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'7 Owner or VQ aloe.o 3 Lessee C. 7cOl 7� Builder's L. License No. Contractor Architect or G ICA ( C) Engineer L 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. SiVur app licant Address 11� /r //j,<L ���1��� ] �� Application date 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 Is OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Obt ate ned Number By Permit or Approval Check Date a 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. Permit issued C��ti,�-- �' 1 lq Use Group Building / Fire Grading Permit Fee $ L33 Live Loading Certificate of Occupancy $ Occupancy Load Appro by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �•� MASSACHUSETTS s ; $ OFFICE of the INSPECTOR of BUILDINGS , Page Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O d,./•�/ y- ZONING I• AT (LOCATION) C- �C GSG//C ���� ����, - DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND N BUILDING CROSS STREET) CROSS STREET) !7C SUBDIVISION LOT BLOCK SIIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPMENT D. PROPOSED USE - For"Wrecking" most recent use m M 1 uilding Res idential 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- - - - 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 1q Transient hotel, mote , ❑ l 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number IS 5 ❑ Wrecking (11 multifamily residential, of its ------- - -� 22 ❑ Service station, repair garage enter number of units in building in 15 Garage 23 ❑ Hospital, institutional �\ Part D, 13) ❑ D 6 ❑ Moving (relocation) 16 Carport 24 ❑ Office, bank, professional Q 7 ❑ Foundation only 17 ❑ Other - Specify 25 �� Public utility 26 ❑ School, library, other educational B. OWN E I P 27 �� Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 ❑ Other - Specify 9 ❑J Public (Federal, State, or \ local government) C C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food (y 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. 7'o be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... 'L 1� C c. Heating, air conditioning.......... d. Other (elevator, etc.)............. a 11. TOTAL COST OF IMPROVEMENT 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❑ Mas y (wall bearing) 40 ❑ Public or private company 48. Number of stories............... 31 ood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... ,7Z 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... /O QG y 43 Private (well, cistern) K. NUMBER OF OFF-STREET y� PARKING SPACES C�- F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ 4)41 l 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 Yes 45 o ❑ 53. Number of bedrooms.............. 38 Coal 39 Other - Specify l Will there be an elevator? Full.......... 54. Number of 46 Yes 47 No bathrooms Partial....... Department of Building Inspections 212 Main Street Northampton, Mass. BUILDING ,,-. 1. PERMIT 29 - 226 VALIDATION DATE April 13, 19 84 PERMIT NO. M / � APPLICANT James LeBeau ADDRESS P.O. Box 128, Williamsburg 005304 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO New Building I_) STORY Unattached Garage NUMBER OF UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 152 AcrebroW .Drive ZONING AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE 24 FT. WIDE BY 28 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit for the construction of a unattached garage for use by existing dwelling on above property. AREA OR 672 Sq. ft. ESTIMATED COST $ 2,560.00 FEE N'IT $ 33.60 VOLUME (CUBIC/SQUARE FEET) OWNER Kenneth R. Culure ADDRESS 152 Acrebrook Drive, Northampton, Mass. 01060 BUILD BY V WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY