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NOTES and Data — (For department use)
1 66 2Z-01-0
kA.,fS u L
j ar i Y
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and Stag ZIP code Tel. No.
596-y'7'�
Owner or
Lessee
Builder's
2. L ? f 1 �. y/'t� G/ �3 License No. V �� �.
Contractor
o 4/44,L a C�-
A 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.
not a at lica t Address Application date
2'?� z �
j 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 Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtta t ed Number By Permit or Approval Check Obtta tned 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 1 FOR DEPARTMENT USE ONLY
Permit number f
Building
�? Use Group
Permit issued J.�_ �' ,r._ � 19 c�
Building Q. Fire Grading
,D f t
Permit Fee c e _
Live Loading
Certificate of Occupancy $ Occupancy Load
Approv ld ,bb �+
Drain Tile „� "
.4
Plan Review Fee $
TITLE
'� • • '� CITY OF NORTHAMPTON
�• .� MASSACHUSETTS
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$ OFFICE of the INSPECTOR of BUILDINGS
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Page cil Plot APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: I, II, III, IIV,� and IX. O
I• AT (LOCATION) � 7 �� � � 1� �v""y ��1-J�Ud D�STRGTuFA
LOCATION (NO.) (STREET) T
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
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 0 Addition(! 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 C❑ Church, other religious
number of units— — — — —> 20 L❑ Industrial
3 Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 parking garage
4 ❑ Repair, 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 ❑
6 F-1 Moving (relocation) Carport 24 ❑ Office, bank, professional
17 Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
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•,•,••,,••.....• s 2J 4J t), 02 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 $ 2:5 ca), I
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,
all floors, based on exterior
32❑ Structural steel dimensions .....................
33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34 ❑ Other — Specify 42 L❑ 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........................
36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 ❑ Electricity 44 ❑ Yes 45 r 1 No 53. Number of bedrooms..............
38 ❑ Cool
39 ❑ Other — Specify Will there be an elevator° Full..........
46 r 54. Number of
l__� Yes 47 J No bathrooms
Partial.......
DEPT. AIMING INSPECTIONS BUILDING '°
! 212 Main Street Oa
Northampton, MA 01060 PERMIT 1'
29 - 291 VALIDATION
DATE April 14, 87 PERMIT 184
APPLICANT Carl Caivano ADDRESS eeaaaow Street, ` a ey
INO.) (STREET) (CONTR'S LICENSE)
Alteration One Family DwelligrBER OF
PERMIT TO (_1 STORY ELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
7 Acrebrook Dr. , Florence ZONING URA
AT (LOCATION) DISTRICT
(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 to replace existing deck with a 34'6'/2" X 16' L shaped
AREA OR 2, FEE
500.00 PERMIT $ 10.00
VOLUME ESTIMATED COST
(CUBIC/SOUARE FEET)
OWNER Pete Ki stenmacher BUILD(/ �`�/�/'-
ADDRESS 297 Acrebrook Drive BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSESSORS COPY p'INT SIIP