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IDENTIFICATION — To be completed by all applicants Name Mailing address — ,Number, stmt, c/��ity, and State ZIP/code �jTeeI.Q No. / Owner or Lessee n/� Builder's 2• ttl �� License No. ?7 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 his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applico Address Application date D NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Pions Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Chec Date Number B Obtained Obtained 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 Bui Iding fn o Use Group Permit issued �1_1 �, �_' \ /, l 19 Building Fire Grading Permit Fee $ 3(� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: -' Drain Tile $ • Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS f OFFICE of INSPECTOR of BUILDINGS Page =�,ZL Plot APPLICATION FOR w T -� ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. 0 ZONING C f I• AT (LOCATION) 44R CAhC I I ARC- Tr DISTRICT LOCATION (NO.)) AA��y � � (STREET) ^�, OF BETWEEN ® C)lltY ue I ' ,Lh AND 1 j� 1 /h BUILDING (CROSS STREET) (CRO S STREET) LOT SUBDIVISION LOT 13-BLOCK SIZE to II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 1 ❑ New building Reside Nonresidential 254 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 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 ------- — -i 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 Hospital, institutional Part D, ]3) 16 Carport 24❑ Office, bank, professional ❑ 6 ❑ Moving (relocation) 25 ❑ Public utility 17 ❑ Other — Speci/y 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 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................ � 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 / a. Electrical..................... , )J b. Plumbing ..................... r 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 48. Number of stories............... 30❑ Masonry (wall bearing) 40 ❑ Public or private company 31 Wood frame 41 'Private (septic tank, etc.) 49. Total square feet of floor area all floors, based on exterior �a/1 32 ❑ Structural steel dimensions ..................... c�J7 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY Public or private company 50. Total land area, sq. ft. .......... 42 34 ❑ Other — SpeciJy � p 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 Inl Electricity 44 [—] Yes 45 `:4 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? 54. Number of Full.......... bathrooms 46 Yes 47 No Partial........ 1� • , DEPT:OF BUILDING INSPECTIONS BUILDING Z° &' 6c 212 Main Street 0 _` Northampton, MA 01060 PERMIT <n 35 - 125 VALIDATION DATE March 23. , 8 i ffR6TaC;o. 145 APPLICANT Rainbow Reyoyat— S ADDRESS 6284771 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Addition/Pool/Deck (_) STORY One Family NUMBER OF DWELLING UNITS (TYPE Of IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) /I,8 apt S R (ND.) Gah�l fg le r DISTRICT 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, permit for the addition of a living room, deck and also to install an inground swimming pool with a 41 se AREA OUME 308 sq. ft. addition 34,000.00 PERMIT 136.00 ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Robert Napmowicz ADDRESS 48 Cahillane Terr. , Florence BYILDII E Ste+ WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PINfi` P