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17A-223 (8) � ' THIS P! Ij IS COMPILED --ROK/, DEEDS, PLANS AND OTHER -ES AN- 'S NOT SE CONSTRUE[) AS AN ACCURAT-L SURVEY AND, IS NOT T'C BEE RE-""ORDE-D. garage UR Lo I 74 �4 TO: THE HERIT,'�%GE BANK FOR SAVINGS & THE TICOR -.ITLE INSURANCE COMPANY -NOTE- THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY 1 HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EKSTING AND DOES NOT CONIS71TUTE A PROPERTY SURVEY MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON LOAN INSPECTION PLAT- THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIREE'LY VATHIN THE LOT LINES, RAND -MORTGAG�: EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN IZER ig NORTHAMPTON, MASSACHUSETTS A FLOOD PRONE AREA A�,�MQWN ON FEDERAL FLOOD INSURANCE MAPS FOR 0 FOR #35032 PREPARED t COMMUNITY # WILLIAM j. & HOLLY R. HARGRAVES ND SU HAROLD L EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS ' ^ y IX. 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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. Owner or Lessee 2. Builder's v p C /r /_ License No. G� 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. Signature of applicant Address Application date 00 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 Obtain d Number By Permit or Approval Check Obta t ed Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL I 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 Use Group Permit issued 19 Building tt ,, Fire Grading Permit Fee $ �1` � Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ A Plan Review Fee $ �r !/ T L T a PagCITY OF NORTHAMPTON �. Plot MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Q e APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O 194 North Maple Street Florence ZONING AT (LOCATION) 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 ❑ New building Re idential Nonresidential Addition / residential, her 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 3 Alteration (See 2 above) number of units— — — — > 20 ❑ Industrial ❑ 14 ❑ Transient hotel, motel, 21 C� Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (11 multifamily residential, of units ——————— — — 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 ❑ Moving (relocation) � deck w/ 7 ❑ Foundation only 17 l_.J Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP .roof for future screen 27 Stores, mercantile 8 Private (individual, corporation, 26 ❑ Tanks, towers nonprofit institution, etc.) porch 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,,,,,,,,,,,,,,,, 1 Q• 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....................... a50.Q Building a 12 ' x 34' deek, shed type roof b. Plumbing ..........."""""' above,rails as described in drawings and c. Heating, air conditioning.......... d. Other (elevator, etc.)............. building for future screening in. 11. TOTAL COST OF IMPROVEMENT $ 11 ,900.0) 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 IxPublic 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 C Electricity 44 ❑ Yes 45 No 53. Number of bedrooms.............. 38 ❑ Coal 39 Other — Specify Will there be an elevators Full.......... Q 54. Number of 46 [-1, Yes 47 2S No bathrooms Partial....... City of Northampton REQUIRED INSPECTIONS $ 1 . Footings and Walls BUILDING DEPARTMENT z - Placetural Components in 3. Complete Building No. - Office of the Building Inspector Date Apd-t 3D, 19 90 BUI DING P RMIT THIS MAY CERTIFY THAT MIlian H=zmm Insp. on Site — Foundations has permission todeck with roof 12' x V. Insp. of Plumbing — Rough situated on 194 Nxffi 113p]P Street 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 O HE PREMISES Certificate of Occupancy Building Inspector P�IN. T"SM P