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Gillen, Kuhn, 26 South Prospect St. Amherst MA 01002 253-2528 Architect or Engineer Riddle & Gray 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 t is application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signs o a I' ant Address Application date 13 Bardwell St. Florence, MA 01060 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD - For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans g Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obta n a ed Number By Permit or Approval Check Obtt t ed 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 II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building_ i^• Use Group Permit issued �.t.�Pr r� 19�_ Building Fire Grading Permit Fee $ ° O ' OO Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ � n •_ _ IL(ir,r- Plan Review Fee $ TITLE CITY OF NORTHAMPTON �• . MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page 32-C Plot 165 APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O ZONING AT (LOCATION) I2 9—A Pleasant acct. Northampton, MA 01060 DISTRICT Q_ LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT { BLOCK XX= 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 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 Pau D, 13) 13 ❑ Two or more family - Enter 19 ❑ Church, other religious number of units- - - - --en > 1 20❑ Industrial 3 ® Alteration (See 2 above) 14 Transit hotel, motel, ❑ 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❑ 6 ❑ Moving (relocation) Carport 24❑ Office, bank, professional 7 ❑ Foundation only 17 F-1 Other - Specify 25❑ Public utility 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..599,700 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..................... 155,000 Restaruant , N)Rs► ivu�vl�" °``� •1 b. Plumbing ..illQl,...5P iX1Ue 115 000 c. Heating, air conditioning......... 130,000 d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT Is 999,700 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................ 2 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 25,100 32 F-1 Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 ® Public or private company 50. Total land area, sq. ft. ..........• 101,860 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 — 0iI conditioning? L-� � L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ] Yes 45 ' 1 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... � 54. Number of 46 n Yes 47 [K No bathrooms Partial,i'..... 1 a- DEPT. OF BUILDING INSPECTIONS BUILDING ZD- 212 Main Street 0 Northampton, MA 01060 PERMIT 3`�s�` VALIDATION ,("� �,/• mss, DATE C7 19!� /�y_ `PERMIT NO. 14 APPLICANT-16-_X Cl#2I.j %41 �e/V ADDRESS la g74 jSQiu 6l L SI r4o 0� /� ^(N0.) (STREET) (CONTR'S LICENSE) PERMIT TO C'� `+ti'�7&tY_ (�) STORY �Y f•7'✓e a►'IN I NUMBER OF UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) , 4 _,c� N w �� � � � ZONING CT (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 �T (TYPE) REMARKS: PER AREA OR �! v 1� ESTIMATED COST $ </ �' 1 �4'fb FEEMIT $ VOLUME (CWIC/SQUARE FEET) OWNER � � BUILDIN E / ADDRESS A�/�ItlS BY f/ WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I,odp