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A (��1,L"`_" "_`'�' ' Architect or Engineer s•%`��('� � Ot_ 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 o 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 Permit or Approval Check Date Number By Permit or Approval Check Date Number B pp Obtained y pp Obtained 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 7 / FOR DEPARTMENT USE ONLY / Permit number Building Permit issued ��� i 7 f 9c?J Use Group Building / Fire Grading Permit Fee $ Jf 77-a v Live Loading Certificate of Occupancy $ Occupancy Load Ap. oedb . Drain Tile $ "GA, Plan Review Fee $ TITLE -- 1 - CITY OF NORTHAMPTON Ate`"- ,i,.!4 MASSACHUSETTS ='8.;% :i; ra OFFICE of the INSPECTOR of BUILDINGS asim^k .,T.- Page Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete,all��{l�l items in sections: I, II, Ill, IV, and IX. o I. AT (LOCATION) g;,2 �do�/t .�✓e ZONING ( ZONING �� LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H 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 m m 1 I I New building Residential Nonresidential 2I I Addition Of residential, enter number 12 I I One family 18 I I Amusement, recreational of new housing units added, if any, in Part D, 13) 13 I I Two or more family - Enter 19 LJ Church, other religious number of units- - - - -i 20[_ 1 Industrial 3 I I Alteration (See 2 above) 14 I 1 Transient hotel, motel, 21 r] Parking garage 4 I I Repair, replacement or dormitory - Enter number 5 I Wrecking (11 multifamily residential, of units - - . 22 r---1 Service station, repair garage enter number of units in building in 15 I Garage 23 Ll Hospital, institutional Part D, 13) 16 Carport 24 r-1 Office=professi onal 6 I I Moving (relocation) 17 I I Other - Specify 25 Li Public utility 7 i I Foundation only 26 I I School, library, other educational B. OWNERSHIP 27 I I Stores, mercantile 8 LJ Private (individual, corporation, 28 I I Tanks, towers nonprofit institution, etc.) 29 Li Other - Specify 9 I 1 Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food I� '_ $ 1 l/) processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement �J7.f) 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 ...5Y76'0---", ( /r/ay%-✓ ..,i Lr.,.. to ,,,.. . C.,/ y,M L:41-i-#j b. Plumbing % !�{1 J�C]/jt/� (3 e6 /Cr c. Heating, air conditioning &&. d. Other (elevator, etc.) • 11. TOTAL COST OF IMPROVEMENT $F-7 VO0' 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 N Masonry (wall bearing) 40 LI Li Public or private company 48. Number of stories 31 I I Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 I I Structural steel dimensions 33 I 1 Reinforced concrete H. TYPE OF WATER SUPPLY 34 I Other - Specify 42 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 I I Gas Will there be central air 52. Outdoors 36 L I Oil conditioning' L. RESIDENTIAL BUILDINGS ONLY 37 FA Electricity 44 L i Yes 45 rl No 53. Number of bedrooms 38 I I Coal 39 L_I Other - Specify Will there be on elevator' Full 54. Number of 46 L Yes 47 Ti No bathrooms Partial . .4;t:, DEPT. OF BUR.DING INSPECTIONS BUILDING b 3 \ ��.� (x "* `,2*, 212 Main Street PERMIT a 1 t . __T,; Northampton, MA 01060 PE 4 31B - 311 VALIDATION DATE February 17, 19 PERMIT NO. 74 APPLICANT D.A. Sullivan & Sons ADDRESS North Street, Northampton 024306 (NO.) (STREET) ICONTR'S LICENSE) Reno. & Addition Bank/NIS NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 42 Gothic Street ZONIN CT CB SX V (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) ` LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit for renovations and addition to Heritage NIS Bank AREA OR VOLUME ESTIMATED COST 878.000.00 FEEMIT 3,124.00 (CUBIC/SQUARE FEET) OWNER Heritage NIS Bank k ��9 Main BU I LB�ii�DM ADDRESS Main St. . Northampton BY WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNT Sllp P