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18D-058 (40) Vill. ZONING PLAN EXAMINERS NOTES DISTRICT FRONT YARD SIDE YARD SIDE YARD REAR YARD IX. SITE OR PI OT PLAN For Applicant lift can a** ........... 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IDENTIFICATION — To be completed by all applicants Name Mailing address — .vmbar, strc°ct, cih, antl State ZIP code Tel. No. ' Owner or Plaza o. " 440 Bedford St. , Lexington, MA 02173 Lessee 862-3700 Builder's 2. sae as ab ve same as above 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 thi plication as his ou orized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of a plicant y Address f App Iii ation d to 0 0 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 Date Date Permit or Approval Check Obtained 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 Permit number Building Permit issued 19 Building Permit Fee Certificate of Occupancy S Approved by: Drain Tile S Plan Review Fee S— TITLE City of Wort4auiptan � e �Itr+g$��rft�settg Offire of the �navtrtor of 'Puilbings APPLICATION FOR Plot ZONING PERMIT AND Page , BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. Ig Z O ZONING I• AT (LOCATION) Northampton Industrial Park DISTRICT LOCATION (NO') D (STREET) OF BETWEEN Industrial Drive (Bates St, ) AND N/A BUILDING (CROSS STREET) (CROSS STREET) � Northampton Redevelopment Authorj�y #2 x BLOCK LOT 3,68 acres �Clx�x ti q II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D m A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use R1 I 1 New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational Z of new bousing units added, if any, b• in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious r number of units— — — — > 20 ❑ Industrial �+ 3 0 Alteration (See 2 above) 14 l Transient hotel, mote , ` ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number , 5 F-1 Wrecking (If multifamily residential, of units ——————— — --� 22 Service station, repair garage a enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional C. Part D, 13) 16 Carport 24❑ Office, bank, professional ❑ 6 ❑ Moving (relocation) 17❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational Ff B. OWNERSHIP 27 ❑ Stores, mercantile < 8 ® Private (individual, corporation, 28 ❑ Tanks, towers + nonprofit institution, etc.) 29 ❑X Other — Specify Jl arehOI1Se 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,,,,,,•,•..•.... I 42 000 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 3#000 a. Electrical.........••"""'"' 2,000 Business SerVice w Supply Ectahli,shment and- b. Plumbing ....................... Wholesale trade and distribution 3,000 c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 50,000 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. D O E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 1 m 48. Number of stories.............. 30[-N Masonry (wall bearing) 40 ❑ Public or private company 1 Private (septic tank, etc. C. 31 ❑ 41 Wood frame ❑ ( p ) 49. Total square feet of floor area,all floors, based on exterior T) 32 © Structural steel dimensions 24,900 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42 � Public or private company 50. Total land area, sq. ft. ........... 186,000 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES .0 51. Enclosed ....................... r F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O 35 Gas Will there be central air 52. Outdoors........................ 4 conditionin g' 36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44® Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other - Specify Will there be an elevator? 54. Number of Full.......... Unit Heater 46 ❑ Yes 47 ❑X No bathrooms Partial.......