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Sa::S�:::::a:::SS:ii i:°:000:SS 1:S:S:::::SS:i::::i:iii::i::i::1•/::i::::::::UNNI�::iE •message ye __ :•_�� : _ :. ::::::: ::=si;:f..�isi =ii:i::iP rite.:u::i:ii:::=::i :::i :i:iiiiiii::i:i: �i:i 's��.�111+i� :a�:f ra�f gsE{s\�rssee:s t=see'c'es ss's�:;::9s�{{�..N=� eee:=es'.eee:eeeeeee e............... eeeeeee..e.e. eeeeee :=.ee 6eeeeeee.eee.;8e..IsQ:::::e° gS:was.i'i�il WID NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name f_ Mailing address — Number, stmt, t'ity, any! State ZIP code Tel. No. Owner or -0 r . 54eu e D4 Lessee �'� IQD( 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 B Date Plans Fee Started y Approved BY Notes BUILDING PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Approval Check Date Date Permit or A Pp 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 Use Group Permit issued _ `�y�-j l`j 19 _ Building pp Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Drain Tile $ Approved by: Plan Review Fee $ TITL CITY OF NORTHAMPTON �. .� MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS �t Page Plots APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, III, IV, and IX. O "� '�/�) ZONING (• AT (LOCATION) t57/ b�_ Wl_d 7- r-lt� DISTRICT LOCATION (NO') ,/� (STREET) �^ // '/�� OF BETWEEN OV)C%11Z2��/ �/ / ?E's AND "L�C//c(�l� (""rr BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 E] New building Residential Nonresidential 20 Addition(If residential, enter number 12 E:] One family 18 Amusement, recreational of new housing units added, if any, in Par[ D, 13) 13 � Two or more family — Enter 19 _ Church, other religious number of units— — — — —)1. 20 n Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory — Enter number f units ------- — -- 22 n Service station, repair garage o 5 � Wrecking (If multifamily residential, -- enter number of units in building in 15 Garage 23 _� Hospital, institutional Part D, 13) 16 Carport 24�� Office, bank, professional 6 Moving (relocation) C' / 7 25 Public utility 17 X Other — Specify 7 Foundation only 26 School, library, other educational B. OWNERSHIP rnIllinti 27 Stores, mercantile ® vl N " - n 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public (Federal, State, or e 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....................... 6 ° b. Plumbing ....................... 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 48. Number of stories................ 30❑ Masonry (wall bearing) 40 D Public or private company El Private (septic tank, etc.) 49. Total square feet of floor area, 31 © Wood frame 41 all floors, based on exterior 32 Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. 41. ........... 5/(y',ij\ 34 Other — Specify 42 Public or private company 43 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 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 [_] Yes 45 No 53. Number of bedrooms.............. 38 Coal y� y� 39 Other — Specify / C) 1� Will there be an elevoto0 54. Number of Full.......... TT�T bathrooms 46 Yes 47 I� No Partial........ 6 O N S .F.I :7 cd Flo W c C ;fl C. .a 'o rn � ' E 'c. " w U o V = W c ❑ cl A cn ° CZ 4•, V � °' ;rte.+ � .., r. � �-. N ro Q w, � >, a td _ > a .a x 4-3 3 m rn E� c E L. w '� �, u V] V E� o M .° o ca a ,c o .�' E c� V > " t E -a " E O o -.- o a o • 4 w ° *ae.,s,*� Z H .mac vi c. V" c ° C E Z L r� U