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I.H. $•$•: :a s a•• •a $wags sae•:: sass Maca•••••••••••••••a•••• : 'ii: i .:$11132.1.::.$■,$$$$ see : :e..iNi'si...a..$.::.$wp.H:H:::::::::::::::: • $N a un��a��:$ •p�;:� ss $:;_ !$$$e!$$$'e" a , .•a$$p$$$$$$$$$': $$$$nt $ ' ��e$aw $Haan aal1$!•.:$•$eL$a:i{•a{i•:s••is:l:Si••,••• N • a ••aa.,a■N..r�s 111.0■ 1r• ■■■la■■., $$rainH.es$ss:w:�!� :$:::$i$:$$H$::::a:: 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. 1. /-e epi S 44)G$7 Owner or (1I 6(p Lessee 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 his authorized agent and we agree to conform to all applicable laws of this jurisdiction. 1Si.nor6-rr'* of applicant Address ! 'D Application date DO 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 4 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obttatned 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 19�_ Building LJ Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Ap by: Drain Tile $ Plan Review Fee $ TITLE _ CITY OF NORTHAMPTON B• MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS �t Page 3,s— Plot 266 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING (• AT (LOCATION) -53-2 ( �5 "—�'m� � ' �' D STR CTV LOCATION IN 0.) (STREET) OF BETWEEN E'_. a AND ���iG-d c2slG. BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. 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 [X New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 ❑ One family 18 ❑ Amusement, recreational of new D, 13)housing units added, if any, Pa in Par 13 ❑ Two or more family — Enter 19 ❑, Church, other religious number of units— — — — -� 3 ❑ Alteration (See 2 above) 20 ❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (II multi family 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 — Speci/y 25 ❑ Public utility 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 r� processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,•.,. / Sd 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..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 7�c 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 ❑ Public 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 F__1 Other — Specify 42 F-1 Public or private company 50. Total land ores, sq. ft. ........... �o Q 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 ❑ Electricity 44 ❑ Yes 45 !' No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevators Full.......... 54. Number of 46 ❑ Yes 47 D No bathrooms Partial....... • i i DEPT. OF BUILDING INSPECTIONS BUILDING ZO ! 212 Main Street �1 Northampton, MA 01060 PERMIT o< VALIDATION DATE ✓1YK�! + Z 19 PERMIT NO. / APPLICANT (! ADDRESS (NO.) (STREET) ff (CONTR'S LICENSE) NUMBER OF PERMIT TO STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PPO POSED USE) AT (LOCATION) (N0.) (8 EET) 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: E AREA OR Q (� PERMIT $ ` C)l CIO VOLUME ESTIMATED COST $ FEE " (CUBIC/SO DARE FEET) OWNER BUILDIN .. ADDRESS BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSE S ORS COPY P'INTSIIP