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U: a• a = : :::a 1111191:1 mom • iii . ��:.$:aa.maa$.:■\.•asses■ :l::s::::$Nrirlir:sin...1.1:$::s$:::s :_:=::::s:::: N:.:; iii ... .;$.. :. ..:: $sa::$$$$$ '$$$$ia ss$ l$Bs$:s:s$$$ $s$$:: $$:.__$! �i�iiRiBai �$C_iii$: :8::�::::"i :1�::ii::::r":f:i $ $ iN HunuaaH•lruN. s anises aluals :r..............N...,moo� �• .'�.$ S$$iiS E $ i$ iiiiiiii $ $$ $$$::: ::.: $f $•N.ffiff.■a"...... : ::. .. ...... .... .. ■i■■ea 11.....1.1.", _ _ $a= •.. :• sl:=sassa8as::::s::•soma_::_.::, . . . .me.as■a.■n. ... a■ la, :i$s$ :t$ $ :$= : N::N::■::::::::$:•■:1f:UNUgg lung ani --- now.. $$z=!==::_' s$: $II$HI$I$$=a,$Cg$ ':s a:::::, e!•�A'NowlljUM-N9-111aref SO P;l :Hi' w- NOTES and Data — (For department use) ! a i I � � I � , {I;f _ Lj i } I N i . t . c5 4 � f i�O4gtlAAfp�O� Grlt� of Norillamptuit � � �asaRClµrsetts � '= DEPARTMENT OF BUILDIXG INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 v AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN. I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON. BEING A HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS OF THE RULES AND REGULATIONS ARE COMPLIED WITH. i IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. `- I ` ` Owner or 1' j Lessee 11 Bui Ider's t 2. w^�Q License No. Contractor oW Ne,2 3. Architect or A la Engineer >j In 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 lico t J Address Application date l S,vL veslex DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By B Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B 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 �3 Building Use Group Permit issued � ' ��' fq�_ Building Fire Grading Permit Fee $ /"(c//� Live Loading Certificate of Occupancy $ Occupancy Load Drain Tile $ APpav`? by: /l Plan Review Fee ITLE CITY OF NORTHAMPTON �. .� MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS r C Page '774`- Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 ZONING j I• AT (LOCATION) ,� ( SYLVCSTef2 DISTRICT l 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 M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M —f 1 [:] New building Residential Nonresidential 2 [WAddition(If residential, enter number 12 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— — — — --)� 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel,C� h l tl 21 � � Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — 22 j Service station, repair garage enter number of units in building in 15 L� Garage 23 Hospital, institutional Part D, 13) 16 24 r Office, bank, professional n Carport L—� 6F:] Moving (relocation) 17 n Public utility, E]u] 17 �� Other — Specify _ 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27��� Stores, mercantile 8 D Private (individual, corporation, 28 L� Tanks, towers nonprofit institution, etc.) 29 Other — .Specify 9E] Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food f� processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement••••,.••••...... V QC)o 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....................... b. Plumbing ....................... Q c. Heating, air conditioning.......... O d. Other (elevator, etc.)............. U 11. TOTAL COST OF IMPROVEMENT Is 9>71 d 0 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 ores, ' 31 Wood frame p all floors, based on exterior C� 32 Structural steel dimensions ..................... �V Q 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY ❑ 50. Total land ores, sq. fT. ........... � �© 34 Other — Specify 42 Public or private company 43 F] 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........................ conditioning? 36 � 011 -y� L. RESIDENTIAL BUILDINGS ONLY �} 37 � Electricity 44 F-1 Yes 45 -7 No 53. Number of bedrooms.............. t1 38 Coal 39 n Other — Specify Will there be an elevator s FuII....L�... — 54. Number of bathrooms 46 1 Yes 47 '� No Partial........ s�4 AA 6 O N a .) 0 w L 40 W � a � �i a •p �i Gz. o '� V � � y ►�i O G° c-nnn a U an an ( I C4 w w Q• co ENO Ln 0 w O O r. O 0 r_ •° � r•i r-i ri r-i ► W W V] L7 � A 0 oA c u k a on 11 a� v c°a Z tw �.. �I o a .° • °• C° �' oA a cs C U O °• � cOS r 6 V w O O cOS 4, o � � � L y �" �• �y V) a ° � a � .° O G'3 V GJ � •C1 � V 7 to�dp.ap� M �" vi O .� O Q. � Z O O s- E .b b C ,� O O 4L. V O p C • 1�-1 a � •7 V � �_ U � � w � a � s..