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SCm5i:3:::33'r53!at.. :mm ME S m . . ms -. nSa��ailn H C:miC3H::::=;5:51:� • • • ll� ms: 101 a m• $ 1 Sm35.a................., IN • • xu u;■•°: uxu NN •• •:oo:::::5:::50° s "Nm Sm3mma:a:�ssm.:::•r•.•=a■5a■ nc 111; l lil m :� az ;a: a/a m. oUlda u . .�:.�.ss 3 as.5:3z:aS HI Hoolom 1110,8001-111 am mesas on a enemas:: NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Moiling address — Number, street, city, and State ZIP code Tel. No. 1. t Owner or 1 - - r o s- m n Lessee 1' TL ) o l y Builder'�� I �. 1� 1 C_ License Ns o. Contractor A ^ Architect or S-- P 131 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. Si ure of ap licant Address Application date -�Y DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved BY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check b Date 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 Permit number FOR DEPARTMENT USE ONLY 5 Building Permit issued `��z-� Z5 19 tc( Use Group Building Ile Fire Grgding Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Drain Tile $ Approved by: Plan Review Fee $ j ,�' TITLE CITY OF NORTHAMPTON MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS $ Page 3 ( c Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX. O ZONING I• AT (LOCATION) `/ Il'1 lc\I DISTRICT V 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 M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 D New building Residential Nonresidential 2 [�Addition(IJ residential, enter number 12®One family 18 Amusement, recreational of new bousing units added, if any, religious in Part D, 13) 19 Church, other reli 13 � Two or more family — Enter 9 number of units— — — — > 20 Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 L:7] Repair, replacement or dormitory — Enter number ❑ o/ units ------- — --30- 22 Service station, repair garage 5 Wrecking (If multifamily residential, enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24�� Office, bank, professional 6 Moving (relocation) 25 Public utility 17 �_� Other — Specify 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 28 Tanks, towers 8 [J;o�Privote (individual, corporation, nonprofit institution, etc.) 29 Other — Specify 9 D 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 gara ge 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 $ of D 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 41 Private (septic tank, etc.) 49. Total square feet of floor area, 31 ood frame . p all floors, based on exterior / 32 n Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE F WATER SUPPLY (jL-,. 50. Total land area, sq. 41. ........... 34 Other — Specify 42 Public or private company 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........................ conditioning? 36 � Oil L. RESIDENTIAL BUILDINGS ONLY 37 �J Electricity 44 F] Yes 45 'R No 53. Number of bedrooms.............. 38 ❑ Coal 39 Other — Specify Will there be an elevator? 54. Number of Full.......... 46 P Yes 47 �o bathrooms Partial....... City of Northampton REQUIRED INSPECTIONS $ 1 . Footings and Walls BUILDING DEPARTMENT 2 Placetural Components in 3 . Complete Building No. 536 Office of the Building Inspector Date July 25, 1989 19 BUI DING P RMIT THIS MAY CERTIFY THAT Jef f ery Haskell Insp. on Site — Foundations has permission to construct 728 sq. ft. residential space Insp. of Plumbing — Rough situated on 28 Ward St. 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 THJF4 PREMISES 0160�v Certificate of Occupancy Building Inspector OP W " Mi . City of Northam-pton 'j REQUIRED INSPECTIO74S 1 . Footings and Walls BUILDING DEPARTMENT 2 ' Structural Componentsein Place 3 . Complete Building No. 536 Office of the Building Inspector Date July 25, 1989 19 U BUI DING P RMIT THIS MAY CERTIFY THAT Jeffery Haskell Insp. on Site — Foundations" '�/Ag- has permission to construct 728 sq. f t . _r residential space Insp. of Plumbing — Rough situated on 28 Ward St. Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough 4 spect conform to the terms of the application on file in this office, `� Y 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 Smoke Detectors (Fire Dept.) return of this card signed by the Plumbing, Wiring and Building Inspectors. Gas Inspection s` THIS CARD MUST B ISP AY I CONSPICUOUS PLACE THE PREMISES Certificate of Occupancy Building Inspector P01.9 P