1 STORY One Family DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) ar (LOCATION) 160 Acrebrook Drive ZONING URA 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 addition of an attached qXX garage 19' X 24' AREA OR 456 $q. ft. 5,900-00 PERMIT $ 22.00 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Sam as Applicant ADDRESS _ Same as Applicant' s — BYI WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY PINT P