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17C-058 (6)
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IDENTIFICATION — To be completed by all applicants ' Nome Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or o>Us �'Z� t 9 a CA-o- /Y u-6 S4-- ra,;2,c-o- sy qr3/ Lessee _U V/ �4k Contractor "•u' ��^ License No. 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 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 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained Obtained 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 "'-1 FOR DEPARTMENT USE ONLY Permit number L Building Permit issued �_�!k � � 19__� use Group Building Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Ap d by: � Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the I1,SPECTOR of BU LDINGS lY i Page— Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sec^tiions:n1, 11, 111, IV, and IX. O I• AT (LOCATION) 1-1 y CIat2 mcrk= T (Q�+--�-� ZONING . DISTRICT LOCATION �p (NO') (STREET) p� OF BETWEEN o �.ICxC P_0" AND JI'`s1 4U(PO -- BUILDING (CROSS STREET) (CROSS SS STR ) TR EE LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 ❑ III<building Reside 'al Nonresidential 2 Addition(if residential, enter number 12 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, ❑ 21 �� Parking garage 4 ❑❑ Repair, replacement or dormitory — Enter number ❑ of units ——————— — --� 22 �❑ Service station, repair garage 5 Wrecking (//multifamily residential, 23 Hos ital, institutional enter number of units in building in 15 ❑ Garage p Part D, 13) 16 Carport 24 ❑ Office, bank, professional ❑ 6 ❑ Moving (relocation) �yV D r 17 ❑ Other — Speci/y rr/s 25 ❑ Public utility 7 ❑ Foundation only ,( 26 ❑ School, library, other educational B. OWNERSHIP /( f C 27 ❑ Stores, mercantile 8 [;�Private(individual, corporation, 28 ❑ Tanks, towers b nonprofit institution, etc.) or �rae- '�,L,z_ 29 ❑ Other — Specify 9 ❑ Public(Federal, State, or ��ttiFl Vxc.R 2i't"ls local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food ccr 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 © e u a. Electrical..................... C7 CJ r 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 sonry (wall bearing) 40 ublic or private company 41 Private (septic tank, etc.) 31 Wd ❑❑'P 49• Total square feet of floor area, ood frame p all floors, based on exterior ` 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Speci/y 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. PRINCIP/�L TYPE OF HEATING FUEL I. TYPE OF MECHANICAL l 35 [: Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 i'yNo 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑❑ Other — Specify Will there be an elevators 54. Number of Full.......... 46 � Yes 47 �No bathrooms Partial....... DEPT. OFI UILDING INSPECTIONS BUILDING "' / �� ( � 3 212 Main Street Northampton, MA 01060 PERMIT <a 17C - 58 VALIDATION DATE BeEeh„ _19 PERMIT NO._� APPLICANT Gary Cadette ADDRESS b2 Ma S t. n T Fe (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Addition (_) STORY One Family DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 190 Chestnut Street, Florence ZONING URA AT (LOCATION) DISTRICT (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: permi t for the addition of a second floor dormer on one side in rear of attic 1 bath and 2 bedrooms AREA OR PER MIT VOLUME 1600 So f t.- -- ESTIMATED COST $ 3.000•00 FEE $ 135.0 (CUBIC/SQUARE FEET) OWNER I ni u�P & Fd Hurl hurtf BOIL ADDRESS lqO Chpstnut Strppt . orencP BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pQF