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32C-128 (4) r • i � VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD " , NOTES IX. SITE OR PLOT PLAN — For Applicant Use & r ` ¢ a. kk ' -r I a a .� �. 9 C § d "T -�> H! ..�. 3 I b `I-i d' aa° § %'t' P 1. f dt �"�` .S i'f 1 $T'*�- g d�•. `Y""g' b�- r t r � r¢t"Ft f�- F I r :I p r44� .f� s 4i4 :11zl 3 ik 3 5 p e $$gg g �.Y i } 4�p -�- gg 9, � b Y k db� 5 j ¢ f ( ¢ g d. 4,4 h t 7 147 �i a f ' � 7 Y a + ... I a a 9 3 -P t- de t 4 t -�t •- I -yh { s '2-.-0r -tY`-... 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IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or P Lessee Bui Ider'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 d applicant Address Application date t j' D0 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B 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 FOR DEPARTMENT USE ONLY Permit number Building ��� Use Group Permit issued rL `� 19 ?t �— Fire Grading Building 7 Permit Fee Live Landing Occupancy Load Certificate of Occupancy Approved by: Drain Tile Plan Review Fee $ 1 TITLE NOTES and Data — (For department use) } r-r w.. ` CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND '=c BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o ZONING � I• AT (LOCATION) DISTRICTZ LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13Two or more family — Enter 19 ❑ Church, other religious 3 Alteration (See 2 above) number of units-- — — — --> 20 E:] Industrial � 14❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 F-1 Wrecking (If multifamily residential, of units --- --- — 22 Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17'p Other — Specify_ 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational Stores, mercantile B. OWNERSHIP 27 ❑ 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other — Specify 9 ❑ 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,,,,,,,••,,,,.., 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 $ ' - 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❑Masonry (wall bearing) 40r❑ Public or private company 48• Number of stories...: .=....... 49. Total square feet of floor area, 31 ❑Wood frame 41 ❑ Private (septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 F—] 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 �' Gas Will there be central air 52. Outdoors............�i conditioning? 36 El oil L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..a. n..:•.. 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47❑No bathrooms Partial....... I hereby certify that the proposed work is authorized by the owner of record t and 1 have been authorized by the owner to make this application as his _ - authorized agent. G _ SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPARTMENT OF BUILDING INSPECTIONS z DEPT. FILE COPY o 212 MAIN STREET 'o< NORTHAMPTONV MA. 01060 BUILDING as PERMIT VALIDATION 32C 128 Code #79 DATE FebruSrv_ 4, 19 80 PERMIT NO. 59 APPLICANT t et And .7nh1nstnn ADDRESS 42 Fruit (No.) (STREET) (CONTR'S LICENSE) PERMIT TO Wood Ci NUMBER OF Ye (�_) STORY For T�A(]rht'CLling StAVe DWELLING UNITS 2 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 42 Fruit D STR CT URIC (NO.) (STREET) BETWEEN AND (CROSS STREET) a (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE a U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY - FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) U. REMARKS: Tnatall wAonr1 h1 _�IIg StAVip in existing chi ney. AREA OR PERMIT VOLUME ESTIMATED COST FEE $ 10-00 (CUBIC/SQUARE FEET) OWNER 1,61 nnrl Johnston BUILD[ G ADDRESS 42 Fruit Stre6ty N' tone BY __C - �j _ [Affidavit on reverse side of application to be completed by authors agent of owner) e Ak E = A � t� Wkw V41 RNA JS I[ r �*t R : � r r ,c c r, s, c. o f i, VI PRE Roil a � � pint•',='P, .4. .�