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'' u as $ !1 ar■r �•p� up" r +.iii • ■: :r■S:. ;�r�_iirSS:::S■pNUapiaa.r• .4 : iiSi: +SS::S pdYir=: ::=s:5:: w1y:1S�S�S■•�s••Hrr■sH.N• Sa � � gi�i'•iva: i: 0 *131ammas :00 sell I a �1a i i=N i-� i r a ■ u■.apHi am an on .•. ..ra• ..a•.\r::.l a* " ::riaa::i:::Sid :::3::::= :: :O ¢� s: :! ■ •Sa$ near rrn ' • i � a :agi i : i •• • usi:u: Mill usnumnar liumv 1 S� as SS� aS�a�■11�:iS�:Si �!_ • 5: �ii�i ::�IfZ::Saa::Si NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants (x Name Mailing address — Number, strcct, cilN, aril State ZIP code Tel. No.le (]caner or Yy ,�r\ �,r�� 1 y Lessee •W14c eAI I / tjc)Avlc.M � Y � t 14 — Builder's L. f r License No. Contractor l 3. )F r 4960 Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by th.e owner to make this application as his authorized agent and we agree,to conform to all applicable laws of this jurisdiction. Sig ure of applicant Address Application date 1)'10(' 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 ate Date Permit or Approval Check ObDtained 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 rr Permit number `3o�fo Building Permit issued ` /T7 19 Building / Permit Fee $ ,0-00 Certificate of Occupancy S Approved by: Drain Tile t Plan Review Fee _ TITLE of 'Nort4alurton Aassadjusetts �U, Offire of the'�Ins}tertor of 'Ouilbings APPLICATION FOR _ ZONING PERMIT AND Paget'— Plot CR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ..� i ZONING I• AT (LOCATION) CZ I r' DISTRICT ) LOCATION (STREET) (N0.(Q OF BETWEEN `L/` (aqC- AND All 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 Reside tial Nonresidential 2 ❑ Addition(IJ residential, enter number 12FOne family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family – Enter 19 ❑ Church, other religious in Part D, 13) number of units– – – – --)� 20❑ Industrial 3XAlteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory – Enter number 5 ❑ Wrecking (I/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❑ Office, bank, professional 6 ❑ Moving (relocation) p 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 Y 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 ins/ailed 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.......... i d. Other(elevator, etc.)............ V u 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. D O E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stories.... .. ti- 3 Masonry (wall bearing) 4O F-1 Public or private company �p�d 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 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ........... 34❑ Other – Specify 42 Public or private company 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... r F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL O 35 ❑ Gas Will there be central air 52. Outdoors........................ conditioning? 36�,Oil L. RESIDENTIAL BUILDINGe ONLY 37 ❑ Electricity 44 ❑ Yes 45vfNo 53. Number of bedrooms.. ..[.•••. 38 ❑ Coal �iiyy�� 39 ❑ Other – Specify Will there be an elevator? Full.4 l.t.�. 54. Number of bathrooms "—� 46 ❑ Yes 47 gNo Partial........ I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as--hfis authorized agent. SIGNATURE OF AGENT ^ r = 7 _ T._un ACC - ADDRESS -- (NUMBER) (STREET) (CITY) APPROVED BY TITLE ` DATE 19 j DEPARTMIT OF BUILDING INSPECTIONS Z o DEPT. FILE COPY ORT T©N t MA. 01060 BUILDING 25c - 259 PERMIT VALIDATION DATE July 17. 197_ PERMIT NO. APPLICANT Dianne Hathaway ADDRESS (N0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Install wood stove (�_) STORY WoCads.. ]T+n3n� StaVe DWELLING UNITS_ 1 (TYPE OF IMPROVEMENT) N0, (PROPOSED USE) ZONING AT (LOCATION) 9 Fair DIISTR CT URA (NO.) (STREET) a BETWEEN +3 f3p'Q AND w 0055 STREET) (CROSS STREET) (L LOT m SUBDIVISION LOT BLOCK SIZE a U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I O: (TYPE) OL REMARKS: IrInt811, wood--burning stove UL Approved Label — Arizona Stove 8" Fire wall behind, asbestos shhet on floor. AREA OR MIT VOLUME ESTIMATED COST $ 725.00 FEE $ 10.00 (CUBIC/SQUARE FEET) OWNER Wi113 amR_ & .TART] M, -Mitahell BUILDI G PT. ADDRESS 9 Fair Street, Northampton BY (Affidavit on reverse side of application to be completed by authorized agent of owner)