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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 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date P y lans B Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtai ed Number By Permit or Approval Check Obtained 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 1 FOR DEPARTMENT USE ONLY Permit number Bui Win g' z Use Group Permit issued 1 � / 10 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ occupancy Load Appr ed by: Drain Tile G1; Plan Review Fee TITLE CITY OF NORTHAMPTON g• " " MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS A Page Plot — APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, It, Ill, IV, and IX. O Q ZONING j� I• AT (LOCATION) V IJi�Y-D.0 ST _ DISTRICT° LOCATION (NO.) (STREET) OF BETWEEN QIV-)cl ^ P,—Ci A'XQZc 11 T AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —f A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If 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— — — — --)w 20❑ Industrial iteration (See 2 above) 14 l l t h i Transent hotel, mote , ❑ 21 ❑J Parking garage 4 Repair, replacement or dormitory — Enter number 5 ❑ 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 ❑ p 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 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,,,,,,,,,,,,,,,, JOB. 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..................... 2:itS b. Plumbing ..................... c. Heating, air conditioning.......... d. Other(elevator, etc.)............. / 11. TOTAL COST OF IMPROVEMENT s (� © (j, 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 WAGE DISPOSAL J. DIMENSIONS 30 48. Number of stories.............. L] Mo onry (wall bearing) 40 Public or private company ' 31 cod frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... ,�fJ 33 ❑ Reinforced concrete H. TYPE 0 WATER SUPPLY u��/ 50. Total land area, sq. ft. ........... 34 ❑ Other — Specify 42 Public or private company 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINC^L TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 �� Gas Will there be central air 52. Outdoors........................ �( 36 ❑ Oil conditioning? /o L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevators Full.......... 54. Number of 46 [ ] Yes 47 No bathrooms Partial....... Dp artment of Building Inspections 212 Main Street Northampton, Mass02060 BUILDING o° t( . L� PERMIT 32A - 59 VALIDATION DATE January 18, i9 84 PERMIT NO. 29 APPLICANT Kevin C. Netto ADDRESS 68 Union Strpet 001.11 (NO.) (STREET) (CONTR'S LICENSE) Existing 3 Family House NUMBER OF PERMIT TO Repair, Replacement) STORY DWELLING UNITS _ (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 68 Union Street ZONING 11HC: AT (LOCATION) 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 (TYPE) permit to remove old plaster, insulate, new windows, renovation of existing apt. REMARKS: AREA OR 6,000.00 PERMIT $ 16.00 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) r Frank Netto OWNER Union St. , Northampton, Mass. 01060 BUIL ADDRESS BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY