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17D-013 (4)
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Name Mailing address eA� #1 ,!,i ! /�cerd addres ss s — .umber, street, cit / , � ara(1 S[n ZIP code Tel. No. 1. Owner or /,C / S ✓ �Oi' i/ j 13"763``t - 7 / ' Sl " orr,T/� / of ©G G 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 / /� DO 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 Obtained 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 Permit issued 19 r Use Group Building Fire Grading Permit Fee $ __ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee $ / • CITY OF NORTHAMPTON 4.,Sififit 4 ,. . MASSACHUSETTS . .. „1 ) . i 4 _ OFFICE of the INSPECTOR of BUILDINGS V! , r mnc !.. ! 3 .,�• Pa ;' Pl ot A APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 0 ns: 1, II, III, IV, and IX. I. C; riff / / � [�- _.`; _.`; /� / ,/ -r V /+ ZONING AT (LOCATI 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 -I A. TYPE OF IMPROVEMENT D. PROPOSED USE - For "Wrecking" most recent use rn —I 1 XI New building Residential Nonresidential 2 LL Addition (If residential, enter number 121 I One family 18 I Amusement, recreational of new housing units added, if any, in Part D, 13) 13,,1 Two or more family - Enter 19 I I Church, other religious number of units- - - - -0. 20 L I i Industrial 3 LA Alteration (See 2 above) 14 I I Transient hotel, motel, 21 L Parking garage 4 I Repair, replacement or dormitory - Enter number 5 LJ Wrecking (If multifamily residential, of units - 22 I I Service station, repair garage enter number of units in building in 15 I I Garage 23 r--1 Hospital, institutional Part D, 13) 1 16 Carport 24 Li Office, bank, professional 6 Li Moving (relocation) 17 Li Other - Specify 251 Public utility 7 Li Foundation only / i 26 LJ School, library, other educational B. OWNERSHIP S ✓L. ✓A. .L /LJ 27 L1 Stores, mercantile 8,4 Private (individual, corporation, a 28 I Tanks, towers nonprofit institution, etc.) Or //id..../ 29 `_J Other - Specify 9 I I 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 $7) 6 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.)_ �y 11. TOTAL COST OF IMPROVEMENT $ f� -- d�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 SEWAGE DISPOSAL J. DIMENSIONS 30 fl Masonry (wall bearing) 40 Public or private company 48. Number of stories .,-.---•-•• 31 Wood frame 41 Li Private (septic tank, etc.) 49. Total square feet of floor area, all floors, base,c1,op e eri,sr / 32 Li Structural steel dimensions .. . 7. 33 Li Reinforced concrete H. TYPE OF WATER SUPPLY 34 L-1 O ther - Specify 42 I 1e Public or private company 50. Total land area, sq. ft. 43 Li Private (well, cistern) K. NUMBER OF OFF- STREET PARKING SPACES 51. Enclosed F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 *1 Gas Will there be central air 52. Outdoors 47 36 L 1 O il conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 LJ E lectricity 44 Hi Yes 45 ")C.I No 53. Number of bedrooms 6/ 38 LL Coal 39 L_J O ther - Specify Will there be an elevator' Full 54. Number of �� 46 r_ - I Yes 47 71 No bathrooms Partial Deparimont of Bnildisg Inipee o -4 -- 212 Main Street . Northampton, Ma, 01060 ,w. j ,. ' t , ,: _. ' PERMIT 2* `G'•O t� 4;4A 11D • 13 VALIDATION _ _ DATE _ � 19 i PERMIT NO. 111 APPLICANT LOUIS Fientseiery, St„ ADDRESS / Straw Ar St„ ., (NO.) (STREET) ) (CONTR'S LICENSE) NUME OF PERMIT TO Foundation ooly `..(1___) r ORY 2 f &ai b DWE UNITS '"2 TORY (TYPE OF IMPROVEMENT) NO. ( PROPOSED USE) t AT (LOCATION) airfield il1d , 'aBtlia ZONING DISTRICT U (NO.) (STREET) 4 BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Foundation TO BE 26 FT. WIDE BY 46 t FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 4 (TYPE) REMARKS: Ytl1$4 ttj,on permit only 1 c s.e.t/j44.4°. AREA OR VOLUME ESTIMATED COST $ 2 FEEMIT $ 1n„n (CUBIC/SQUARE FEET) - OWNER . 1 eta`!►, 044 i / r BUILD G D - ADDRESS 116 Serrmoimm0, Serthon tuft, M*, 01460 BY r . * d s ,.�j. WHITE- FILE COPY • GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK - ASSESSORS COPY vr ~• r A i , r , Department of Building Inspections - ' 212.1 Street Northampton, Ma. 01060 BUILDING zo • 17D 13 PERMIT 2; ,d,4 /O. v� 9 A,4 ,4 VALIDATION DATE April 5, 19 82 PERMIT NO. 111 APPLICANT Louis Montgomery, Jr, ADDRESS 116 Strew Ave_ (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Foundation only (2—_) STORY 7 family on DWELLING UNITS 2 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Garfield Avenue DONIRG 1TR8 DiSTRlCT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Foundation $IXICXXXys TO BE 26 FT. WIDE BY 46 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Foundation permit only AREA VOLUME ESTIMATED COST $ 7 50O FEEMIT $ 10,00 (CUBIC /SQUARE FEET) OWNER Low is Mnn tgpmiy, Mr / BUILD G D - . / ADDRESS 116 Str a Ave_, Northampton, MA 01060 BY —.% . ..6. ` =� �� WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY