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29-527 (3) ZONING DISTRICT FRONT YARD SIDE YARD SIDE YARD IX. 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Ins Hu• :e.....s$a.m:aa gasesag:assN•sa.. ............N..a • • • • n■ • o . ■ .. nu • • • ■ of N.rN■o NNrI ��!��� �r : a' .■ e p: $ fa: a m!e e=eee■ua....N... ..N. • iar .N N..H...N■■.NN■, • • au\ • • .. uuu Yt H Y.•/..r.nnr■NNI Mo! so a a $•yyg g$�g,',. t� aaegeea:$ellunalf.......... on Is HWHiHHHHHm ins e 11111110111101111K.a $ e $$ i$$a:aaa:e'i$:$:ea:sa:' s a . •. wfrfr•iff$\ ■.fffrrfr w. NOTES and Data — (For department use) Elm mocrm Elm -4235 REV 7-95 PRINTED IN USA TIME SYSTEMS IN m 1 X TSI-4235 REV 7-85 PRINTED IN USA ©TIME SYSTEMS INC. 3 x � ci c fj V,-) `V L_ r ' uj x TSI-4235 REV 7-85 PRINTED IN USA ©TIME SYSTEMS INC. 3 x � ci c IV. IDENTIFICATION — To be completed by all applicants +I Name ` 1 /Mailing address — Number, street,� city, and State ZIP code C Tee I. cNo.y►� Owner or �Mt l CJ Z 3/ `V/7/r/ �t��� L r l©e 'v Lessee Builder's 1' 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 oi applic�rMf///� !/ / Address Application dote NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved EY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number Obtained N b By 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 IOR DEPARTMENT USE ONLY Permit number Building uSIK Group Permit issued C 19 Bui Iding .� �— Fife Grading Permit Fee $ /4-21 Live Loading Certificate of Occupancy $ oc upancy Load $ Appr by: i Drain Tile Plan Review Fee $ TITLE CITY OF NORTHAMPTON �, MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS �t Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C) Q n l ZONING I• AT (LOCATION) DISTRICT 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 X M A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m –f 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 � One family 18 ❑ Amusement, recreational of new housing units added, if any, Enter 19 Church, other religious in Part D, 13) 13 Two or more family – number of units– – – – > 20 Industrial 3 Alteration (See 2 above) 14 ransen , , 21 Parkin I� T it hotel motel C. � 9 garage El4 Repair, replacement or dormitory – Enter number 5 Wrecking (If multi family residential, of units ––––––– – –� 22 Service station, repair garage enter number of units in building in 15 Garage 23 n Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) p 17 F I Other – Speci/y 25 n Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP — 27 Stores, mercantile 28 Tanks, towers 8 LK Private (individual, corporation, nonprofit institution, etc.) 29 Other – Specify 9 D Public (Federal, State, or local government) C. COST (emit cents) Nonresidential – Describe in detail proposed use of buildings, e.g., food �y processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement.,,••........... 000 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 .................... 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 48. Number of stories................ 30 Masonry (wall bearing) 40 K Public or private company --- --� 41 Private (septic tank, etc.) 49. Total square feet of floor area ��) 31 Wood frame all floors, based on exterior A�1./ 32 Structural steel dimensions ....................( 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY Specify 42 Public or private company 50. Total land area, sq. ft. ........... U�� S 34 � Other – p �fy — 43 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES O 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 7] Yes 45 5�_ No 53. Number of bedrooms.............. 38 Coal iJ 39 Other – 54. Number of Specify Will there be an elevators Full.......... G- - 46 Yes 47 ?� No bathrooms Partial....... �,/ a DEPT. OF BUILDING INSPECTIONS gIJILDiNG ZD 212 Main Street 0 $163.20 Northampton, MA 011�J060 PERMIT <a ..lam "�� P_5_5�� VALIDATION DATE Apri 1 So. 198_ PERMIT NO. 175 APPLICANT Emil Kobylarz ADDRESS GrPgI112 i c'�nP Owner IN0.1 ( TREE T) (CONTR'S LICENSE) PERMIT TO Alteration STORY One Family DWELL NG UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) UKIA AT (LOCATION) 31 Gregory Lane ZONING T (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 (TYPE) REMARKS, permit to finish off second floor existing space: 2 bedrooms, bath, and closet space AREA O 816 sq. ft. $ 3,000.00 PERMIT s 163.20 ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Emil Kobylarz ADDRESS 31 Gregory Lane BYILOi ti WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY POP