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PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained 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 Use Group Permit issued � 197 Building Fire Grading Permit Fee $ 1O 100 Live Loading Certificate of Occupancy $ Occupancy Load Approv by: Drain Tile $ %,Q�,y, Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, II, 111, IV, and IX. O 1 _-i /t/C�C S ZONING VO I• AT (LOCATION) + DISTRICT LOCATION —,`N0''II `STREET) OF BETWEEN ( P I AND 11 ©fYl`L'T�" �t` _T- t ' (CROSS STREET) (CROSS STREET) BUILDING LOT SUBDIVISION LOT BLOCK SIZE H 11. 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 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 number of units- - - - __)0- 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 C� Parking garage 4 Repair, replacement or dormitory - Enter number 22 Service station, repair garage 5 Wrecking (if multifamily residential, of units -i enter number of units in building in 15 PS113croge 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 El Moving (relocation) 17 Other - Speci/y 25 Public utility 7 D Foundation only 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................ 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.)............. ) 11. TOTAL COST OF IMPROVEMENT I$ i 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 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 Other - Specify 42 Public or private company 50. Total land area, sq. ft. ........... 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 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 C Electricity 44 Yes 45 I� No 53. Number of bedrooms............. 38 Coal 39 n Other - Specify Will there be an elevators Full.......... - _ 54. Number of 46 [_1 Yes 47 'Ej No bathrooms Partial........ DEPT. OF BUILDING INSPECTIONS BUILDING ZD I DC '112 Main Street O< mo` , Northampton, MA 01060 PERMIT 32C - 231 VALIDATION DATE -Ple�pl -r3, 19 PERMIT NO. 672 APPLICANT Duffy & Willard ADDRESS Non—o Street (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Demol ition STORY Garage NUMBE LING UNITS R OF 1,1 (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) 19 Hancock Street o STR C URC T (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 (TYPE) REMARKS: permit for the demolition of existing garage (cynder block) no active hook ups AREA OR PERMIT VOLUME 180 SCI ft ESTIMATED COST $ 2,000.00 FEE 16.00 (CUBIC/SQUARE FEET) OWNER Richard VPnne BUILDI ADDRESS North , nrPn BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY POlp