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I a .. 1 a T .,..�- ,-...- �a-k .- I- I aa + #.;'•. edt, t, ¢�«+ 4 �a..y.p. d BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. ASSOC mss' �� Owner or !`F Lessee /429W Builder's 2, aACes � �y�,aQ� 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. Signature of applicant Address Application date 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 $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dae Date Permit or Approval Check Obtained 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 (� ' 19 Pli Building Fire Grading Permit Fee V Live Loading Certificate of Occupancy $ Occupancy Load Ap roved by: Drain Tile $ Plan Review Fee $ TITLE NOTES and Data — (For department use) /i'r'wK�4 GLt/ r C, Via„ CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 3o2 A— !F3 PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and I'X./Ta n O NG ZONI I AT (LOCATION) ��! �� r 1 ` ��"n`^rn- Le : /�._ D STN CT�K/� LOCATION (NO.) REt ) 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 Residential Nonresidential 2 Addition(1 residential, enter number f 12 One family 18 E] 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 5 F-1 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 E:] Office, bank, professional 6 ❑ Moving (relocation) 7 F—] Foundation only 17 F-1 Other — Specify 25 ❑ Public utility 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 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ 12-606- 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.)............ 11. TOTAL COST OF IMPROVEMENT $/ZOvO 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 (uD 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 F-1 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 F 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 ❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47❑ No bathrooms Partial....... i hereby certify that the proposed work is authorized by the owner of recbrd and I have been authorized ' by the owner to make tl:is application as his authorized agent. SIGNATURE-'-OF AUNT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPAILTMEN'1 OF BUILDING INSPECTIONS zQ DEPT. FILE COPY 112 MAIN STREET BUILDING O¢ hOATHAMPTO1v, MA. 01060 PERMIT VALIDATION 32A - 183 Code #79 DATE April 1, 19 80 PERMIT NO. 157 APPLICANT AtPX P,, Isar _awj,nz ADDRESS fan HarrAtt Sty NI tnin (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Nets roof ��� STORY NUMBER OF trus5es�a flat roof DWELLING UNITS 6 (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) ZONING AT (LOCATION) 71 BZI�C�TP street roolidge-Apt^e DISTRICT u C (NO.) (STREET) a BETWEEN AND 'O (CROSS STREET) (CROSS STREET) 0 IL LOT m SUBDIVISION LOT BLOCK SIZE o BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O O z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) C i LL REMARKS: Neva roof AREA OR PERMIT VOLUME _ ESTIMATED COST $ l F000 FEE $ 36-0(L__ (CUBIC/SQUARE FEET) OWNER ARRAC4BteS ADDRESS 45 Canton Ave, Amherst- Mg. BYI (Affidavit on reverse side of application to be completed by authorized agent of owner)