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35-007 (12) DISTRICT FRONT YARD SIDE YARD SIDE YARD REAR YARD Ix. 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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 _ A 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 Permit or Approval Check Obttat� a d Number By Permit or Approval Check 0bttt ed 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 II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number 1 Building. Use Group Permit issued 19�_ Building / Fire Grading Permit Fee $ �G'�y Live Loading Certificate of Occupancy $ Occupancy Load ed by: � Drain Tile $ Plan Review Fee $ TITLE �► - CITY OF NORTHAMPTON �• MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page 35 Plot Z APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o ZONING • AT (LOCATION) / V✓ r"^�S / �/l S DISTRIC LOCATION (NO.) (STREET) fin/ J- / OF BETWEEN J1 ` „ AND /'C 9 (O BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION LOT BLOCK LOT 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 housing units added, if any, in Part D, 13) 13 ❑ Two or more family - Enter 19❑ Church, other religious 3 Alteration (See 2 above) number of units- - - - -o- 20❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (11 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) 7 ❑ Foundation only 17 Other - SpeciJy 25❑ Public utility 26❑ School, library, other educational B. OWNERSHIP lit r( 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,,,,,••,•.....•. 690� 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 �7 a. Electrical..................... 11-5 b. Plumbing ..................... ��. c. Heating, air conditioning......... 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 ❑ P blic or private company 48• Number of stories....-t- /...... ❑ 31 Wood frame 41 Private (septic tank, etc.) 49. Total square feat 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 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 j Electricity 44 es — i ❑ Y 45 `' NO 53. Number of bedrooms...... ...... 38 Coal f 39 L 1 Other - Specify Will there be an elevator? Full.......... 54. Number of 46 [_, Yes 47 [:A-No bathrooms Partial........ Depaptment of Building Inspections 212 Main Street Northampton, Mass. 01060 BUILDING o° /0' PERMIT 35 - 7 VALIDATION DATE August 17, 19 84 PERMIT NO. 360 APPLICANT Fred Mailloux ADDRESS 15 West Farms Rona Owner (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Alteration NUMBER OF - (_) STORY FXTRt7T( Rathrnnm DWELLING UNITS (TYPE OF IMPROVEMENT) N0. ( OPOSED USE) 9 West Farms Road DINING HB AT (LOCATION) DISTRICT (N0.) (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 ,REMARKS: p renovations it for a= ationsxto existing bathroom (TYPE) VOLUME 672 SQ• ft. ESTIMATED COST $ 2,650.00 FEEMIT $ 10.00 (CUBIC/SQUARE FEET) OWNER Fred Mailloux ` West arms oa Florence, Mass. ADDRESS > BY WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY PINK - SSESSORS COPY