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IDENTIFICATION — To be completed by all applicants Name Mailing address — \'umber, street, city, an(i State ZIP code Tel. No. 1. owner o� o� rJ �• L� �N s S l SYLveSTCrz N`Tu, G/O �G Lessees' Builder's 2. r'—� 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, Address Application dote 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 Is OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Ch Date Number B Obtained y pp rova ec b 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 II. VALIDATION Building _ t FOR DEPARTMENT USE ONLY Permit number <, Building. Permit issued (J C,1Z 19$'S use Group Building Fire Grading Permit Fee $ lG •C7 C) Live Loading Certificate of Occupancy $ Occupancy Load AppLoved by: Drain Tile $ n Plan Review Fee $ TITLE CITY OF NORTHAMPTON �. MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS >v t Page s Plot l� APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 AT (LOCATION) DISTRICT I, s/ J� L v S/C!'Z /lc�. ZONING 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m 1 ❑ New building Residential Nonresidential 2 �Addition(1f 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 3 ❑ Alteration (See 2 above) 14 D Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 22 5 ❑ Wrecking (If multifamily residential, Of units ------- - -- ❑ 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 - Specify 25 ❑ Public utility 7 ❑ Foundation only 26 E] 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................ S vboa — 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 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 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior I 32 ❑ Structural steel dimensions ..................... tsi �U rl 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 Public or private company 50. Total land ores, sq. ft. ........... 3�)C, �t 43 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY f - erisiwy 37 r� Electricity 44 Yes 45 � No (�J ❑ �- 53. Number of bedrooms.............. f 38 ❑ Coal 39 Other- Specify Will there be an elevator? 54. Number of Full.......... - 46 ❑ Yes 47 0 No bathrooms Partial........ DEPT. OF BUILDING INSPECTIONS Z BUILDING � 212 Main Street O< Northampton, MA 01060 PERMIT 35 - 189 VALIDATION DATE October 1, 19 85 PERMIT NO. 576 APPLICANT John L. Lyons ADDRESS 51 Sylvester Road Owner (N0.) (STREET) (CONTR'S LICENSE) Addition One Famil y NUMBER OF PERMIT TO (�) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 51 SW]ypgtpr Road ZONING SR DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION Tip (TYPE) permit ermit for the addition of 2 floors 1-living area and bedroom on the second floor AREA OR VOLUME 640 SCE. ft. ESTIMATED $COST 4 000.00 FEEMIT .� 16.00 (CUBIC/SQUARE FEET) OWNER Same as Applicant /1 'w /� ADDRESS Same as Applicant's BBYILDtN T, 1t , y� WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p -1.1 S_ P