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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. Signat of ap licant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans F3 Notes Fee Started 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 Chec Date Number B 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 /1 n Use Group Permit issued l 2Y y/& .k' � 19 Building Tr Fire Grading Permit Fee $ �� f Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ W TITLE CITY OF NORTHAMPTON g. MASSACHUSETTS • a OFFICE of the INSPECTOR of BUILDINGS �t T Page Plot—, l APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant tol complete all items in sections: I, 11, 111, IV, and IX. C) DISTRICT AT (LOCATION)LOCATION (NO.) (STREET) OF BETWEEN j' c /,,.1 }_ lr'- AND / , - / tip 1 �. BUILDING (CROSS STREET) (CROSS STREET) .. . . LOT I SUBDIVISION LOT `- BLOCK � =" SIZE N IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 D New building Residential Nonresidential 2 F-1 Addition(If residential, enter number 12 F-1 One family 18 Amusement, recreational of new housing units added, if any, in Part D, 13) 13 F for more family - Enter 19 Church, other religious number of units- - - - -> 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 �_� parking garage 4[::] Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (1l multi family residential, of units ------- - -- 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 n Hospital, institutional Part D, 13) 16 F7 Carport 24 Office, bank, professional 6 Moving (relocation) 17 D Other - Speci/y 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 'Stores, mercantile 28 Tanks, towers 8 Private (individual, corporation, ❑ 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 ..................... f 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) 40 L]- ublic or private company 48. Number of stories................ 31 -Wood frame 41 El 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 Pbblic or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 [D Gas Will there be central air 52. Outdoors........................ .� 36 [--fail conditioning? L. RESIDENTIAL BUILDINGS,ONLY 37 E7J Electricity 44 ❑ 45 Yes No 53. Number of bedrooms......v........ 38 Coal 39 Other - Specify Will there be an elevators 54. Number of Full.......... - 46 [ Yes 47 o bathrooms Partial........ DEPT. OF BUILDING INSPECTIONS BUILDING + % 212 Main Street oa Northampton, MA 01060 PERMIT a 32C - 142 VALIDATION April 20, 88 218 DATE 9 rmA ory 5tree 'IT IV O. e APPLICANT Paul I". Britt ADDRESS (N0.) (STREET) (C ONT R'S LICENSE) Alteration Apartments NUMBER OF PERMIT TO 1_I STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 317-319 Pleasant Street DIISTR CT GR (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 put second means of egress in the residential units hallway AREA OR ESTIMATED COST $ 3,500.00 PERMIT $ 16.00 VOLUME (CUBIC/SQUARE FEET) OWNER Michael S1 S$man - BUILDIN( 'T/. `� �✓° ADDRESS 16 Hampton BY �f WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pJNT P