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I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON. BEING A.HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS OF THE RULES AND REGULATIONS ARE COMPLIED WITH. VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE 71 REAR YARD IX. SITE OR PLOT PLAN For Applicant Use ■uu/N..NnnnN•n■u•n.•HN■H\Hnu.Nn unnnn HUnnn NN.•Nii iiiiiiiiii!�iiiiiiiii iiiiii iii iiiiiuiuiiiiiii a■iiiii■i■iaii ;e.I::p:: :::::::a:e:::;==;ea;�aa:;;=:: .=•s:eaiii:;a:::i i;;: :::HHH iii;;:;;:i;r:i�i:i::iii:iiiii::iiii::ii ::.N.•:••'.:::: NNNN___ :H::=N:u:::,••$i=••••i a:.• Iwa:aBH:' :so ua!•:iN:::::r.:•a=:a i�'1i=:�ial:ai::;:: :�a;::i�::::::e::::::i::::i:i:aii::i i:i:iii:i Sasso HMI s:a:ia:i=•a aa;a�aa■ a:=:ai==$::$'=•:iisG■•a. 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Na.$ � �:$a: NNN ■. _a == s = iss un. ......... Me N ■u .N/.N• a.HH n UM MIUM. as nN•..Nn■ .n.nHH .r.N• , NOTES and Data — (For department use) C V vAa ZZ- U _ t C cx_ �v o(- a © V tau V\ k )rcaC)VA flow IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Dec- A sce ka Z� l CttGt�G Lessee fi0'e cq HI 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 XJ /IC Cl— -7 E/11 yi 4o-& ko( 9 I z7 DO NOT WRITE BELOW THIS LINE V. 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 B Permit or Approval Check Date Number pp Obtained y pp N b By 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 �U4 Bui[ding `f2 J Permit issued � ��� 19 Use Group Building o'er Fire Grading Permit Fee $ J Live Loading Certificate of Occupancy $ Occupancy Load Approd by: Drain Tile $ _ �GG Plan Review Fee $ TITLE CITY OF NORTHAMPTON .� MASSACHUSETTS • a e OFFICE of the INSPECTOR of BU I DINGS ��t Page _ Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING { (• AT (LOCATION) 2_1 ",C'4,r,, ZCL y �0r e V1 DISTRICT LOCATION j�(NO.) (STREET) OF BETWEEN �' 1.]�CX �,. �T l�I�-- 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 One family 18 ❑ Amusement, recreational of new bousing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — —- --o. 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 4 ❑ Repair, replacement 21 Parking garage p p or dormitory — Enter number 5 ❑ Wrecking (1f multi family residential, of units ——————— — -- 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) 17 ❑ Other — Sped/y 25 ❑ Public utility 7 Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 L❑ 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 hospitol, 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.......... CO"O d. Other (elevator, etc.)............. 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 30 ❑ Masonry (wall bearing) 40 ❑ Public or private company N 48. Number of stories................ 31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior p 32 ❑ Structural steel dimensions ..................... ��O 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 [Xj Electricity 44 ❑ Yes 45 Lx' No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevators Full.......... — 54. Number of 46 1 Yes 47 ]�j No bathrooms - Partial....... 3� v a - 3 s c ., 1, ha. a"tea sra.* `a sx. ' r _ >r., �. +ry'S x. `., 1 _ a '�M IX �, - t T r' =sows �4 �n-WN t g —1-111 ak 'S z=. 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