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SGL Builder's 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 applicant Address Application date i✓ w� !� Ci�cI rGdfZeNG�' 011) 12— - DO 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 Date D Permit or Approval Check Obtained Number By Permit or Approval Check obttaitned Number By 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 !! �, I�OR DEPARTMENT USE ONLY Permit number �-C t Building �' I Use Group Permit issued i��)l� %I� 19 Building / Fite Grading Permit Fee $ (C Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ if Y. TITLE CITY OF NORTHAMPTON �« MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS xT Page Plot 33-T APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I. � / (�/L / DISTRICT AT (LOCATION) LOCATION IN/0..))/{�cy�// \(STREET) OF BETWEEN �'Y r rr'^r" 1G✓rv'•C/Y J AND 7_421111- BUILDING (CR S STREET) f rrrq (CROSS STREET) .Y LOT SUBDIVISION LOT BLOCK SIZE Vr II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 F%4� One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more fomily — Enter 19 ❑ Church, other religious i Part n, number of units �— — —- -- 3 �❑ All teration (See 2 above) 20 Industrial 14 ❑ Transient hotel, motel, 21 �� Parking garage 4 ❑ Repair, replacement or dormitory — Enter number rr 5 ❑ Wrecking (11 multifamily residential, of units ------- — . 22 l.� 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) 7 ❑ Foundation only 17 ❑� Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 II�L Private (individual, corporation, 2B ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or ) g C L 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,,,,,,,,,,,,,,,, ' 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 fi a. Electrical....................... b. Plumbing ....................... ltil�fi _ c. Heating, air conditioning.......... J d. Other (elevator, etc.).(�A l\_bu ? t l 7 11. TOTAL COST OF IMPROVEMENT � � � III. SELECTED CHARACTERISTICS OF BUILDING — For new but )4s 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 [N�j Public or private company 48. Number of stories....../ ........ ` f 31 Wood frame 41 M Private (septic tank, etc.) 49. Total square fee4-5f floor area, `5/�. all floor rased on exteriorJJ7FFF 32 ❑ Structural steel di.nensions .................... H. TiP WATER SUPPLY 33 L❑ Reinforced concrete "�._., 50. Total land area, sq. ft. .. 34 ❑ Other — Specify 42 Public or pill , co y """" 43 �❑ Private (wel stern K. NUMBER OF OFF-STREET PARKING SPACES .„. F. PRINCIPAL TYPE OF HEATING FUEL E OF MECHANICAL Enclosed ....................... 35 Gas Will there be central air 52. OutdoB+s........................ cand 7 36 [ :El l i _ L. RESIDENTIAL BTJF ,DINGS ONLY 37 ectra '� 4 r1`s,$ 45 No C-� 1 53. Number of bedrooms �... .... . 38 o "All 39 ❑ Other — Spcctfy : �)l there be an"RV,.tor° Full.... .. #... 54. Number of .-...,..' 46 F 1 Yes 47 I� No bathrooms `►—� Partial....... I !�P4 Cy x ; `i I ,aq--510 DEPT. OF BUILDING INSPECTIONS BUILDING ZO � 212 Main Street 0 ` Northampton, MA 01060 PERMIT VALIDATION DATE Sept. 16, $8� � PERMIT NO. 604 APPLICANT Peter & Jean Bond ADDRESS Zara Circle owners (NO.) (STREET) (CONTR'S LICENSE) OF PERMIT TO Alterations (_) STORY One Family DWELLRING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING UKA AT (LOCATION) 3 Tara Circle DIISTR CT (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 existing second floor to create extra living space for single family dwelling. AREA OR VOLUME 562 sq. ft. ESTIMATED COST $ 3,800 FE I $ 56.20 (CUBIC/SQUARE FEET) OWNER Same as Applicant B IFaf! �G%�C.�I� "'"'•�. Same as AppliCcIlItab ADDRESS WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pm p