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35-204 (8) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT S> USE FRONT YARD 3 ci 1 �� SIDE YARD SIDE YARD 2.cj U REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use t j'-t _1 f It+'1 � r 3 s �' t acv ��e. � _ :� � € : 1 +�� {r §}.. r.,- a .l '{. a ,.,a. 7T$1s bb 'T v"§}d, f d .p.4 [♦$• .? l#` 4 P- "i i-"4` 1"' i F„ ' F#..v:�a.°'#. ',-f �" .. +r«p + - e ( ? 3 r I r s I• t I -.C-.+� .a t rP-s i.I� �' S +si& P + s ( 5 1 9 + � a: k-* # A b Y ks$p §3- S- 1 l l & F L pk L.a s t a k-2: . � d S - 7.m,d.. ,p. ,rm amri a -'P'� t 2 � ° j aka �d a j {s psf ¢ pp g IT , d #4-7d}4 7 i } �y � .�jlt, "11,11,11 . trrx a� tI , + .� a € g a § a d r € 3 I 4 r ' �¢ $� r� k`ll `g f E lr "'� J t :. r , a P 5�,. 3 ',. a�.S �, r i s - »-s .��.y,. rs a s a.�.�. as {v� ?i� € & F t g ,a it ,,:.d a a pa r„° #- § F 3 dy.. �. y+e: '�." .r+fir l r', s" -�a'-�" "'}-'"t° -s'-'` .:;.�-"e�--.f a.�a.'a ;. Z»3zt dd 1 a ? ,I 4 5 a".p.d- r +�- {i .A ,#y a-y.ks +a? of �r �`-+�r rtl �..� - s �a d t-' - r?- # F r '" +-a a J,s y t „s e s a # 1 s '{° ..� 4 d '1_",: �I tt Y a* « � k $} �k.„. e q keg„ e tk �s §t' t b a 4-ft H t-r a -j y_y..m ,j r'#44 s rIT --a w $fir .� gab¢ ��'Fp 9 i y-4 t}'� 4� 3--Y j' 9- A f f{ -g 4.d��.� -t -{ f-?-!,w .p- •'i-.¢ _ .T -{-§' y-#-t. §. $ d .. +�-d- b t'+ -I- �,,.{ ,.�.-4 .ai.J.,. 4 4' Kira a¢ � * � °t'# t � _ ; z j--d-d ro- 3 . ..I•. � 7” �4 � F,,4 '-?-p... wr € y- � d-�it �'.�.'r.�• rjT e $ tv d s 'C .a- s.-6 2 d- -� �'�, � r rt r v #r ,�� a a §-$f � �.� 4-�j�-?z 'i -4}-pt{$ b '�� ' {-s- �-..' � -t-4 +S i { -', fly-v f'" rya d i#�. "s €'+.�:: g }} .. ,t_.... +a-�r.p.y �-,: rte. - 3 a '� z s �a.I. i :r �,e-rp -e r z [-�}-� t-} # �-i�t-l- 1 -i ..:.d$a � 1 - i s - kv A }- N'4 LL € 3 ^ef$xF z 1! 4111 BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code T7eI. No, 1. 4 Owner or 1 1) t j n a-, 42 / Lessee ` t� S Builder's 2. � e License No. � f 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 oZapl* nt Address Application dare 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started BY Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number B pp Obtained Y PP Obtained Y 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 19 Building Fire Grading Permit Fee $ 49 �Y U O Live Loading Occupancy Load Certificate of Occupancy Approved by: Drain Tile $ Plan Review Fee $ TITLE NOTES and Data — (For department use) •r CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET J-,_ a 4 APPLICATION FOR NORTHAMPTON, MA. 01060 3 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — •Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING AT• AT (LOCATION) t3o&4uzi DISTRICT LOCATION ("O•) (s EET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M 1 © eew building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑i nne 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 3 F-1 Alteration (See 2 above) 14 l l h Transient hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 E] Wrecking (if 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) 17 ❑ Other — SpeciJy 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 [:;--5rrivate (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••••••••,••••... Q a 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 .'1 a. Electrical..................... &,k,J b. Plumbing ..................... [/10 .10 v c. Heating, air conditioning.......... 0`0— d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT I$ a III. SELECTED CHARACTERISTICS OF BU DING — 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 food frame 41 [:j4-11rivate (septic tank, etc.) 49. Total square feet of floor area, 23L.&X-40J0 all floors, based on exterior �1 32❑ Structural steel dimensions ..................... (f 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 ® Public or private company 50. Total land area, sq. ft. ........... r C 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 [X Electricity 44 ❑ Yes 45 [4 No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? Full......... 54. Number of 46 ❑ Yes 47 [X 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. T SIGNATURE; OF `AG T ADDRESS (NUMBER) (STREET) (CITY) y . , APPROVED BY TITLE DATA 19 DEPT. FILE COPY ' - °DEPARTMENT OF BUILDING INSPECTIONS ;Q 212 MAIN STREET BUILDING 4 a NOR:rHAMPTON. MA. 01060 PERMIT VALIDATION 35 - 204 Code #79 DATE Anri1 2} 19 RO PERMIT NO. 162 ADDRESS 7A nshyi APPLICANT 3 �+Sy �gS thaw©tOn (NO.) (STREE (CONTR'S LICENSE) NUMBER OF PERMIT TO (_ -) STORY gPCi(�SP DWELLING UNITS 1 I PE OF 1 ROVEMENT NO. (PROPOSED USE) ZONING SR AT (LOCATION) Lat #-4 $i1rts 4t Road --DISTRICT (NO.) (STREET) a BETWEEN AND �p (CROSS STREET) (CROSS STREET) a LOT 1 5 HC` IL SUBDIVISION LOT _BLOCK SIZE m p BUILDING IS TO BE 2.� FT. WIDE BY 30 — FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m Ci Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) f It 0 REMARKS; + iv ate sewage dis oral LL and public water supply, 3 bedrooms, 1 full bath, 1 partial bath. PERMIT AREA OR Q VOLUME 13RO ESTIMATED COST $ 77-200 FEE .p 691]0 (CUBIC/SQUARE FEET) A OWNER WRIA ongtvtirtAnn BU D ADDRESS 'iP+ nn r4 Street, FaathaMptoU, liar 010 7 BY (Affidavit on reverse side of application to be completed by authorized agent of owner)