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Box 780, Northampton Use: 1st Residential Occupancy 2nd Occupancy 3rd Occupancy 4th Occupancy Zone District SR Required Inspections: New Building X Existing Building Elevator Electri ` Plumbing �"" � Sa Fire Building Other r' Inspector of Bui ings r - - IV. IDENTIFICATION — To be completed by all applicants Name (�Maili�liinng\address — Numj�berr�s�tryeett,,Aciitv,, and State �^�ZIPP code �Tel. No. Q Owner or 1 O ./�J�J �T •v�+�,'l/7rr,l�1V'v • Vlt./t[iN Lessee �/�p �/�A— (,, 1. � '-'` 1' I `• C40 (01 License r'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. Si nature applicant Address ApplifationJdate v � 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 Is OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check 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 i% \�� FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued / 19 � Building Fire Grading Permit Fee $ �S•3i Live Loading Certificate of Occupancy $ Occupancy Load Appro y: Drain Tile $ Plan Review Fee $ TITLE - CITY OF NORTHAMPTON �. MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS T Page 136e 6e Plot_ 77 - 144 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT —J iApplicant to complete all items in sections: I, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) � '�''{ D STR C STRE LOCATION NO') ET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) ]�// LOT SUBDIVISION����..,,pp••��•�neg4 W222 LOT IAN—BLOCK SIZE N II. TYPE AND COST OF BUILDING -All applicants complete Parts A — D ;10 A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use M m 1 New building Residential Nonresidential 2 Addition(!/ residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if an I 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 El Parking garage 4 ❑ Repair, replacement or dormitory – Enter number 5 ❑ Wrecking (11 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) 17 ❑ Other – Speci/y 25 ❑ Public utility 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..................... 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.) ��otal square feet of floor area, all floors, based on exterior 32 ❑ Structural steel r dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY =i 4110 4Ut.Ibo 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 ❑ Gas Will there be central air 52. Outdoors........................ conditioning? 36 ❑ Oil L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 ❑ Yes 45 iX No 53. Number of bedrooms.............. 38 Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... — � 54. Number of 46 ❑ Yes 47 '+! No bathrooms { Partial....... s y. DEPT. OF BUILDING INSPECTIONS BUILDING z° �� ► ! 212 Main Street O< Northampton, MA 01060 PERMIT <a 36 - 77-21A VALIDATION DATE July 18, 19 86 PERMIT O. 400 x 70, Nort ianp, n APPLICANT Sundance Design Assoc. P.O. o , (NO.) (STREET) (CONTR'S LICENSE) OF PERMIT TO New Building (_) STORY Single Family Dwelling DWELLRING UNITS +1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) Lot #21A Winterberry Lane D STR CT AT (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, permit for the construction of a new single family dwelling with attached garage VOLUME 2196 s- ft -ESTIMATED COST $ 150,000.00 FEEMIT $ 753.00 (CUBIC/SQUARE FEET) OWNER Dan Gobillot/Chris O'hara boutri St., or a—mp on 01060 BUI DE BY ADDRESS WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY pOP