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18-022 (3) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT Z, USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN For Applicant Use 4,11111 tT k—1 + --l'P-z444 4-4�Jw.14-TT- - "-''- 4,r o- d P r- ,f t-7 t ¢ -t .TM .. i�� t i € I'll Y-1111 I i 4 -L-I gl �-pl� -i —z--'4-4 tj 4 'Hut ql� 'r:—] "T7 I Al 4-1 § p `77; + ZT t P14 Ht+ "44-- 1 p . a + t t4l't- 4 4- 4. + I -4 i+l ff �-All -7 i4141 1 -1 4- 4 r Jfl, V-, -q- "M'-fT Tlr qt `a€1 14 11-11-4i ,-+1 11114- t 1"rl t't 44 1J,:�'011111 411 �,4 44 + 'FT "I i r rt-1 s 11 1 14 i+4 4,t, -44J� 444;- All T T111 tL Mlljltl'�F -uppit:np, N f +-H 44 4f i*4- fi + L: 3 41 1:114, iw4- "; 40 4 iAA BOCA FORM APEBP - 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address Number, street, city, and State ZIP code Tel. No. Owner or Lessee < Builder's 2. t T� License No. Contractor 3. el 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 0 0 N 4/T WRITE B E L 0 W T H I S L I N E 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 $ 1 OTHER 1 1$ 1 V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check o Date ne Number By Permit or Approval Checkl Dole in Number By bta id Obta ed 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 Fire Grading Permit Fee $ A!1,1942 Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee T TL NOTES and Data — (For department use) `- C- — CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o ZONING �� s 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 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 3 Alteration (See 2 above) 14 ll h Transient hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 22 ❑ Service station, repair garage 5 ❑ Wrecking (If multifamily residential, of units ——————— — -� 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 27 ❑ Stores, mercantile 8,V] Private (individual, corporation, 28 Tanks, towers f/. 1 nonprofit institution, etc.) 29V 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•,,,,,,••,,••.•• ( C school, secondary school, college, parochial school, parking garage for. 1 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. / y b. Plumbing c. Heating, air conditioning.......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ !C•f C �.' III. SELECTED CHARACTERISTICS OF B ILDING — 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) 40X Public or private company 48• Number of stories................ 3 —J Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on 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 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors........................ 315,V1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 3'iM 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....... L. hereby certify that the proposed work is authorized by the owner oaf record and I 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 19 f DEPT. FILE COPY _1�0" OF BUILDING INSPECTIONS O° 2 IL ..2 MAIN STREET BUILDING NoRTx.AmmN. mA. 01060 PERMIT VALIDATION 18AB - 22 DATE April 6, 19 7— PERMIT NO. 114 APPLICANT_ 77r1 @P_ _ K�rAVeG jr. ADDRESS 222 Park Hill Rd- . NI-ton (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Alter Mub (_) STORY Basement DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) en©ke AyenLe DISTRICT (NO.) (STREET) rn BETWEEN AND eo (CROSS STREET) (CROSS STREET) rn LOT a SUBDIVISION LOT BLOCK SIZE m V O BUILDING IS TO.BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M Ci Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION � (TYPE) Q: O xndex LL REMARKS: AREA OR ESTIMATED COST $ 3.000 FEEMIT 10.00 VOLUME (CUBIC/SQUARE FEET) OWNER Xortha =-t©n Indge #614 r yal Order of Dose ]K8. 01060 BUILDI G D ,2�eoj� ADDRESS Cooke 144eAti @• NO2't)il&fl'lpt�OAs BY (Affidavit on reverse side of application to be completed by authorized agent of owner)