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NOTES and Data — (For department use)
R a
i
n�'_ -Cl G 03'
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, c-rty, and State ZIP code Tel. No.
Owner or p J c 7-��U ^�� 010(0 nJ
Lessee
Builder's
C LicenSe No.
Contractor ���F:S�,��r.�s�
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 is authorized agent and we agree to conform to all applic le laws of this jurisdiction.
Signat e o pplicant Address +e7 -cam �, Application d
ate
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
Permit or Approval Check Obta t ed 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
II. VALIDATION
Building (� FOR DEPARTMENT USE ONLY
Permit number
Building. use Group
Permit issued — 19
YS-
Building Fire Grading
Permit Fee $ �� �� Live Loading
Certificate of Occupancy $ Occupancy Load
$ Approved by:
Drain Tile
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
�• '� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Plot
Page g APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING
I• AT (LOCATION) �C��."� c�C� 1 �.l - DISTRICT
LOCATION (NO.) 'kJTREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. 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 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12[5� 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 l
l
h
Transient hotel, mote ,
❑ 21 ❑ Parking garage
4 Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (If multifamily residential, of units ------- - -i 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13)
6 ❑ Moving (relocation) 16 ❑ Carport 24❑ Office, book, professional
7 ❑ Foundation only 17 F__1 Other - Specify 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
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, S 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 I, !U C)ocz
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 OF SEWAGE DISPOSAL J. DIMENSIONS y
E. PRINCIPAL TYPE OF FRAME G. TYPE /
30 Masonry (wall bearing) 40 F_�j 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 ❑ 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 C'', Gas Will there be central air 52. Outdoors........................
36 ❑I' 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 elevator? Full..........
54. Number of
46 [-] Yes 47❑ No bathrooms
Partial.......
s e DEPT: OF BUILDING INSPECTIONS BUILDING ''D-
212 Main Street Oa
Northampton, MA 01060 PERMIT a
25A 89 t C)O VALIDATION
DATE September 25, 19 85 p PERMIT NO. 564
APPLICANT Sundance Design ADDRESS box 80 040714
(NO.) (STREET) (CONTR'S LICENSE)
Alteration One Famil y NUMBER of
PERMIT TO 1_1 STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
50 Coolidge Ave. DISTRICT URB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) ([ROBS 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)
permit for interior renovation cathedral ceilings sky light and sheetrock
REMARKS:
AREA OR ESTIMATED COST $ 100000, 0 FEEMIT .� 40-00
VOLUME
(CUBIC/SQUARE FEET) /7� //�� ��//j� y�,,/;�__
OWNER Frank Strebel tr! Q gam& '_
BUILD)
ADDRESS COO idge Ave. BY
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY I, P