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36-165 (5) r Vill. 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IIISs ZEDS. �sx: ; s2i' Sag ■ss€assaa �« g««s s's� `sse`s =i ��yyy�yypp qq��pp����■■���� . ��iY-_r��_r N r.Is g11i11aI#Ni►_. ■M.bnn}bYrfi 460" as 11MLar11#nIR.N�NSSrrYliNaS��ll�innbbnbppnn w,,.: __-.�_..___ ,. iSta Si ■. • ■ � 1S iNz1cY':toy «t:::1 : 1115 bra S: r1a iN ■ *trrnr�: :1`s:i::: :NSM1•:1.nunnumi11 � � _�a i{ S9:96':iN t •a r#nNnnu.bllf »rfSi%li1�#►s iiii:SiiGiil SI��i� �SianSl�iiii'uii:iiiS: SSiaSS::1iS::iis:gSa:�::ii�ii�S�i+ >.. /1�:. ■i i f. A2110410• I.1/!i ■ . . brain■■afh ::: :U::is U .ss"::: Iii ': : : s::�a�•,a3 w s 1 $s� ::.iS«.■A....inr1a�m'��s. man -""____ :____�....... s■INlsrslla.}rw•raS tS�w...w...w.... . - iii a`"iii•`�•+ Aj•b... ...:::i ir...tiaNn■:a."" a y�gwwwt+ {w#.i�asa`w r•. a a an.i rnN : . ■ : i.f� 1is1■a. :#■N :s:::a N::::l ' 11n . • aura} bnpnbf . :9ts:s:ss atS7�.1:./ ..sin ...•., ss .3� sss:s:s:ss:p: ::::s wNw1:S::! aS:'�'S:::::i Sig 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. Owner or 9S'` /F�iM"�'+�/K.*+� • t!!r Lessee Contractor a-01,V 9 ANdt-.- ury as q 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. ignatur ap�nt Address Application date 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 $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained a d Number By Permit or Approval Check Obttt 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 VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building. / Permit issued - A&, . �V 19 g2- use Group Building �© ` Fire Grading Permit Fee $ G�j o Live Loading Certificate of Occupancy $ Occupancy Load AT by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON �+ $ MASSACHUSETTS • $ f OFFICE of the INSPECTOR of /BUILDINGS Page 3& Plot G 60 �' APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. ^ O �J ZONING (/ • AT (LOCATION) ��� UQ C DISTRICT «..•• LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N IL TYPE AND COST OF BUILDING — All applicants complete Parts A — D -i 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 KOne family 18 ❑ Amusement, recreational of new bousing 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 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) p 7 ❑ Foundation only 17 ❑ Other — Specify 25❑ Public utility / Y 26 ❑ School, library, other educational B. OWNERSHIP / 2_0 x �� --O 27❑ Stores, mercantile ❑ 8 � Private (individual, corporation, ` I -- �- 28 Tanks, towers nonprofit institution, etc.) /!"� 29❑ Other — Specify 9 ❑ Public (Federal, State, or JIV V 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,,,,,,,,,,,,,,,, s -40 C b -M 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 $ 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, LEN 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 Wil ere be central air 52. Outdoors........................ 36 C� Oil conditi>ean L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ 45 ❑ll No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Spccily Will thevator? Full.......... 54. Number of 46 Yes 47 ❑ No bathrooms Partial........ Department of Building Inspections "*212 Main Street BUILDING "'ZO Northampton, Ma. 01060 PERMIT IL 36 - 165 VALIDATION DATE npremhwr 16_ 19$2 PERMIT NO. fiRR APPLICANT -join AndPrsnn ADDRESS American Pioneer alders. 02 699 (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF 1 PERMIT TO AAdi ttion (_L.) STORY Family Room DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 795 Flnrpnrn Rd- 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: AREA OR VOLUME COST $ 4.000 _ FEEMIT $ 16.00 VOLUME (CUBIC/SQUARE FEET) OWNER Rnhert E_T_AflpL BUIL s ADDRESS 795 Flnronrp - Northampton, Ha-_110 0 BY CCC WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY