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MOMS m s: 1ssss :$:i$a •s:a:as::eesaas=::MH 22 Ulf 2=11 Ulf l�s �aa ssas :sae s 'i a sas/ssaaaae=ass ss ssassa 11 rr1 s . .. ..... .. . as :sa X111 1 11 1lN01111:�i ;1 ���::�is :ses: NOTES and Data (For department use) 4 f IV. IDENTIFICATION — To be completed by all applicants s---s: Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or1, dl t r? ,. > -` ' Zi Lessee j Builder's 2. �t J i� i{` 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 s his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Sig natu i of plicont Address Application date - -� D0 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes Q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date 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 �/� /{ f�'� Use Group Permit issued r�(,lrt �i'L�19 _ Building Fire Grading Permit Fee ��� `��� $ �^--z Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ t Plan Review Fee $ TITLE CITY OF .NiRTHAMPTON �+ MASSACHUSETTS $ OFFICE of the QINSPECTOR of BU I DINGS �t Page � 7 Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o ZONING I• AT (LOCATION) Ems° ` I^/ l> )/ � �1�1 ZZ, r lyY. �y 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 Resid ntial Nonresidential 2 El 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 ❑ 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 (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❑ 6 F1 Moving (relocation) Carport 24 ❑ Office, bank, professional 17❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile i 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..................... p%) b. Plumbing .............. If%,r�' t ! F c. Heating, air conditioning........ r``' 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 �asonry (wall bearing) 40 t, 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. TYP 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 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 WGas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 FJ Electricity 44 Yes 45 ', No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevators Full.......... es 54. Number of 46 Y 471No bathrooms `- Partial....... a DEPT. OF BUILDING INSPECTION$40 -%UI LDI NG ! 212 Main Street <IL Northampton, MA 01060 _ PERMIT 29 - 64 VALIDATION DATE March 10, 1988 PERMIT NO. 111 APPLICANT nnnAlri I;rAgpl ADDRESS 11 Gi Train TPrr. . Florence Owner (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_) STORY Onp F 1 1 V _DWELLING UNITS ( YPE 0 IMPROVEMENT) NO. (PROPOSED SE) ZONING URA AT (LOCATION) 1 rAi n TPrr , Florence DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (LROf! 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: AREA OR '5500,00 PERMIT 10.00 ESTIMATED COST $ FEE VOLUME (CUBIC/SQUARE FEET) OWNER Same as Applicant 60 /� , --Same as Applicant s BY UILDING D 0 ADORESS B a WHITE - FILE COPY ■ GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY P-" - P