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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. v-NN/s 8O ems ,fit 2�Y1S b fit, 01444 jkl—72 Owner or Lessee 2. 11 � C �e �y� �/U ST Builder's ���ry,,.,6 Contractor © O�od License No. o3o�3q 3. Zt,� Architect or (CTUITt �.�. L�Ok (72, —QT0111I�.1 PA J 2�0 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 appj ation as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signs ure of appl cant Address Application date DO 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 Permit or Approval Check DO}Q Number By Permit or Approval Check Date Number B Y Obtained Obtained 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. o � 19 Use Group Permit issued v z r-�'I Building Fire Grading Permit Fee $ I. , Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ i L Plan Review Fee $ ITLE j' f N CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS !y T Page ��� Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. `n O JQ �fy� ,� I �,� 1,�/1 ZONING I• AT (LOCATION) Sd PDX FA RlhS P- �`" I' l�` DISTRICT 1 LOCATION ( jj (NO') (STREET) OF BETWEEN 4812 1 c)6C_ AND � . ` '``/ BUILDING (CROSS STREET) (CINOSS 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 m --t 1 ❑ New building Residential Nonresidential 2 ❑ Addition(lf residential, enter number 12 [j?One family 18 ❑ Amusement, recreational of new housing 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, ®'Repair, replacement 21 ❑ Parking garage 4 or dormitory - Enter number 5 ❑ Wrecking (11 multifamily residential, of units ------- - -i 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 Hospital, institutional Part D, 13) 24❑ Office, bank, professional 6 ❑ Moving (relocation) 16 ❑ Carport 17❑ Other - SpeciJy 25 Public utility 7 ❑ Foundation only e�� 26 ❑ School, library, other educational B. OWNERSHIP �1&xw,5;� gxis;r/xte Sk-'R46VAI 27 ❑ Stores, mercantile 8 Private (individual, corporation, / / �J�� 28 ❑ Tanks, towers nonprofit institution, etc.) �O s•oxr 29 ❑ Other - Specify 9 ❑ Public (Federal, State, or ,/E0 SCR�J _ / la�3-6 local government) /lF RxLC(� 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................ x r ace 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..................... A1.10t) LnI.VW�y _CeA WA l b. Plumbing ..................... r , p457 c. Heating, air conditioning.......... d. Other (elevator, etc.).rC. .... C.4-7. t2EDt�oo D I o1c 3 0 �c( ,�a C�ti f� 11. TOTAL COST OF IMPROVEMENT $ 1T (.L7• li?M• -7 r,1N V�4'TED 2�c►F 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 I 30 ❑ Masonry (wall bearing) 40 [�ublic or private company 48. Number of stories..............31 ❑ Wood frame 41 vate (septic tank, etc.) 49. Total ors, b feet n floor area, all floors, based on exterior 32 ❑ Structural steel dimensions .141.X.34.......... F' 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 42 Public or private company 50. Total land area, sq. ft. .......... 34 Other - SpeciJy � P 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 LI 0 1 con itioning.o L. RESIDENTIAL BUILDINGS ONLY r— 37 Electricity 44 �� Yes 45 No 53. Number of bedrooms.............. 38 C1 Coal 39 Other - Specify Will there be an elevatoro Full.L...... 54. Number of 46 P Yes 47 o bathrooms / Partial. ..... e City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls 2 . Structural Components in BUILDING DEPARTMENT Place 3. Complete Building No. 605 Office of the Building Inspector Date 8-24-89 19 BUI DING P RMIT r� THIS MAY CERTIFY THAT Barron & Jacobs Insp. on Site — Foundations has permission to demolish & rebuild porch space Insp. of Plumbing — Rough situated on 80 Fox Farms Rd. 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 Smoke Detectors (Fire Dept.) return of this card signed by the Plumbing, Wiring and Building Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES tee Certificate of Occupancy Building Inspector P IN P