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M , BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, strut, city, and State ZIP code Tel. No. Owner or "E'� Lessee Builder's 2. 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 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By 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 Obta ned 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 FOR DEPARTMENT USE ONLY Permit number Building 7 Use Group Permit issued 1 y 19� Building L.1 E;/ t Fire Grading Permit Fee $ l�f C5IL7 Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE NOTES and Data — (For department use) CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND j� BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 C �I i �^ �, ZONING I• AT (LOCATION) `� L— �� :�;e��>4._J DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 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 m 1 New building Residential Nonresidential LJ 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 fami ly - Enter 19 ❑ Church, other religious number of units- - - - -+.3 F-1 Alteration (See 2 above) 20 ❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ 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 Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 1� Other - SpeciJy 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP _/� ``%" -ET 27 ❑ Stores, mercantile 28 ❑ Tanks, towers Private (individual, corporation, Specify Other - nonprofit institution, etc.) 29 ❑ P fy 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,,,,,,,,,,,,,,,, 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 $ Z4 OOG 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.......1........ 31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based a exterior 32 Structural steel dimensions ..�!+ .. ..:��... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY / 34❑ Other - Specify 42 F7 Public or private company 50. Total land area, sq. ft. ........... 43 ❑ 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............-......... 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other - Specify Will there be an elevator? F 54. Number of ull.......... 46 ❑ Yes 47❑ No bathrooms Partial....... I hereby certify that the proposed work is authorized by 'the'owner of- record and 1 have been authorized by the owner to make this application as his authorized agent. — -- SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE }q Q A_ DEPT. FILE COPY DEP.ARTNUIT OP BUILDING INSPECTIONS (J ;O 1 212 MAIN STREET BUILDING Q a NoRTHAMP':L'ON, MA. 01060 PERMIT VALIDATION 2 — 1 y, DATE July 24, 19 79 PERMIT NO. ?� APPLICANT Walter Jager ADDRESS 600 NA PArng Rd. (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO a5't[]Z' gB Shed (�_) STORY StaragA ghAd DWELLING UNITS (TYPE OF IMPROVEMENT) NO. PROPOSED USE) ZONING RR AT (LOCATION) 602 N© Pars g Road — DISTRICT (NO.) (STREET) a BETWEEN AND �o (CROSS.STREET) (CROSS STREET) a LOT a. SUBDIVISION LOT BLOCK SIZE m p BUILDING IS TO BE 14 FT. WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) I LL REMARKS: .nnatrvnt a+nrage Shed 8 @e Psmsi # 1r;4 &y 12, 1977 — AREA OR ESTIMATED COST $ 10o0 FEEMIT 1©�Od VOLUME (CUBIC!SQUARE FEET) OWNER Walter Jager BUILDIN DE 1 ADDRESS Hn7 No, Parma Rd, , N'tan� BY (Affidavit on reverse side of application to be completed by authorize agent of owner) OrK