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28-005 (4) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use r t" q s r r + + a - t .'..' d-� ; a 44—° t ' t-""�' 'ry' Jj.:t.r rr T + rs a } € 4444 Mb+ '.{'z. ^+ .t x{ O f t P " t9 fi J, i piS c ¢ a + } - . x L.. .: . P 9 _ 4i,I '.'� `€`rg.` �ti, a. 3 d ;xd + q. a 2' k :,N"'f YC •t'+..4 p f 4 r ;, t § k b 4^ # 5 .: a 'r t,.. , j f t 4 $ e r 4? $ v d a t ## S 44 -rt T 44__ III p � 7 �, b,�," r;. S p ,- :q.„i A Y YY + a ,r. r d r '-a -r a- -�- tt k§ m e Y r--r y.tr 4-, -s } -}} P a rrY t 't -j'- -r -- }-t-§#' 1-: t -# -"} 'r t- {r HIT T # -� �� 5 F'I' �"$' "Y,l"'� ,-�r t.,# r .a- F {^-,-^ -P.'" so-." kE{ -ITT a .+,..+a , 9 #^4- d -r qq `rt'Y -t-F- .d s= ¢ , e ++ �a-�e t +p d; T - m s 2 e cu .t.. t a r d. .t. b i P"P b -4 w-. v-t b.�. ..P p y. .,{k t- �`? 3 +i t .,$+ a e€ „r,p g a P a }s. P;,.'¢ t 1 a „s n e ir± 9:::a p¢ k�'"+PP�{€:d r es t k{-i at-a-y.{.i..'$+�.i{Z'".,t s-++,;&+r o-r d r` y.d 8gw-}-.gft--."r S.`-{# t k»a ae a.-o-�¢d-.,-..j yr.a dp-+y r ¢5.{r.�.+°.�..�a r¢a a 1 s e ,.-{.•9 AE .. -144 i�}E a'--'„ w r r-s H-4-i € �a t �- { ¢rt a g l ^p d J_ b r" 14 7:4-1-1 1F�4 +a• .. , t + = b 3 i-4 b.. } -+ e-4 Y t I�- bt4aea € + t` r# @g{ i 4-g�`o-. S. } #P' I..��, - t + -a-% - f4, ¢R i e-t a' a -;-fi {tf: ` r, f ' S 1 .... ag j ar ¢-}i i BOCA FORM APEBP - 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. 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 2. �/ License No. Contractor 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that 1 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 applicant/ 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 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained 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 3/ FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued l.L[/ 3. 19 Building (J Fire Grading Permit Fee $ l d� (� (/ Live Loading Certificate of Occupancy $ Occupancy Load ApPpro�xed by: Drain Tile $ /. Plan Review Fee $ �! TITLE NOTES and Data — (For department use) CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS .� 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. 0 ,/ T }� ZONING I. AT (LOCATION) V 13 �� SJ &S l el t `D DISTRICT LOCATION (NO') (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m -I 1 ❑ New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational of new bousing 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 Transient hotel, motel, ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 22 ❑ Service station, repair garage 5 ❑ Wrecking (If multifamily residential, of units ------- - -i enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional 6 Moving (relocation) ❑ 17 Other - Specify—a 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 'i �lZ �/�_27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, I' '.� �- 28 ❑ Tanks, towers nonprofit institution, etc.) 1`" �� `� `�J.� 6�/t �� 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................ I 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 $ 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❑Masonry (wall bearing) 40 ❑ Public or private company C4 49. Total square feet of floor area, 31 F-1 Wood frame 4 1 0 Private (septic ton k, etc.) oil 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 there 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 an elevator? 54. Number of Full.......... 46 ❑ Yes 47❑ No bathrooms Partial........ 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 his authorized agent. SIGNATURE OF'AGENT r ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPT. FILE COPY DEP.ARTMT OF BUILDING INSPECTIONS ZO MAIN STREET BUILDING as Nox3N�. 0�06o PERMIT VALIDATION 28 - 5 DATE August 23, 19 79 _ PERMIT NO. 396 APPLICANT SjAqJM►R071 hiar ADDRESS Sylye(s gr ]Rd —�� • INO,J (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO ChY�neXM&os'tov'e t2_) STORY Tldooc�lnROn s o stove DWELLING UNITS ZONING RR NO AT (LOCATION) 394 T) DISTRICT ( .) (STREET) r BETWEEN AND o (CROSS STREET) (CROSS STREET) A LOT L SUBDIVISION LOT BLOCK SIZE t BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION n , Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION � (TYPE) REMARKS: Install exterior masonarsr chimney & wood-burning Move AREA OR ESTIMATED COST $ FEEMIT 10 00 VOLUME (CUBIC/SQUARE FEET) OWNER L©11i8 R011t}lier B D ADDRESS —394 S lier Role' Wl-hnn. (Affidavit on reverse side of application to be completed by authorized agent of owner)