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DISTRICT
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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — i1'urnber, street, city, and State ZIP code Tel.*o'
44
Owner or
Lessee
Builder's
L.
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 B Notes
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL Is
OTHER is
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date D
Permit or Approval Check Obtta ned Number By Permit or Approval Check Obttait ed 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 L�
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 $
20 o CITY OF NORTHAMPTON
MASSACHUSETTS
r •
OFFICE of the INSPECTOR of BUILDINGS
Paged Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
lam , ZONING
I• AT (LOCATION) / /(" � ryL' % DISTRIC
LOCATION —N0.' TREET) —T
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 new housing units added, if any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 Church, other religious
number of units— — — — --� 20 Industrial
3Alteration (.See 2 above) 14 l
l
t
h
i
Transent hotel, mote ,
❑ 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1(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)
17K 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
a. Electrical.......................
b. Plumbing .......................
c. Heating, air conditioning........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT I$
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 VWood frame 41 boe 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
— S cci 42XPublic or private company 50. Total land area, sq. ft. ..........
34 �_� Other p� Jy P
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 Wil there be central air 52. Outdoors........................
36 ( Oil cX� 45
r� L. RESIDENTIAL BUILDINGS ONLY
37 �_.j Electricity 4 _ No 53. Number of bedrooms..............
38 ❑1 Coal
39 [❑ Other — Specify or? Full..........
54. Number of 47 ❑ No bathrooms Partial
hereby certify that the proposed work is authorized by the owner of 'record #'
and I have been authorized by the owner to make this application as his
authorized agent.
SIGNATURE OF AGENT r
ADDRESS
(NUMBER) (STREET) (CITY)
APPROVED BY TITLE
DATE 19
_- •. `'- q .. a "` i .: ._ `.
DEPARTMENT OF BUMDING INSPECTIONS Z o DEPT. PILE COPY
2 MAIN STREET �
�TON, MA. 0x060 BUILDING a
35 132 PERMIT VALIDATION
DATE J!e]yjnjA= 2- 19 gZ PERMIT NO. AS
APPLICANT Cocl- SO GxoufosM ADDRESS "'3 Ry-I Reid
(N0.) (STREET) (CONT R'S LICENSE)
PERMIT TO j�1QQd �iLOYO (._I_-) STORY NUMBER OF
DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED US
AT (LOCATION) 716 Rras_► gpaa ZONING
DISTRICT—IMA .-
(NO.) (STREET)
a BETWEEN AND
(CROSS STREET) (CROSS STREET)
a
o LOT
m SUBDIVISION LOT BLOCK SIZE
a
U
O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
M
O
Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
Q:
IL REMARKS: TnatralI wandebur ing stays In eadating MP.tAl 1 hest-na stage
VOLUME ESTIMATED COST $ 600.W FEE MIT $ 10,00
(CUBIC/SQUARE FEET)
OWNER
BUI4GPT.
ADDRESS 716 Ryon U, XO t ou., ga. 01060 BY(Affidavit on reverse side of application to be completed by authent of owner
INSPECTION RECORD
DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR
t
FIELD COPY
DXWMW OF WILDING INSPECTIONS
alt MAIN STREET
IwMNW! 9 NA. 01060 BUILDING
us _ 132 PERMIT
�y
r
DATE pebXU&Zy 20 19 at PERMIT NO. AS
APPLICANT agi S 6so%"alr4 ADDRESS
e (NO.) STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (�_1 STORY DWELLING UNITS
(TYP F IM R . NT) NO. PROPOSED U )
ZONING
AT (LOCATION) 71b �Vl�! A�t� DISTRICT
(NO.) (STREET)
i
ae BETWEEN AND
rn
(CROSS STRE T) (CROSS STREET)
LOT
n TBLOCK SIZE
m SUBD IVISION 1\ V4
a I(,
BUILDING IS TO BE FT. WIDE BY LO FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
m
Z TO TYPE USE GROUP AS ENT WALLS OR FOUNDATION
I (TYPE)
Ir
O
IL REMARKS:
AREA OR
PERMIT
VOLUME ESTIMATED COST FEE '
(CUBIC/SQUARE FEET) LNG /E'lT OWNER 'a+7 C G 1+. +rk BOIL .
ADDRESS --T-16- n'_'Ryan--Rd..--N'tou., Ms. 01060 BY ..,