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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or Lessee ^'�! Builder's 2. D./y( rsz eS.T Vi,66 V7;Y'7701V 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 of applicant Address '--�4 1 Application date Osd 60 DO NOT WRITE FLOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Dote Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained Number By Permit or Approval Check Date 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 Building / i Use Group Permit issued l {q , 19� Building T— Fire Grading Permit Fee $ � C CJ( Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page Plot ign APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) �� / >o�ci&,41vr rancc t ns DISTRICT LOCATION IN 0.) (STREET) -p�-��� OF BETWEEN .�;//F G�..,1' Alt-::- AND- tAL_a C �/I 0K- BUILDING CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 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) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious 3 Iteration (See 2 above) number of units- - - - -•> 20❑Industrial 14 ❑ Transient hotel, motel, 21 C� parking garage 4 epoir, replacement or dormitory - Enter number 5 ❑ 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 ❑ Other — SpeciJy 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27�Stores, mercantile Ye �- 6 ® 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, en er proposed I se. in the above cost a. Electrical..................... iw w b. Plumbing ..................... t c. Heating, air conditioning........ Sn7 ` d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ tvo' 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) 40 Public or private company 48. Number of stories.............. 31`� Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, r all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 [X 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 X Gas Will there be central air 52. Outdoors........................ . r 36 ❑ Oil � L. RESIDENTIAL BUILDINGS ONLY � 37 C7 Electricity 44 X Yes k' �45 - .! No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevatorP Full.......... - 54. Number of 46 n Yes 47 N No bathrooms Partial........ i DEPT. OF BUILDING INSPECTIONS BUILDING z°- Do - cc 212 Main Street Oa Northampton, MA 01060 PERMIT 32C - 140 VALIDATION DATE October 14, 19 86 PERMIT NO. 607 APPLICANT AMTEC INC. ADDRESS P.O.Box 850, West Side Station 016894 (NO.) (STREET) (CONTR'S LICENSE) Interior Alteration NUMBER OF PERMIT TO S(„) STORY Retail Space/Existing UNITS (TYPE Of IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 351 Pleasant Street 0ISTR CT GB (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBOIVISION 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 interior alterations to existing retail space "MAILBOXES ETC." AREA OR PERMIT �� 00 VOLUME ESTIMATED COST FEE L�l�]1lL_ (CUBIC/SQUARE FEET) OWNER Susan M 11llWPl l — BUILDI ADDRESS _ 98 Deerf1Pld Dr- , Nort.hAmnt.nn, Mass- 01060 BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNf" 'P