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29-255 (2)
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IDENTIFICATION To be completed by all applicants 4 ,* ll Name "Mailing address Number, street, city, and State 0 ♦7,�P code Tel. No. 17 Owner or Lessee Builder's 2. -01 License No. Contractor 3. Architect or z< 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 appMIcont Address Application date 0 0 NOT W R I T E BELOW T H I S L I N E V. PLAN REVIEW RECORD — For office use Plan Review Dote Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL I$ OTHER I$ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check obtained Number By Permit or Approval Check Obta ate ined 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 V11. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Bui Idi:ng• Use Group Permit issued 1993 Building Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load AS I Drain Tile $ Plan Review Fee $ TITLE ti CITY OF NORTHAMPTON �• •� Mw MASSACHUSETTS d OFFICE of the INSPECTOR of BUILDINGS Page C� Plot :7S-s APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. t o I• AT (LOCATION) q3 (3V�.2 L.ee/f �ti -BRrN(, E %'. 3:3 DIOSTRICT 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 -a A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M 1 154J New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 F-1 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 l l t h i Transent hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ 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 - Specify 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....................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT I$ ,/-,5.0 0,tl 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 Number of stories................ 31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, xy_-e woo all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 11 co 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 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 K! No 53. Number of bedrooms.............. 3B Coal 39 Other - .Specify V4D NQ Will there be an elevator? Full.......... 54. Number of 46 [__� Yes 47 2S] No bathrooms Partial....... Department of Building Inspections ZD 212 Fain Street '"` BUILDING fa , 6 PERMIT 4 Northampton, .M. �RJ10 VALIDATION 29 - 255 DATE May 18, _19 83 PERMIT NO. 234 APPLICANT Charles F Cooke ADDRESS 1 93 Overlook Drive NA (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING A AT (LOCATION) 93 Overlook Drive DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 24 24 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 to build detached garage AREA OR 576 square feet ESTIMATED COST .� 1,500.00 FEEMIT $ 28.20 VOLUME (CUBIC/SQUARE FEET) OWNER Charles F. Cooke 93 Overlook Drive BUI ADDRESS BY afleoUlallC WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY