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17C-128 (2) FRONT YARD SIDE YARD SIDE YARD REAR 1 Ix. SITE OR . Applicant Use iiiiii......iiiiiiiiii ....iiiiiiiiiiii iiiiiiiiiiiiii'.iriiiiiiiiiiiii �.i!i��. .... iiiiiuuiiu ......iii:::: :_:_• ::::::::::::FSe:u::::::: ::a.::::::::::�s:_•::: : iui Fia•ssg:s:iis:::: ::::s:: ::::::::::::::::::::::::::::: :i::•::::::::::::: _ • .uuo■ n• H.•S•1y�•■ ooHau'or,,�.• HaN• •N. Nog�Ny sense• u {.o. g, ■.e�•N• /lira " i:::ii'i:11:11F:$Fs rig' -'°$F'•�'N�ia : :a:i:: $::'iii$:\.+it•'GiFS+ ':ii'$gi :::::i:::t� °■i:i....mea, ta:■.11NN e:H•NSa.HU;a' N ' •�5:: uN{: .wFHNNHNN...N. �:!::g.Nr:HNNn.:NNtN.N.o uNt u_H■uN■u■N.:.■■.■o:.„f:: .N{rsi H ; S. 1r•gr•1�•ie=i=•gg:....i\\ir;:ggi is=;.rN•.; i �•aF:•• i' '••::tNtii.'=•4■rt�■i•:�i NOTES and Data — (For department use) �1V1AfA �. Gift of 39or#11 amp tell M r �A56NCI�ITBtfIH X � DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 Y' AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN. I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON. BEING A.HOMEOWJNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS OF THE RULES AND REGULATIONS ARE COMPLIED WITH. r u I- _ J I J tJ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or i ; I "roc %tip t )1c� E s Lessee O! t'Iif' �C��jr^ yJ�s✓ 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 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. Signs ure of applicant Address Application ate r� ` ✓�L r c r G"Z-t �I; �, D0 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 is ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained Number By Permit or Approval Check Date 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 �z FOR DEPARTMENT USE ONLY Permit number Building .' Use Group Permit issued ' L-" 19 Building Fire Grading Permit Fee $ 1�' Live Loading Certificate of Occupancy $ Occupancy Load Appr�ved by: y Drain Tile $ ' Plan Review Fee $ �_ TITLE CITY OF NORTHAMPTON B« MASSACHUSETTS r • e OFFICE of the INSPECTOR of BUILDINGS �T Page � Plot L Q APPLICATION FOR INSPECTOR _ ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, /11111,,/111, IV, and IX. O I• AT (LOCATION) �-~�� or �) / t�G� / �v -I�-''�)/2 — DISTRICT LOCATION IN 0.) (ST ET) OF BETWEEN /r/�5 fJ ..S AND z3n CL2 BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use rn rn 1 ❑ New building Residential Nonresidential 2 Addition(If residential, enter number 12 [D-One family 18 ❑J Amusement, recreational of new housing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 C� Church, other religious number of units— — — — -- 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 C_� Parking garage 4 ❑ Repair, replacement or dormitory — Enter number r 5 ❑ Wrecking (11 multifamily residential, of units ------- — -- 22 C_� Service station, repair garage enter number of units in building in 15 C] Garage 23 Hospital, institutional Part D, 13) 16 ❑ Carport t)n V 1D p 24 ❑� Office, bank, professional 6 ❑ Moving (relocation) 7 Foundation only 17 E:] Other Specify Io( 25 ❑ Public utility — t ❑ 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 L_� 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,.,,,.•,,,,,.... _,o r 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 chm.ged, 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 30 ❑ Masonry (wall bearing) 40 ❑ Public or private company 48• Number of stories................ 31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all 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 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ...................... 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? Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial....... z T ' '.- S . S' A -11,11,111,11111, ? r � �F, � � r €�� s n'� , , ' ,tom r s s. `'�# .-v"�.s a te` Eu * a" , '�' v .�^"` ��,�,VS's.. r +'" �l�� T 3", as r s- a "; t: ° ' a WIMA z Mkt# E_ €2 _ 3 y r .,r- t �. t t a K 2 �} , f` .7. 2 2 &.{� kjf _ y. :' ry C Y �4� F "e',-I 11 � I P 1'# £ M1 I'll f s, k 3 _ _ z: ,+� e� t� .,.­11 _ a? F � { f Q. is �Tji-71,11 R ° ,k t .'h. � Two \ `a1� � *` - � �R .' a 1 a t -i '-?�xi k k' fi *a �' � "+ �. fps a � f " ' J-0 +. 3 5 .... , u x w GeN, " r °° ��k , . tl% g " j $p 2 Y fi Wf e l 'S f '1" 1, '� p. r` , ]: .,r a RE:, ,:' : "- - , : ,!� ,,,­�,,, ,,""��. I � I I � ":- -­: , i,'�� -M�V�m-,�� �'l NC, A �� rt x- � fix ' �' k 's' a " i�v 11 I a ,�'. " F s is. "-. 3"b ,,�, 'Y- _ :. �i -.,, as a k1, r,- .. ^t..ses x y . y F q , 'T, $� , .;';'"^`' y �r 4'+,. �ky,': •' .-», r, x it F 'r"raa` i. fit. .a:"'^ nth � REQUIRED IN PECTIONS I, Footings and Wails �a ' ILIJNkP"A,�­RTM- . Structural C ► rpernents �n Pace 1 ,. . 3. Completi� Witildblo N 0 393 1e 0 the i us p►ecta►r Date . 9A., . ul JD V . THIS MAY CERTIFY THAT fZoberl Qlang BaaLWDin Insp. on,',Site =-• Foundations has permission` to, add deck 12ti,X 1a' Insp. of'Plumbing Rough situated,gin Wreace Insp. of otumbing Finish provided that the`person accepting this #ertnit sha#in every re- Insp. of'Wirin -- Rouglh spect conform to the t0-m,s of the pt cation on.01" ern this olfi e, , Insp, oVrrih and to the`prcrisiuns f the State `s aid#h��r���� ee rs%ii f; - Finish to tie construction, l4sittenance`anl Inspection,ref Buildings in Insp. of H.ealth (Septic `Conks) the,City ofIoriharinttrn.Any viattiou oCih pghe,t+ this ab#ye Iioildin Insp. -- - Rou h no is in immediate revocation°of thi pe 'rit, pares six g ` months from dote... Buildin �lt spw Finish Note: A certificate ofoccupapt?y w*illlbe issu d,hy bliscl i ethpon return of this card signed bythe Ptutnbing,I�iring..and building: Smoke Detectors (Fire dept.)` � Inspect©rs. Gas,Inspection ' Wilk Alk THIS CA MV$T ,BE WSPLOF,1D CONSPICUO " S Certificate of occupancy Buytdlnk Inspector