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35-071 (2)
IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — `'umber, street, city, and State ZIP code Tel. No. Owner or f t , Lessee r Builder's 1, 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 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 Date Permit or Approval Check Obtta ned 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 II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Bui Iding• Use Group Permit issued 19 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE 0 CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page ��r�>� Plot !�_ ' APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT y 1 Z IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONINu I• AT (LCCATION) DISTRICT 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. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of neu, housing units added, if any, in Part 1), 13) 13 Two or more family — Enter 19 Church, other religious number of units— — — — > 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory — Enter number 22 Service station, repair garage 5 � Wrecking (fl multifamily residential, of units ——————— — - 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 n Public utility 7 Foundation only 26 C� School, library, other educational B. OWNERSHIP 27 �� Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specifv 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 $ 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 Ll 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 34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. .......... 43 n Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 li— Gas Will there be central air 52. Outdoors....................... 36 r 1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 _ Electricity 44 es I ll Y 45 r ) No _—. 53. 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IDENTIFICATION — To be completed by all applicants *106 • 1. Name .\ Mailing address�— Number, street, city, and Statc ZIP code Tel. No. Owner or �/ NN o;6,1,013 L � T-0,0 I'� C 04A"y © V Lessee 7 j / Builder's 2• WALrEV p 0Ziva 1 64 YfF/JFL A IR S, License No. Contractor } S�j A) 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 A) F aoC,,Jo E kt sS / 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 Date 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 II. VALIDATION Building FOR DEPARTMENT USE ONLY ` Permit number /163 Building_ Use Group Permit issued 19"— Building Fire Grading Permit Fee $ ' c" Live Loading Certificate of Occupancy $ Occupancy Load by: -•--1 Drain Tile $ Ap v t Plan Review Fee $ TITLE o CITY OF NORTHAMPTON MASSACHUSETTS r r e OFFICE of the INSPECTOR of BUILDINGS "t Page Plot APPLICATION FOR r INSPECTOR ZONING PERMIT AND 3 � C BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, I1, 111, IV, and IX. 0 pT '}- ? d ZONING ,�, I• AT (LOCATION) ^ I -S P/7- `�/TD DISTRICT- LOCATION (NO•) � `STREET) // (q�,_ OF BETWEEN `'7/DIei AJCE (GOAD AND ' I�U/4-0 BUILDING (CROSS STREET) (CROSS STREET) LOT . SUBDIVISION LOT BLOCK SIZE t/t 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 XNew building Residential Nonresidential 2 n Addition(If 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 C� Church, other religious number of units— — — — --I 20 Industrial 3 Alteration (.See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 n_ Wrecking (If multifamily residential, of units ——————— — i 22 Service station, repair garage enter number of units irz building in 15 Garage 23 Hospital, institutional Part D, 13) 16 � Carport 24 � Office, bank, professional 6 �� Moving (relocation) 17 Other — Sped/y 25 Public utility 7 Foundation only / 26 School, library, other educational B. OWNERSHIP —�� LJ 27 Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) t �, `I t 29 ❑ Other — Specify 9 Public (Federal, State, or 214x.„1/ 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,,,,,,,•........ d1 06 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 J 30 Masonry (wall bearing) 40 Public or private company 48. Number of stories............ 49. Total square feet of floor area 31 Wood frame 41 Private (septic tank, etc.) 's . " 'J— n`_"`L all floors, based on exterior,/�i1;;— �'t 32 �l Structural steel dimensions 7 / 2— 33 L� Reinforced concrete H. TYPE OF WATER SUPPLY 34 I_ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 n 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 l Oi conditioning? l _ L. RESIDENTIAL BUILDINGS ONLY 37 L i Electricity 44 ` � Yes 45 �No 53. Number of bedrooms.............. 38 Coal '� 39 F-1 Other — Specify Will there be an elevator? Full.......... 54. Number of 46 [ Yes 47 IX No bathrooms Partial....... .. ��.°_� i DEPARTMENT OF BUILDING INSPECTIONS "lTWMAIN STREET BUILDING 'D° NORTHAMP`T'ON, 01060 PERMIT 1 a VALIDATION O ~ � DATE ,April 16, 19 Al PERMIT NO. 163 APPLICANT ,jo nn R- Ra:±hnrn ADDRESS 96 El 1 in� L INO.) STREET) (CONTR'S LICENSE) ruC t3 o Dsa�.._I NUMBER OF PERMIT TO_ c� rnnet n (_�) STORY 1 DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PRO SEO USE) ZONING AT (LOCATION) DISTRICT IN (STREET) BETWEEN F1 nr nce Rnad AND Ryan RnaA (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 7 AcrPa Garage 22 21-8' BUILDING IS TO BE 61A FT. WIDE BY 98 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Wnnd frame gag private -gpwA&La di gpoSal anel p rihl it matsar S11p l3r, 4 bedrooms- full bath AREA OR PERMIT VOLUME ESTIMATED COST �FEE $ i (CUBIC/SO DARE FEET) >' 1 OWNER .ToAnn B Sanborn / ADDRESS 26 Ellington Rd. , Florence, Ma, 01060 BU , vv WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY