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IDENTIFICATION — To be completed by all applicants `F ' Name Mailing ad/dress — Number, street, city, and State ZIP code Tel. No. t Of N Q 2 3 21 0 E � �dK Z Ol O!s D Owner or Lessee w/ n) +�/ //� �+T s A, 2. /Y �� �5 Z�� /V�/�! 'T W e WaQ `Sl�Gl4f�'f OI Vicens er'No. Contractor oS6B'e 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. Sig, re of appli ant _ Address 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 Fee Started y Approved y BUILDING $ PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Number By Permit or Approval Check Date Permit or Approval Check Number B Obtained Obtained Y 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 ,c Fire Grading Permit Fee $ C; CC Live Loading Certificate of Occupancy $ Occupancy Load Approved by: 7 Drain Tile $ Plan Review Fee $ TI E CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page Z SG Plot qf� APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. C) ZONING I• AT (LOCATION) J V ,v ' OISTRICTaFe FS (NO.) (STREET) LOCATION /1L / / N OF BETWEEN =,eAjUT I AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D M A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use M 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 n Amusement, recreational of new housing units added, if any, �1V in Part D, 13) 13 �� Two or more fami ly - Enter 19 Church, other religious number of units- - - - --)- 20 n Industrial a 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 L � Parking garage 4 Repair, replacement or dormitory - Fnter number 22 5 � Wrecking (1/multifamily residential, � of units ------- - -- L � Service station, repair garage enter number of units in building in 15 L- Garage 23 _ I Hospital, institutional Part D, 13) 16 Carport 24 bank, professional 6 j Moving (relocation) C _ 25 L Public utility 17 Other - S'pecify 7 [_1 Foundation only 26 j1Sc-hool, library, other educational (/J B. OWNERSHIP 27 ! Stores, mercantile Tanks, towers 8 Private (individual, corporation, 28 'L nonprofit institution, etc.) 29 F_l Other - Specify 9 C] 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. 7'o be installed but not included If use of existing building is being charged, enter proposed use. in the above cost a. Electrical..................... �4A) 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 / 48. Number of stories........ 30 D Masonry (wall bearing) 40 L'I Public or private company 49. Total square feet of floor area, 31 Wood frame 41 Private (septic tank, etc.) all floors, based on exterior 32 Structural steel dimensions �� 33 �_�einforced concrete H. TYPE OF WATER SUPPLY 34E] Other - Specify 42 F-'Public or private company 50. Total land area, sq. 4t. .......... 43 (—] Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 52. Outdoors........................ 35 L] Gas Will there be central air 36 [_;-6l conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 j Electricity 44 t J Yes 45 !_ No 53. Number of bedrooms.............. 38 Coal 39 Other - Specify Will there be an elevators Full.......... 54. Number of - bathrooms 46 `r � Yes 47 No at s Partial........ City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. Mg Office of the Building Inspector Date November 21 , 19 89 BUI DING P RMIT THIS MAY CERTIFY THAT Tunstal l Leathers Insp. on Site — Foundations has permission to construct a handicap ramp Insp. of Plumbing — Rough situated on 238 Bridge Street Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy 2� Building Inspe or PflIN. TsSHOP �7