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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. �if/ 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 ownejto make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date yuuaC•-, A0,44 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained 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 �.�'`�''�' t 19 Building //•+., Fire Grading Permit Fee $ �l1' Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of UILDINGS Page cs Plot APPLICATION FOR $ T ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant/to'complete all items in sections: 1, 11, 111, IV, and IX. C) 7y D� 1• AT (LOCATION) ol77 /- � s/� .j- �a v DIISTR CT a LOCATION (NO') (STREET) !!// OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn rn 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 number of units- - - - � 20❑ Industrial 3 Alteration (See 2 above) 14 l Transient hotel, mote , ❑ 21 ❑ Parking garage 4 Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (11 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) 25❑ Public utility 17� Other - SpeciJy 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 ,G processing plant, machine shop, laundry building at hospital, elementary school, secondary school, college, parochial school, parking garage for. 10. Cost of improvement,•,,,.,••....... 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 48. Number of stories............... 30& Masonry (wall bearing) 40 Public or private company 31 [�] Wood frame 410 Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32F-1 Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 42 Public or private company 50. Total land area, sq. ft. ........... 34 � Other - SpeciJy � p 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. 38 Coal 39 ❑ Other - .Specify Will there be on elevator? 54. Number of Full.......... - 46 ❑ Yes 47 'i_Stl No bathrooms ter— Partial...... a D. !!r. OF BUILDING INSPECTIONS BUILDING o ! 212 Main Street Northampton, MA 01060 PERMIT L1L1(!fL1L1L1 32C - 149 VALIDATION 302 D.A. Williams DATE June 9, Water t;E eeCV 2 APPLICANT ADDRESS (N0.) (STREET) ICONTR'S LICENSE) Apartment NUMBER OF PERMIT TO Interior Alterations(_) STORY p DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 277 Pleasant Street - Second Floor (Left ZONING B 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: ermitywvwX -AX for interior alterations to XREDUM existing apartment AREA OR 5 000.00 .� VOLUME 00 PERMIT 20� ESTIMATED COST � FEE (CUBIC/SOUARE FEET) OWNER William McCarthy BUILDI n ! BY r� ADDRESS WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I,2-NIP