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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. Iv'O. 1. Owner or Lessee ^� " SJ Builder's L License No. GaIiratro r O 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. Signat a of appl�i+cant ee A Address (°�--w/ y Application d--ate 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obta ned 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 /7, 19� Building 7T Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page 3 r_ Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) S 3 / ,.� �.(�rti i DISTRICT LOCATION °'' (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H 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 nem housing units added, if any, in Part D, 13) 13 L❑ Two or more family - Enter 19 ❑ Church, other religious number of units- - - - -> 20 ❑ Industrial 3X Alteration (See 2 above) 14 l l t h i Transent hotel, mote , ❑ 21 �❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (if multifamily residential, of units ------- - --► 22 ❑ 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) 1 17� Other - Specifyia/`�//'?f?-J 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑J Stores, mercantile 8 L❑ 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, 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 .................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT I$ OdC/ 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 XMosonry (wall bearing) 40XPublic 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 SPACE 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 BUILDI ONLY 37 LJ Electricity 44 ❑ Ye 45 n No _—_ 53. Number of bedroom .............. 38 ❑ Coal 39 Other - Specify_c426 Will there an levator? Full....... 54. Number of 46 Yes 47 ❑ No bathrooms Partial........ w INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR t FIELD COPY DEPARINS111IT OF BUILDING INSPRCTIONS A2 NAU SMIRT BUILDING te r, VA. 01060 PERMIT 32C - 339 @@n� DATE October 170 1980 PERMIT NO. 627 APPLICANT C.hA 12A XCCT#CkjM ADDRESS i Iaabell8 St.� N*tf im (NO.) (STREET) (CONTR'S LICENSE)OF PERMIT TO N ftlTIIA@� (�1 STORY - NWEBLRNG UNITS ? (TYPE OF IMPROVEMENT) NO. ( OPOSED USE) ZONING AT (LOCATION) 239 p DISTRICT (NO.) (STREET } I rn BETWEEN D Ir (CROSS STREET) (CROSS STREET) LOT m SUBDfVISION LET B OCK SITE i U O BUILDING IS TO BE FT. WIDE BY F LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O ( 1 Z TO TYPE USE GROUP B EMENT WALLS OR FOUNDATION f (TYPE) i O a REMARKS: Instal 1 makI-burning-fmmace l i i AREA OR PERMIT /� VOLUME ESTIMATED COST $ Loon FEE 1.0 00 (CUBIC/SQUARE FEET) �T ,t { lease* ' � t OWNER b -svec4AI42td Inc- BU IL NG DE ADDRESS 239 Pleasant Street,, M®rtha=tm, Ma. 01060 BY