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Signature of op licant Address JA—pplication date ,0J31 J919 00 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 A royal Check Date Date pp 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 Permit number FOR DEPARTMENT USE ONLY Bui Iding 1[-'Z 9 Permit issued ! 7 19 Use Group Building O� Fire Grading Permit Fee $ 77-Z Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ LE r " CITY OF NORTHAMPTON $. .� MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLI CATION FOR JV T ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O I• AT (LOCATION) � O 0 ZONING ��� --- DISTRICT LOCATION (NO.) (STREET) OF BETWEEN �DV) AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE f/t II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D X M A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M -_4 1 D New building Residential Nonresidential 2 ❑ Addition((/ residential, enter number 12[ One family 18 E] Amusement, recreational of new housing units added, if any, 13 L_] Two or more family - Enter 19 Church, other religious in Part D, 13) number of units- - - - -i 20 Industrial 3 L�d Alteration (See 2 above) 14E-] hotel, motel, C� 21 �_� Parking garage 40 Repair, replacement or dormitory - Enter number 5 Wrecking (it multi family residential, of units ------- - --'• 22 L_� Service station, repair garage enter number of units in building in 15 n Garage 23 n Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 25 Public utility 17 Other - Specify 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 28 Tanks, towers 8XPrivate (individual, corporation, (! nonprofit institution, etc.) 29 Other - .Specify CX 9 D 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................ V J J 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....................... 3 ace b. Plumbing ........... �� 6ZrU c. Heating air conditioning.......... JV d. Other (elevator, etc.)............. t� 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 5� Masonry (wall bearing) 40 ,] Public or private company 41 n Private (septic tank, etc.) 49. Total square feet of floor area, 31 Wood frame all floors, based on exterior 32 Structural steel dimensions ................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ........... 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 HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Cj Electricity 44 [-] Yes 45 No 53. Number of bedrooms.............. 38 Coal 39 n Other - .Specify Will there be on elevator" Full......... 54. Number of 46 [ 'D bathrooms � Yes 47 No Partial........ a 0 x' N .F O •y W F i a 3 � W ON 00 a E E a, c. o W C14 G CA tw a .� 00 z P4 0000 , 'A a rte, a si a a c. cn w a ° E cc v� � � ►Oi rOi � �O+ ►—Oi W W v� C7 M�. 0 ,4..b N � bA C u K q GA Ca/1 u . co y = tu• 'O •k V H fA o W 1Z Fri It 4-4 N .°_ r� /'� �■'� v � }' .a ° •� o Cif cu c co w C h a •° ° � E "c ° v' � o t� '� .0 •�' E s u A ° o PC L E r u O W O M O O p ON rA °�° •E ob o ° � 4`- v4- o V 4e•any� Z F � 'rn d �" c3 � � C � Z L r-i U