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29-333 (2) s qP VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 11t 4 I .t. a{+ } ' � + +Y i � $ 7�.; V It �� kE.t �an ir �$ s -{ $ �jba a s P & -*��i r... a, �.?-,.� + -gyp} + r ~; ,w `a..m .�,,.»- ..i,_ # r 'I t q J" J , r a 1 " I� �- � I t��_+-"_i--+4 , � s" .4..�. V-47 T - irk r T Y r k :g y. t,.y.,.-H. tilt,m"Itt '¢ - � i £ t a -p �- s- r ki .� 'P.y. q � .,,F Y A� �t -$$I t Y �" d,P t-t-•[-F-4 d .$w. '-� .�F-d.-�'�d P { F�k, � p-�`t_°4'A.S�- .. } ,.{ ,..t.. d� t y'.Y' 1 #£ T' a r ... i r' + ±-..p:: r-r-* «=-.;..°a % -p + r� y " C:z."y" °Ns �. t 7:a �� X �a.p. 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S :, r .p..,y q.,a.y, T" ;-^' p r"°' + 6 s k.. •� }-;,p....,. w -�.-»� l !q7 g- w.I $y a +$wry BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street,A y, anrf State ZIP code Tel. No. Owner or o Lessee a Builder's 2. 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 Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started BY Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B PP 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 3 Use Group Permit issued 197 Fire Grading Building //�� Permit Fee $ V Live Loading Occupancy Load Certificate of Occupancy Ap v by: Drain Tile Plan Review Fee $ TITLE t NOTES and Data — (For department use) ir /Cf v 0 r S ' CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 '_. 3 33 PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONI (• AT (LOCATION) 07 G © —^ DISTRICT LOCATION (N0.) (STREET) 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 Addition(If residential, enter number 12 X 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 Alteration (See 2 above) number of units– – – – � 20 ❑ Industrial ❑ 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory – Enter number 5 ❑ Wrecking (If multifamily residential, of units ––––––– – --?a 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 E] Other – Specify 25 ❑ Public utility 7 ❑ Foundation only //A _ra 26 ❑ School, library, other educational B. OWNERSHIP ��_ i�� 27 ❑ Stores, mercantile _ r _ 8 �Private (individual, corporation, A�JrrV 28 Ell 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,enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning......... d. Other (elevator, etc.).............I "� 11. TOTAL COST OF IMPROVEMENT Is v 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 X 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 F-1 Other – Specify 42 Public or private company 50. Total land ores, sq. ft. ........... 43�❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. >conditionin AN<E:] N 51. Enclosed ....................... 35 ❑ Gas al 52. Outdoors....................... 36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY 37 IM Electric ity 53. Number of bedrooms..............38 ❑ Coal 39 ❑ Other– SpeciJy lev Full...54. Number of bathrooms Partial....... I hereby certify that the proposed work is authorized by the owner of record 10k and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF-AGENT . C '. "C- ' C ADDRESS (NUMBER) (STREET) r - (Cl TY)_ _ APPROVED BY TITLE DATE 19 _ v L C r DEPAR 1F' BOIT.DIAfia INSPECTIONS DEPT. FILE COPY .N 0�06o BUILDING PERMIT 29 — 333 VALIDATION DATE Wtember 24, 197— PERMIT NO. 465 APPLICANT_ To 1n Dmytda7 ADDRESS 260 Over'i_ook Drive; P1°- - (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO ('ih�1 e� & stave (�_) STORY Fbr meod=bgr S1AV@ DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 260 Acrebrook Drive ZONING UR.A. AT (LOCATION) DISTRICT (NO.) (STREET) a BETWEEN AND a (CROSS STREET) (CROSS STREET) a LOT m SUBDIVISION LOT BLOCK SIZE a u 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f � (TYPE) REMARKS: _l}`1atall new blogk allimey and new vgod-burning stove IjayhjAn ye-r. VOLUME ESTIMATED COST $ '350.00 PERMIT VOLUME $ 10.00 (CUBIC/SQUARE FEET) OWNER _____ Jahn DrorAI&I Ile ADDRESS 260 +crebrook Northampton rive, Northampton B I EP (Affidavit on reverse side of application to be completed by authorized agent of owner)