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No. 1. — Owner or P Sy& -4 S7 Lessee 2 5 �, / / Builder's r f )/ f �� License No. C(�ay'f1 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 Ci kQc>t V'3 Address — Application dote 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Plans B Notes Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS roya Obta I Check Date Date Permit or A pp ined 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 AD GRING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Permit issued IG Z."j•81Y 19 Use Group Building Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ �` TITLE ` CITY OF NORTHAMPTON �. MASSACHUSETTS r r $ OFFICE of the INSPECTOR of BUILDINGS Page _7�zy Plot (GO APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX. C) i ZONING / AT (LOCATION) , S DISTRICT,y� I• LOCATION (NNO') /,/�J/ (STREET) , OF BETWEEN , 7, S �r / i'/7 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(1/ residential, enter number 12 One family 18 �❑ Amusement, recreational of new housing units added, if any, 13 ❑� Two or more family - Enter 19 C❑ Church, other religious in Part D, 13) 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 L❑ Wrecking (if multifamily residential, of units ------- - -- 22 Service station, repair garage enter number of units in building in 15 �❑ Garage 23 C 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 r processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ G L15OC) school, secondary school, college, parochial school, parking garage for. department store, rental office building, office building at industrial plant. 7'o be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... C� b. Plumbing ....................... �L°t G, c. Heating, air conditioning.......... d. Other(elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ t 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 Public or private company 41 �� Private (septic tank, etc.) 49• Total square feet of floor area, 4f7 31 Wood frame all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑_ Reinforced concrete H. TYPE OF WATER SUPPLY Specify 42 A Public or private company 50. Total land area, sq. ft. ........... S 34 ❑ Other - p Jy 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 Lj Electricity 44 �❑ Yes 45 No 53. Number of bedrooms............. 38 ❑ Coal 39 ❑ Other - .SpeciJy Will here be an elevators 54. Number of Ful .......... - 46 1 Yes 47 'i-Vi Na bathrooms Partial...... a (114S a p y W CN W y o on C L eua p E ate. En 40 O � •o o . o A � - � z z cn � � P � A y CF.� O o v En cz V •�-+ +-� •R � A � O � O C/� A � bARy � CGC - � 4 cuc Con a, L/� u Za M Cl b r�A�+ n �y •� C .0 p R h Z C L .Li y Q O -0 00 0 V L V r+ L w O �.� U .� r„ Q O ° V (v �., = W ��jjQ ►fir N O CJ b +-� y +.� O o r.+ rn +!•,p+� F� E v� R �' CAS +�.+ C Z L V