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IDENTIFICATION — To be completed by all applicants Name Mailing address — Nurnocr, street, city, aril State ZIP code Tel. No. Owner or _ Lessee Sg if Builder's 2. 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 applic Address Application date A4 AX�2� 114 V —LIEU IV 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 $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obta ned 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 30� FOR DEPARTMENT USE ONLY Permit number Building. Use Group Permit issued 19Xz,` Building 1 Fire Grading Permit Fee $ L�_as Live Loading Certificate of Occupancy $ Occupancy Load A rove by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS OFFICE o£ the INSPECTOR of BUILDINGS Pages C Plot LN" APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) / 4� /w ff"A-/ _�i DIISTR CT��✓ LOCATION (N0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D —I A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m M -a 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new bousing units added, if any, 13 Two or more family - Enter 19 ❑ Church, other religious in Part D, Se number of units- - - - -� 20 ❑ Industrial 3� Alteration (.See 2 above) 14 l t l t t h i Transenoe , motel,❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily 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 L❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 ❑ Other - Speci/y 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers p ) 29 ❑ Other - Specify nonprofit institution, etc. 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.)............. C f 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 A 30❑ Masonry (wall bearing) 40 Public or private company 48• Number of stories................ p� 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 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35)<�Gas Will t�ere be central air 52. Outdoors........................ 36'❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes /45 ❑ No 53. Number of bedrooms............. 38 ❑ Coal 39 �� Other - Specify Will there be n elevator? Full.......... f� 54. Number of 46 ❑ s 47 ❑ No bathrooms Partial...... Department of Building Inspections � 212 Main Street BUILDING ( T ,I p o , . 60 PERM IT a 25C - 232 � VALIDATION DATE July 28 19 82 — PERMIT NO. 301 APPLICANT Richard D[3pL'>lilt; ADDRESS 42 F,'iz4sLhgtb Street (NO.) (STREET) (CONTR'S LICENSE) y NUMBER OF PERMIT TO Al A taratie�lt (-2—) STORY 'Enc-`laft iflf L AS DWELLING UNITS 2 (TYPE OF IMPROVEMENT) NO. (PROP. ED USE) ZONING' std AT (LOCATION) 40"42 B1'iaabeth DISTRICAM (NO.) (STREET) BETWEEN ANfl;, (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE_4 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: Pirselnaw Ft3tfY porehan (�gnhe�aatneil AREA OR PERMIT VOLUME ESTIMATED COST $ 4 FEE (.CUBIC/SQUARE FEET) / . OWNER Tad & Deborah Williams, Richard boppman Su ADDRESS 40•42 Elizabeth Street, .artla(I Eton Ma. 01060 BY WHITE - FILE COPY . GREEN - FIELD` COPY ■ CANARY - APPLICANT COPY ■ PINK ; ASSESSORS COPY Departmeft 67 Building Inspections 212 Main Street BUILDING Z° Northampton, Ma. 01060 PERMIT 0a f a 25C - 132 VALIDATION DATE July 2, ,e 82 -. PERMIT No. 301 APPLICANT Richard Doppman ADDRESS 42 Eli 2abeth Street (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO Alteration (_Z—) STORY Enclos - na ch a DWELLIING UNITS_ 2 (TYPE OF IMPROVEMENT) N0. (PR OPO ED USE) AT (LOCATION) 40-42 Elizabeth ZONING DISTR ICTURB (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: FnClo-up fn!r porClheS(umbeated) AREA OR PERMIT VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Ted & Deborah Williams, Richard Do Amen ADDRESS 40-42 Elizabeth Street, Northampton, Ma. 01060 eu BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY APPLICANT COPY PINK ASSESSORS COPY