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35-038 (3)
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N me smaosawass: � : " ' N�: Hg • $ �, � N . :: N : NOTES and Data — (For department use) i i f lE� .s ' S ' f 4 C,, „ . s.t r.l. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — 'umber, street, city, and Statf' ZIP code Tel. No. 1. Owner or 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. Sign re of applicant Address Applicati n date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans g Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obta Date in Number By Permit or Approval Check o Date ned 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 A /_j_ FOR DEPARTMENT USE ONLY Permit number Ali Building Use Group Permit ssued _--rye 19 Building Fire Grading Permit Fee $ %��C Live Loading Certificate of Occupancy $ Occupancy Load Approved by: •-,Irn Drain Tile Plan Review Fee $ TITLE CITY OF NORTHAMPTON �. MASSACHUSETTS —OFFICE of the INSPECTOR of BUILDINGS t Page Plot 3 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT —,Alpplic�a+n�t to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) �Q// [J_> 1YJI/b`f !`7G DISTRICT LOCATION (N0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 [VOne 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- - - - -i 20 ❑ Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 4 Repair, replacement 21 L� Parking garage p p or dormitory - Enter number 5 ❑ Wrecking (If 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,,,,,,,,,,,,,,,, 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 Q� }� _ + o. Electrical....................... 3 t-4- y i /S�i•, /� �� b. Plumbing ....................... 7r/G��'�/"� �J'�V1P'yf• --�[�`�,/ c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT Is 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............. .�,. ` '.1+� 31 n Wood frame 41 l❑ Private (septic tank, etc.) 49. Total square Feet of floor area, `" r% i j t all floors, based on exterior /710 32 ❑ Structural steel dimensions .................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 [71 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 No 53. Number of bedrooms... 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full...... -" 54. Number of 46 r � Yes 47 [;K No bothrooms ` � Partial........ DEPT. OF BUILDING INSPECTIONS Z BUILDING �� VA e 212 Main Street NorXh�m{ :on, MA 01060 PERMIT <a 35 - 38 VALIDATION DATE September 25, p 19 87 PERMIT NO. 660 APPLICANT Jacques Vadnais ADDRESS 34 Silver St. , Springfield 0ITT-5-8 9 (NO.) (STREET) (CONTR'S LICENSE) Alterations NUMBER OF PERMIT TO I_) STORY 013P Fami 1� DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 190 es arms oa o STR CT SR (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 alterations to existing single family dwelling: finish off second floor VOLUME 800 sq. f t. ESTIMATED COST $ 18,000-00 PERMIT 880.00 (CUBIC/SQUARE FEET) OWNER Edward Chastine 190 West Farms Road BU"¢ �� ADDRESS BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY p �Rf' p