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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 f' 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Dote Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ L L VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Date Obtained Number By Permit or Approval Check Obtained 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 VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued 19 Building /,(� Fire Grading Permit Fee $ U D r Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE aa�v ` CITY OF NORTHAMPTON l /-5yso �. .� MASSACHUSETTS 7 / OFFICE of the INSPECTOR of BUILDINGS wt Page c2b& Plot 1'7' APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, 1V, and 1X. 0 ZONING I• AT (LOCATION) 'r'f-*p' DISTRICT LOCATION IN 0.) (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 ;0 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M m 1 a New building Residential Nonresidential 20 Addition(// residential, enter number 120 One family 180 Amusement, recreational of new housing units added, it 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) 140 Transient hotel, motel, 21 Parkin g garage 4 Repair, replacement or dormitory — Enter number 50 Wrecking (11 multifamily residential, of units ——————— — -i 22 L� 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) 170 Other — SpeciJy 25 Public utility 7 Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 n Tonks, towers nonprofit institution, etc.) 29 Other — Speedy` " 9 Public (Federal, State, or local government) 1, 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................ a school, secondary school, college, parochial school, parking garage for, deportment 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 ..... .r . P , c. Heating, air conditioning........ / d. Other(elevator, etc.)............. ^^�� 11. TOTAL COST OF IMPROVEMENT $ L/c) VW- III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for oil 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................ f 31 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 50. Total land area, sq. 4t. ... 34 Other — Specify, " ' 42 ❑ Public or private company 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATIN FUEL I. TYPE OF MECHANICAL 35 j Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY 37 Cf Electricity 44 FJ 7 Yes 45 ! No 53. Number of bedrooms............. 38 Coal 39 n Other — SpeciJy Will there be on elevator? 54. Number ull.......... ber of 46 1 Yes 47 ID N o bathrooms Partial........ DEPT.OF BUILDING INSPECTIONS BUILDING Z�� /(,� 8 • �C� 212 Main Street O< Northampton, MA 01060 PERMIT Qa 32C - 171 VALIDATION DATE '1111'1P 6' 19 Qq PERMIT NO._ 372 APPLICANT Charl as Panllotto ADDRESS Owne�N_ (14104 (STREET (CONTR'S LICENSE) NUMBER OF PERMIT TO (-I STORY DWELLING UNITS 0 T) NO. PO E ZONING rD AT (LOCATION) DISTRICT G8 (NO.) ( i 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: d) AREA OR 2300 sq. ft. ESTIMATED COST $ 42,000.00 000.00 PERMIT $ 168.00 VOLUME (CUBIC/SOUARE FEET) OWNER Same as Applicant BUILDi �r ADDRESS Same as Appl icant I s BY mss _ WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY pOdp