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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. Signature of applicant Address Application date 1: 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approvo I Check Date Number B Permit or Approval I Chec Date Number B Obtained y pp Obtained y 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 19 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ [ (/ TITLE CITY OF NORTHAMPTON �. .� MASSACHUSETTS 3 e OFFICE of the INSPECTOR of BUILDINGS Page Plot❑❑�— APPLICATION FOR T g ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) ° '" �� DISTRICT " LOCATION ("° ) 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, 13❑ Two or more family — Enter 19 ❑ Church, other religious in Part D, 13) number of units— — 20 ❑ Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 4 ❑ Repair, replacement or dormitory — Enter number 21 Parking garage �� 5 F-1 Wrecking (1/ multifamily residential, of units ——————— — --� 22 ❑ Service station, repair garage enter number of units in building to 15 ❑ Garage 23 Hospital, institutional Part D, 13) 16 ❑ Carport 24 E] Office, bank, professional 6 ❑ Moving (relocation) Public utility 17❑] Other — Speci/y 25 ❑ y 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 28 Tanks, towers 8 Private (individual, corporation, f nonprofit institution, etc.) 29 Other — Specify " 9 ❑ Public (Federal, State, or <, local government) fi'r C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary `; eJ 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 $ 4 1 l.�tt 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 E] Masonry (wall bearing) 40 ❑ Public or private company Number of stories............... 31 Wood Frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, �� all floors, based on exterior �MZ 32 ❑ 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. .......... 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 E Electricity 44 Yes 45 it No ❑ ___ 53. Number of bedrooms............. 38 ❑ Coal 39❑ Other — Specify Will there be an elevators 54. Number of Full.......... 46 r 1 Yes 47 No bathrooms l ❑ Partial....... DEPT. OF•BUILDING INSPECTIONS BUILDING ZO 212 Main Street 0 � + Northampton, MA 01060 PERMIT 32C - 171 VALIDATION DATE January 10 19 89 PERMIT NO. 26 APPLICANT ChArlpC PAnrIIPttP ADDRESS 36 Fairview Ave._ Owner two.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO �] ora nc (_) STORY RPt a i 1 /Store DWELLING UNITS ll 66�� bb�k I40 OVEMENT) N0. (PROPOSED USE) ZONING Gg AT (LOCATION) 9;A Plpa-,ant StrPPt DISTRICT (N0.) (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 for alterations to existing space to create new storage area and cutting room AREA OR 12) X 22' = 264 Sq. ft• 4,500.00 PERMIT 20.00 VOLUME ESTIMATED COST .$ FEE (CUBIC/SQUARE FEET) _ OWNER Northampton Lumber Co. ADDRESS 256 Pleasant St. , Northampton BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK - ASSESSORS COPY pjNT p