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M !t ra ■ H ■f .. • aulta • !■Na� ,.lwa _ __ _ ■. - Alaaa. .•.#af■aNHUl� ire if •# aa..:S :tr11 as ...i • Y # • l ■■ YN�■n;j.�a s=nH1 •■ r i '�S6 Sl: 61 r11HH:i as : �SSn 6::1r Srl../:i 1 ■o ��'a'H. .n�i■ o!i was :In 1 '� � � �i4 H,$u•16nSSNS1 y 11S. NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants r Name Mailing address — Number, street, city, and State 3IP code Tel. No. Owner or Lessee �� 'b L Builder's 2 LttHt�-L. l F,Y4 �f 'L(l7yi(� 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. Signa ure of-applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained Number By Permit or Approval Check Obtta t ed 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 II. VALIDATION Building /�� FOR DEPARTMENT USE ONLY Permit number Building- I Permit issued '` �' `��? lq — Use Group Building Fire Grading Permit Fee $ GeC7 Live Loading Certificate of Occupancy $ Occupancy Load Appro d by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON 10. MASSACHUSETTS B 6 OFFICE of the INSPECTOR of BUILDINGS ' Page l7� Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 ' I• AT (LOCATION) D ZONING t TR CTU ID LOCATION ("0.) `STREET) OF BETWEEN AND BUILDING (CROSS 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 1 ❑ New building Residential Nonresidential 2 ❑ Addition(/J 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— — — — --)P. 20 �� Industrial 3 Alteration (See 2 above) 14 l l t h i Transent hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 El 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) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 ❑ Other — Specify 25 ❑ Public utility _ 26 ❑ School, library, other educational B. OWNERSHIP a +/�� —6-t 27 ❑ Stores, mercantile 8 Private (individual, corporation, ` j, 28 ❑ Tanks, towers nonprofit institution, etc.) " � !'+^" ° 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or local government) /Q� C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food LL processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement•,,•••,••••••••• 6V 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.......... d. Other (elevator, etc.).............I 11. TOTAL COST OF IMPROVEMENT I$ �p 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 Z 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 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY X 37 C_j Electricity 44 [—] Yes 45 F-1 No 53. Number of bedrooms.............. 38 Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... / 54. Number of 46 ] Yes 47 D No bathrooms i Partial....... Dep. ment of Building Inspections 212 Me. n Street BUILDING �- zo Northampton, Ma. 0106G, 0 PERMIT aa.X 178 - 210 VALIDATION DATE bi-Y,ch 30, 19 87 PERMIT NO. 103 APPLICANT W7 11 i am H"r1 PV ADDRESS 116 Nn- Maple (N0.) (STR ET) (CONTR'S LICENSE) NUMBER OF PERMIT TO New IRI (1_) STORY WoAd st01ED ' E DWELLING UNITS 1 (TYPE OF IM OVEMENT) NO. (PROPOS US ZONING AT (LOCATION) 116 No• F1 e_ DISTRICT iR (NO.) ( Ma 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: Comatruct three ciAad lane to fnr, atorsage of Wood AREA OR ESTIMATED COST . 850.00 FEEMIT s to oo VOLUME (CUBIC/SQUARE FEET) OWNER William & Der©thy Hurley BUILDIN ADDRESS 116 No- Maple Street, Florence, Ma, 01060 BY WHITE - FILE COPY . GREEN • FIELD COPY ■ CANARY - APPLICANT COPY PINK - A ESSORS COPY