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05-020 ZONING • DISTRICT FRONT YARD SIDE YARD SIDE YARD REAR YARD IX. 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Ste/ ReM ST WASS , l410 571 .5 - Owner or Lessee ^_ Builder's 2. �', License No. Contractor 3. A)� Architect or Ah 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 applicant Address Applica ion to A S f3�C/� 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obta ned Number By Permit or Approval Check 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 V11. VALIDATION Building O( FOR DEPARTMENT USE ONLY Permit number w c7 rte/. Building . T Use Group 19 Permit issued 6t Building Fire Grading Permit Fee $ g. Q� Live Loading Certificate of Occupancy $ Occupancy Load Ap)wa,yed by: Drain Tile $ Plan Review Fee $ TITLE 1 CITY OF NORTHAMPTON MASSACHUSETTS y OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant VOL)�to complete all items in sections: 1, 11, lll, IV, and IX. O (, ZONING I• AT ( LOCATION) `� ✓ DIISTR CTV LOCATION ((N�NO.))� �/ rr (STREET))�'�w�//��T OF BETWEEN •_�'V�F+� Ie-Y/A VfKo� re—o6D AND BUILDING ( ROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 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 —f 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 X 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 L❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — -� 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 P 17 '❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑� School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers p ) 29 ❑ Other — Specify nonprofit institution, etc. 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••••,•..•......• $ 7.6we 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....................... b. Plumbing ..................... c. Heating, air conditioning.......... Vr 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 L❑ 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........ nEPARTMENT OF BUILDING INSPECTIONS 212 MAIN STREET BUILDING Z° 8 610 1/1/410 NORTHAMPTON, MA. 01060 1a PERMIT 5 - 20 VALIDATION e DATE November 12, ,19 81 PERMIT NO. 632 APPLICANT Cprnld Tackcnn ADDRESS_ ReW T Nn4 Amherst; Ma. (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO STORY �pci rlcnCe DWELLING UNITS 2 (TYP OF I PROVEME NT) NO. (PROPOSED USE) ZONING RR AT (LOCATION) 195 AiidiIhon Road 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: New kitchen cahinpts. npw shaptrock. relocating door openings, rebuilding stairs to 2nd. floor, upgrading electrical wiring, new bathroom fixtures on 1st. & 2nd. floors, miscellaneous cosmetic alterations. AREA OR VOLUME ESTIMATED COST $ 7inno FEEMIT 28 (CUBIC/SQUARE FEET) OWNER aprat d Jackson BUILD&G ��' 't _ ADDRESS Rnx• H. Nn- Amhprat,r Ma_ 01059 BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK ESSORS COPY _ _ _ c�/c /bra � —�`'° c¢."'� ).,. F 10 a tT ,1 <a W. IDATI I DATE _! ' 19 Al PERMIT No., 632 APPLICANT M ADDRESS {E S, —.�$ R� w (N0. ( TREET,) (CONTR•S LICENSE). y NUMBER OF PERMIT TO (_y.) 'STORY 14A DWELLING UNITS 2 11 OVEMENT) N0. ROPO ED USE) ZONING AT (LOCATION) DISTRICT Vit (NOJ C TREET) BETWEEN AND 4, (CROSS STREET) {CROSS."STREET) LOT SUBDIV($ION' LOT BLOCK SIZE s, BUILDING IS TO BE FT, WIDE°BY FT. LONG BY FT. IN HEIGHT ANC40ALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION" (TYPE) " REMARKS: " valad-Islit ti',V*huildiug stairs t + l�l Cllr h�Ilsae Its 1St. & 2nd, r VOLUME PERM T - AREA E ESTIMATED CO' . k FEE (CUBIC/SQUARE FEET). J OWNER .xr =� �-- BUILD ' f ADDRESS BY ��-- WHI'T'E FILE COPY GREEN FIELD' COPY CANARY APPLICANT COPY + PINK ^ SSESSORS COPY