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EEES E: :a FsH••s•a•ls••s:ss:!! ssrsssFaela�FF:s':as:'ar.'...'•z. :.. I:EEa:eeEE:F man mum RIM111 li�=� !! :lS�ati Ali;.� ��rl�!="nin nnupons: NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. 1�\ Of0C3 Owner or Lessee Builder's 1. (L / 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. Signatur of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plan By s By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS ate Permit or Approval Check Obtained Number By Permit or Approval Check Date 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 �, ,. Use Group Permit issued 19 Building .l Fire Grading Permit Fee is V Live Loading Certificate of Occupancy $ Occupancy Load Appr by: Drain Tile $ ` Plan Review Fee $ TITLE _ CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of th INSPECTOR of BUILDINGS Page Plot 17 APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all ja ill items in sections: 1, 11, 111, IV, and IX. �j� O I. �R K>=�/� ROnn ZONING // AT (LOCATION) �'t r DISTRI ♦f� LOCATION y� (NO.) S REET) OF BETWEEN .,iou�C �t-Pan AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M m 1 ❑ New building Residential Nonresidential 2 ❑ Addition(I/ residential, enter number 12 ❑ One family 1B ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑� Church, other religious number o/ unransient its— — — —- -� 20 �❑ Industrial 3 ® Alteration (See 2 above) p,Y�e 14 T hotel, motel, ❑ 21 El Parking garage 40 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 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) 17 ❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP or 9`LI) X�Z�a xwc& 27 ❑ Stores, mercantile 8 ® Private (individual, corporation, 28 0 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,,,,,,,,,,,,,,,, ( 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................ 2- 31 Wood frame 41 L9 Private (septic tank, etc.) 49. T square feet floor area, 4� alll l floors, based on n exterior 32 ❑ Structural steel dimensions .................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY n� 34 ❑ Other — .Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... �K��-� 43 X7 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 37 ❑ Electricity 44 ❑ Yes 45 ! No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial....... I DEFT. OF"BUILDING INSPECTIONS BUILDING z 9 ! 212 Main Street 04 1 / Northampton, MA 01060 PERMIT 4 -17 VALIDATION DATE June 4, 19 87 PERMIT NO, 343 APPLICANT William Turomsha ADDRESS Front Street 000515 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO OF Alteration/addition( Deck NUMBE_) TORY -DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 582 Kennedy Road ZONING RR AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT _BLOCK SIZE DECK 4y H IS TO BE FT. WIDE BY 1�FT. LONG BY_ FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS; permit for the dX X construction of an attached deck to the existing dwelling AREA OR 108 sq. ft. 4,000.00 PERMIT 16.00 VOLUME ESTIMATED COST .$ FEE $ (CUBIC/SQUARE FEET) OWNER Dr Richard Hinckley BUIL '- - " 'F Jf ADDRESS 582 Kennedy Rd_ _ Leeds ___ BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY po.,.fp