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Contractor 3. 44-r Architect of 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 applicant Address � Application date n /ge,' - Z-7[ / C7c*-1/ 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 ,S" FOR DEPARTMENT USE ONLY Permit number Building. Use Group o� Permit issued f e , 19R'g Buildin v V / Fire Grading Permit Fee $ '/1 - -� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE r l��• CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS �„ � Page Jj — Plot //z ' APPL I CATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. O I. .7 ` ? "., "_ ZONING �' .f AT (LOCATION) l 'L-Z:C G t DISTRICT LOCATION �//�� (NO.) (STREET) OF BETWEEN *C.%�-37-e /rt j eC1u / tC 1[c'r.. ,�.. t-- AND BUILDING / (CROSS ST EET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE VI II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -I 73 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use fn m -I 1 I ew building Residential Nonresidential 2 Addition(If residential, enter number 12I One family 18 Li Amusement, recreational of new housing units added, if any, in Part D, 13) 13 I Two or more family — Enter 19 I Church, other religious number of units— — — — --0. 20 I Industrial 3 I Alteration (See 2 above) 14 Transient hotel, motel, 4 Li Repair, replacement 21 I-1 Parking garage P P or dormitory — Enter number 22 Li Service station, repair garage 5 LA Wrecking (If multifamily residential, of units — enter number of units in building in 15 I y/' Garage 23 I I Hospital, institutional Part D, 13) 16 I Carport 24 Li Office, bank, professional 6 Li Moving (relocation) 7 Li Foundation only 17 Li Other — Specify 25 Li Public utility 26 I School, library, other educational B. OWNERSHIP 27 I I Stores, mercantile 8 �/ Private (individual, corporation, 28 I Tanks, towers nonprofit institution, etc.) 29 L 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 $ C .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 t, Ct` // / �� .L b. Plumbing 4ic`1-1_ . y,,i.;2. G�,- ---:",y; c -z. .mac. 77 4; c. Heating, air conditioning / Cam ,/ d. Other (elevator, etc.) 11. TOTAL COST OF IMPROVEMENT $ ' ,me) 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 Public or private company Number of stories 31 I 1 Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 ViStructural steel dimensions _ ,/J C'L 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY ‘.5. X 7'Q 34 Li Other — Specify 42 [[Public or private company 50. Total land area, sq. ft. 43 L 1 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed 35 1 Gas Will there be central air 52. Outdoors i 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ET, Electricity 44 [j Yes 45 No 53. Number of bedrooms 38 Li Coal 39 L- i Other — Specify Will there be an elevator' Full 54. Number of 46 [ 1 Yes 47 LiZi No bathrooms Partial .. 1 I hereby certify that the proposed work is authorized by the owner of 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 . /2,10/2 0 --/---0.4.4."1.412ajtePot9 •to4 c . . e e DEPT. FILE COPY DEPARTMENT OF BIIIINc INSPECTIONS , . BUILDING �a 4 8'/_ Oo /4-03— Sp 212 MAIN STREET PERMIT NORTHAMPTON, MA, 01060 VALIDATION 32C - 108 DATE October 3, 19 80 PERMIT NO. 530 APPLICANT Fra,k K. Fournier 'AD,pp sS (NO.) (STREET) �,. (CONTR•S LICENSE) ''NUMBER OF PERMIT TO Additior ( 1 .) STORY Repair shoo DWELLING UNITS (TYPE OF IMPROVEMENT) NO. - (PROPOSERwsE) AT (LOCATION) 36 Smith D STN CT ST. (N0.) ((( it,"0.0.1 ET) a BETWEEN Cons AND Pleasant A (CRO TR (CROSS STREET) LOT \\e\V d SUB DIVISION LOT BLOCK SIZE tytAddition p 9XIXI�IXYIS TO BE. 50 F :• 0 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION ci , z TO TYPE USE GROUP /jJ BASEMENT WALLS OR FOUNDATION I / (TYPE) IL REMARKS: Addition to welding and steel fabrication spring repair shop -.0/412' 5411*--4/1.- .."... AREA VOLUME 3500 ESTIMATED COST $ 27,000 FEEMIT $ 81'00 (CUBIC/SQUARE FEET) OWNER Ralph & Mary Thompson, BUILDIN'. DEPT �+' ADDRESS 36 Smith St'reeE'E Nnxthawptr+U, Ma, 01060 BY „ _ i`4 J�� A../ (Affidavit on reverse side of application to be completed by authorized-agent f owner)