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11-007 iiiiiic PEPT.,OF BUILDING INSPECTIONS BUILDING �° jr '' 212 Main Street o< ` Northampton, MA 01060 PERMIT Ia- 4 11BD - 7 VALIDATION DATE OrtXXX 21 , 19 88 PERMIT NO_. 684 APPLICANT Behrens - Ma.ns.wr, Inc_ ADDRESS '14 CnrtirPlli St. . Florence 042663 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Repair/Alterations( I _STORY One Family DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 67 Country Way ZONING RR (NO.) (STREET) DISTRICT 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 to repair garage roof and siding replacement AREA OR r 5,600.00 PERMIT 24.00 VOLUME ESTIMATED COST W FEE (CUBIC/SQUARE FEET) OWNER StanP1y Rothman �y��' 1 �//;, ADDRESS 67 Country Way BY I /f7J ' Fig WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p'INT SIIP IV. IDENTIFICATION - To be completed by all applicants Name y Mailing address — Number, street, city, anr! State ZIP code Tel. No. owner or ✓ ,ver�y .Cn7�/� at',' ! G'd L�lJr �y r✓e Als '4,4e i/CPv /t(,*, car aG o -C-# 7- 7' Lessee !/ 2. UFfi(C��1 - .t�./Gl,� J C. < , License �T/CGf( I ✓/. ��{D. '�1�. Builder's ein No. ✓-/'(" 4,{;y; Contractor - e5 yz rL.,, 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 l . 11'6444W1.._ ,/f:' Carr C f-t tl ./7- a� -11 . 6�•��' 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 ate 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 (Os q Building issued ssued Per CO- 19 c62 Use Group P Building OL( Fire Grading Permit Live Loading ermit Fee $ Certificate of Occupancy $ Occupancy Load Appro by: Drain Tile Plan Review Fee $ TITLE - � CITY OF NORTHAMPTON A � � MASSACHUSETTS 28.1 );•' rcl OFFICE of the INSPECTOR of BUILDINGS ZA� � APPLICATION FOR ��, .� Page ii6b Plot ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. O ZONING I. AT (LOCATION) ` ` ecf.e.4 4At./ DISTRICT LOCATION (NO.) (STREET) la_ OF BETWEEN • .r!")..e. .(de • AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 'f 73 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 I 1 New building Resident'al Nonresidential 2 I I Addition(If residential, enter number 12 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 LA Church, other religious number of units— — — — —). 20 Li Industrial 3 I I Alteration (See 2 above) 14 I Transient hotel, motel, 21 raj Parking garage 4 I' Repair, replacement or dormitory — Enter number 5 I Wrecking (If multifamily residential, of units — -÷- 22 Li Service station, repair garage enter number of units in building in 15 I I Garage 23 [11 Hospital, institutional Part D, 13) 16 I I Carport 24I Office, bank, professional 6 I I Moving (relocation) 7 I I Foundation only 17 Li Other — Specify 25 LL Public utility 26 I School, library, other educational B. OWNERSHIP 6 i'e` t f- ©°"4 27 I Stores, mercantile 8 Private (individual, corporation, 28 I I Tanks, towers nonprofit institution, etc.) ,lF#n!,'t PI 'C."49"4/C 29 Li Other — Specify 9 I I Public (Federal, State, or oeP:ereer ere?c,,e./7- 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 $ '. Ca c:' 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 $ f 6C,eV 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 I I Masonry (wall bearing) 40 I Public or private company Number of stories / 31 I Aood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, bosed on exterior 32 I I Structural steel dimensions 33I Reinforced concrete H. TYPE OF WATER SUPPLY 34 L I Other — Specify 42 LJ Public or private company 50. Total land area, sq. ft. 43 I-1 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 I j Gas Will there be central air 52. Outdoors 36 Li Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 D Electricity 44 es I_.1 Yes 45 _-7' No 53. Number of bedrooms J 38 Li Coal 39 LL Other — Specify Will there be an elevator? Full T T 54. Number of 46 L 1 Yes 47 F- 1 No bathrooms Partial