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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
Lessee
Builder's ZZ385
2. 5(,kX6P t IE50&2 C 1 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.
Signature of a� .Iiccant 9 Address and G /Application date
00 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
9 Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaained 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 r
Building use Group
Permit issued 19
Building r Fire Grading
Permit Fee �
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ aL;;
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
a MASSACHUSETTS
OFFICE of the INSPECTOR of BUILDINGS
S
Page 'S Plot IGt APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT - Applicant to complete all all items in sections: 1, 11, 111, IV, and IX. O
I• AT (LOCATION) �a I�.Yt,,t� �� ZON ING
DISTRICT
LOCATION ����(NO.) TREET)
OF BETWEEN c6ml k & AND � 1 �/ , j
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
(/t
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
rn
—1
1 [:�] New building Residential Nonresidential
2 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
3 Alteration (.See 2 above)
number of units— — — — --3. 20 ( l Industrial
�
14 C� Transient hotel, motel, 21 �. Parking garage
4 Repair, replacement or dormitory — Ertter number
5 C-1 Wrecking (if multifamily residential, of units ——————— — --1. 22 L Service station, repair garage
enter number of units in building in 15 Gorage 23 Hospital, institutional
Part D, 13)
— 16 Carport 24 I Office, bank, professional
6 l_] Moving (relocation)
17 Other — Specify--- 25 r Public utility
7 Foundation only r
26 L J School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 X. Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 r Other — Specify
9 rr—] 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.,,,,.•,.,,,,•,, fsl7 vc,� school, secondary school, college, parochial school, parking garage for
department store, rental office building, office building at industrial plant.
f'o 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$ (3
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 f�
30 Lj Masonry (wall bearing) 40 Public or private company 48. Number of stories................ OIV E
31 Wood frame 41 j Private (septic tank, etc.) 49. Total square feet of floor area, 74644GAIFP
all floors, based on exterior
32 [ Structural steel dimensions ..ADDQP.P9—.... 5M LWW1W16
33 Reinforced concrete H. TYPE OF WATER SUPPLY GIB` ep
42 ��� Public or private company 50. Total land area, sq. ft. ..
34 Other — Specify _ P y
43 �� Private (veil, 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........................
36 j I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 F_ Electricity 44 � I Yes 45�No 53. Number of bedrooms..............
38 Coal
39 Other — Specify— WIII there be an elevator° Full.......... 3
54. Number of
46 1 Yes 47X No bathrooms
Part,a l........
w rte A nv iTL:�
DEPT. OF BUILDING INSPECTIONS BUILDING Z°
! 212 Main Street T. OO<
Northampton, MA 01060 PERMI 2 IL
25A - 101 VALIDATION
APPLICANT Sundance Design DATE ADDRESS �9 r tPE�QMIT•NQL) 6 22385
IND.) (STREET) //h' l(JJ 1t3S (CONTR'S LICENSE)
NUMER OF
PERMIT TO Addition/Alteration (-) STORY One Family OWEBL NG UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
344 Bridge Street ZONING uRb
AT (LOCATION) 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: permit for the addition of garage and alter existing areas
AREA OR $
VOLUME ESTIMATED COST $ 67, . F
00000 EEMIT 268.00
(CUBIC/SQUARE FEET)
OWNER ra .P>=C
BU I DEPT. ✓r _L/✓Tj ^O
ADDRESS 2A Bridg? St _ , Nnrthampton BY I
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY a PINK - ASSESSORS COPY PQNfP