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IV. IDENTIFICATION - To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. O wner or Mr. Jack Martin 18 P1 mouth Ave Florence, 0 O Lessee Builder's Or�p9Vq 2. A.D. Za ka en ont. 44 hP License No. 08 V1 Contractor 3. Architect or n a 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. Signatur o applicant Address Application date 44 Cbestnut St . Hatfield, MA 5/11/83 DO 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 Is OTHER Is VI. 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 VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building. Use Group Permit issued � { 12, 19�_ Building Fire Grading Permit Fee $ � Live Loading Certificate of Occupancy $ Occupancy Load d by: Drain Tile $ L r Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page 17C Plot 18 APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) 18 Plymouth Ave, Florence DISTRICT LOCATION (NO.) (STREET) o7� Locust 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 ❑J New building Residential 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 22 ❑ Service station, repair garage 5 ❑ Wrecking (If multifamily residential, of units ——————— — -i enter number of units in building in 15 ❑ Garage 23 ❑� Hospital, institutional Part D, 13) ❑ 16 Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) 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 nonprofit institution, etc.) 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 7 ,000 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 L a. Electrical....................... b• Plumbing .................... c. Heating, air conditioning........ d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT Is 7 00.0 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 2 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 ..................... 29, X r 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 K] 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 37 ❑ Electricity 44 No ❑ Y e s 45 �[X 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 [3�pNo bathrooms Partial........ Department of Inspections 212 Main Street o° a 87. 06 a Northampton, Mass, 01060 A. PERMIT O 17C 100 VALIDATION DATE May 12, _19 83 PERMIT NO. 221 APPLICANT Helen E. Zapka ADDRESS— 44 Chestnut Street 008961 (NO.) (STREET) (CONTR'S LICENSEI NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING 18 Plymouth Ave, Florence 0IISTR CT—JOB AT (LOCATION) (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE 29 FT. WIDE BY 29 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit to renovate kitchen AREA OR $�0� PEE 28-00 2R 00 VOLUME ESTIMATED COST (CUBIC/SQUARE FEET) OWNER Mr. Jack Martin BOIL ADDRESS 8 Plymmith Amprim- BY WHITE - FILE COPY ■ GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY