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35-007 (11)
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S•. :: C a.maa.■............ e e$ �0.N.Nyjw��� {.'�$ �.a•-j;, .�•*.s NSSSee$. :$sass=$...... ...HH :NN::, $ : , niir ,r.t � q.1/ er./$$ $ - N / mC:m m CN /\■ .aNN•i ti nt �$ N:eeee • s.s = e ............wl • essesssee .a 0"U aa.ra...altet. l.a.... $$ s$s $$ Sias nesN:: $$s$s.ee.ss. ..s;s:'::•4..$ ::one=.; ___ �ass �=::Q is:.:s:ee s:sie:;ee;::::: NOTES and Data — (For deportment use) IV, IDENTIFICATION — To be completed by all applicants Name / Mailing address — Number, street, rity, and Stalr- ZIP code Tel. No. 1.Owner or Fr �✓? . `/�l!, �� ,ff S � /li v(�l /{/ O �Ij _ ` Lessee Builder's 2, 5' .Yf L.cense 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 f s isvt- 2L 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans By Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Number By Permit or Approval Check Date Number B Obtained Obtained 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 II. VALIDATION Building / ' FOR DEPARTMENT USE ONLY Permit number 1� Building. Permit issued C�-lX��' t Iq Use Group Building Fire Grading Permit Fee $_ lG•a y Live Loading Certificate of Occupancy $ Occupancy Load A d by: Drain Tile $ Plan Review Fee $ TITLE CITY OF' NORTHAMPTON 9e MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS v► ^ r Page Plot 7 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT�— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 1• ZONING AT (LOCATION) J ✓✓ v� J �VI �Gs�.J, DISTR C LOCATION (N0.) (STREET) _71 OF / BETWEEN J li'l� .�� /7/// Xa4D AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V► 11. 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 Reside tial Nonresidential 2 Addition(I residential, enter number ❑ f 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❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 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 — SpeciJ 25❑ Public utility 7 © Foundation only t 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 Q 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,,••,••,,.,...., S Q e CEO 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 .................... +J IA c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ V'� 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................ 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 1I S�� 34 ❑ Other — Specify 42 � Public or private company 50. Total land area, sq. ft�(1/ .. 43 ❑ Private (well„ cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ...................... � s 35 ❑ Gas Will there be central air 52. Outdoors... 4111/l /`.............. 36 ❑L oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 2 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full....�.... 54. Number of 46 ❑ Yes 47 [L�rNo bathrooms Partial....... Department of Building Inspections 212 Main Stream " 'R I Northampton, Mass. 01060 BUILDING O< oo PERMIT 35 - 7 VALIDATION DATE September 24, ,g_ 84 PERMIT NO. 418 APPLICANT F.R. Mailloux ADDRESS 15 West Farms RnM Owner (N0.) (STREET) (CONTR'S LICENSE) Alteration NUMBER OF • PERMIT TO (_) STORY New Foundation DWELLING UNITS - (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING HB AT (LOCATION) 9 West Farms Road 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) REMARKS: Foundation under existing structure AREA OR 17000.00 PERMIT 10.00 VOLUME 651 sq. ft. ESTIMATED COST $(CUBIC/SOUARE FEET) OWNER F.R. Mailloux ADDRESS 15 West Farms Rnad BY WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY ow