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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. $.nature of applicant A djss ei c f�.., Application date `/ 5 a o DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y 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 Permit number Building Permit issued :, _ . � 197Z Building Permit Fee $ v� - _ (1 Certificate of Occupancy S 9 6 Approved by: Drain Tile Plan Review Fee S C 'rz e f, I ✓ � "�C -'L-/ TITLE # "> ` 4 C�ixt . of Nort�i.mpton . ,r . .+ :1 4 jIxssarIntsetts 4T➢ 0∎ Office of the JttopErtor of 'Builbittgs APPLICATION FOR Page T 5 �- Plot ZONING PERMIT AND 9 BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. Z O y ZONING 0i2 /4 I. AT (LOCATION) �rli�� t DISTRICT LOCATION (NO') (STREET) / 1 . -'• OF BETWEEN t"' t R. R l.J - 1_ AND 04---0 r/5/2•2y , /CL''r' 0 BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION W/ /j LOT BLOCK S LO E " C 4 C t Cl) II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m A. TYPE OF IMPROVEMENT D. PROPOSED USE — For "Wrecking" most recent use m 1 ® New building Residential Nonresidential 2 I I Addition (If residential, enter number 12 I I One family 18 Amusement, recreational of new housing units added, if any, in Part D, 13) 13 I I Two or more family — Enter 19 Church, other religious number of units— — — — —>. 20 Industrial 3 I Alteration (See 2 above) 14 I I Transient hotel, motel, 21 Parking garage 4 I 1 Repair, replacement or dormitory — Enter number 5 V:1 Wrecking (If multifamily residential, of units — . 22 Service station, repair garage enter number of units in building in 15 l I Garage 23 Hospital, institutional Part D, 13) 16 I I Carport 24 Office, bank, professional 6I 1 Moving (relocation) 17 I I Other — Specify 25 Public utility 7I 1 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 X Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 I Other — Specify 9 I I Public (Federal, State, or '.- EL local government) ' [ L (.?tom C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food �y� processing plant, machine shop, laundry building at hospital, elementary Q2S 10. Cost of improvement $ t GoO 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 above cost t � a. Electrical �� Wfrth..4.1.1 ) .� w■ll. (3 i a.411"*.14AAJZIL b. Plumbing v , ` � A J w c. Heating, air conditioning C/456:44 d. Other (elevator, etc.) '�" L _ - 11. TOTAL COST OF IMPROVEMENT $ ,v;e .o _ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part .1, for all others skip to IV. y GI E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ate_ m 48. 30 L J Masonry (wall bearing) 40 II Public or private company Number of stories 31 I I Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior O 32 ® Structural steel dimensions 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY 34 I I Other — Specify 42 I Public or private company 50. Total land area, sq. ft. 43 I I Private (well, cistern) K. NUMBER OF OFF STREET PARKING SPACES 51. Enclosed F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 0 —I 35 I I Gas Will there be central air 52. Outdoors 36 I 1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 I I Electricity 44 I Yes 45 riti No 53. Number of bedrooms 38 I . 1 Coal 39 I Other — Specify Will there be an elevator? Full 54. Number of 46 I 1 Yes 47 INo bathrooms Partial I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make thjs aRpficatkon -as his authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19_ . DEPT. FILE COPY ] O CITY OF NORTHAMPTON BUILDING a a NORTHAMPTON, MA. 01060 PERMIT VALIDATION 250 — 25/ DATE April 20, 19 78 PERMIT NO. 112 APPLICANT Three County Fatr Anson. ADDRESS (No.) Fair St ST � EE N T) ton. (CONTR'S LICENSE) OF PERMIT TOT)Ofl 11i A1 ill k Pa Ai ( 1 ) STORY Exhibition Hall DWE UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) Bridge Street, Northampton DISTRICT URA- (NO.) (STREET) a BETWEEN Fair AND 01 d Ferry Road b (CROSS STREET) (CROSS STREET) a LOT B. SUBDIVISION LOT BLOCK SIZE m a ,^, LP BUILDING IS TO BE `t0 FT. WIDE BY 100 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I (TYPE) K IL REMARKS: T)Rmrll i ti on of ripnolgji bl rig. — Conntruot exhi tai on ha11 AREA OR p ;Er VOLUME ESTIMATED COST $ 20,000 FEE .$. 8 (CUBIC /SQUARE FEET) I, OWNER Three CoUnta-FOir_ARROe. r, J / / . t di BUI . ADDRESS Fai Street, N'tnn. BY �. (Affidavit on reverse side of application to be completed by authorized agent of owner)