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H� : • •.f ••j •• • 11110141!s-sari ;pnp •n Z HH _ F a-:7, r- NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Grp/� /iF'�lti ✓d //j /��J �� Owner or ©(v ✓`� Lessee j 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 uthorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant I Address Application cl �-� 00 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 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 ,rt FOR DEPARTMENT USE ONLY Permit number tJ( Building e' Use Group Permit issued � � 19� Building Fire Grading Permit Fee $ (0 Live Loading Certificate of Occupancy $ 0 panty Load Approved Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �+ •� MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page 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) DISTRIC LOCATION 0. (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D —� A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M M -a 1 ❑ New building Residential Nonresidential 2 Addition(/f 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 number of units— — — — 20 �� Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 �� Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (11 multifamily residential, of units ------- — --> 22 L� Service station, repair garage enter number of units in building in 15 L❑ Garage 23 C� Hospital, institutional Part D, 13) ❑ 6 ❑ Moving (relocation) 16 Carport j 24 ❑ Office, bank, professional 17 Other — Specify •3�� 25 ❑ Public utility 7 ❑ Foundation only I �J 26 C_J School, library, other educational B. OWNERSHIP ���T �✓ 27 ❑ Stores, mercantile 8 [-: rivate (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other — Specify 9 L❑ 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, department store, rental office building, office building at industrial plant. T'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 ....................... 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 f 30 ❑ Masonry (wall bearing) 40 ��Public or private company 48. Number of stories.............. 31 Wood frame 41 r❑ 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 SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 D Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37E-71 Electricity 44 es � No ❑ Y 45 1 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevatoro um Full.......... , l 54. Number of 46 �� Yes 47 j No bathrooms Partial....... a ADE�PWF BUILDING INSPECTIONS BUILDING ° �Lo,co ! 212 Main Street Oa Northampton, MA 01060 PERMIT .9 29 _ 62 pp VALIDATION DATE �P� ss T 28, 19 PERMIT NO. 622 APPLICANT ADDRESS 3n Ri VPrc Avp_ Chi copeP 009599 (NO.) (STREET) (CONTR'S LICENSE) Addition One Family NUMBER OF PERMIT TO 1_1 STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 47 Gilrain Terr. ZONING UKA AT (LOCATION) DISTRICT (NO.) (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 (TYPE) REMARKS: [)ermit to Close In existing patio 000.00 PE 16.00 VOLUME ESTIMATED COST 4, FE (CUBIC/SQUARE FEET) f i �� OWNER James Willard BADDRESS 47 Gilrain err B WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p}NT P OPINIONS animmmaw