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17C-222 (14) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use f �- �.�ri "w,a -r�r� ry Y�€,. ( !C r +' .• ».,,�,- a�ry'AY` r i ,.: � .'r -I#� t + °pm'bm€C4n r = ¢ � }»{ r d$!y # 4YY- + ; y-Lg �jp.,�. p0- -re �7 # d4" "A' °; i' - dj mf. t-i v-1 f— r �4 d t C 1-441 ' + R t, a k c J a ¢ r L>< ¢ t >N ? �a 4s { a;1 m, 'I+ . 414 r t r y 14 f r 7 r 1 $ a T t -144 + o-., C ,. "s ` .- �,�' C b a� } a a � d '3 i�"�+ ��, �1,�<s-a- ?=+- � 4` �!d t s � -€--t-f•-� r- ,-g-},.,�s- �- s a C �. �-t .�.. �.. 'r t t € z 4"1.'t .j a`" `-'- _,� ¢ ,% . fa .� .}. �'T". t p z r-p ,-43 + t 1��tit }` ',- �,"E- 7. :-�s —r-�r - *.. v �t -} -r �� ~, gy p ° . 't +}a.�ir a r + � r }411 i .+ s };.4 s � .. s "I 43rA � ,� y- d,x. e n st IY v '7�r 5 r:7 t �.. -a >. ,+ a � - a 1 t.}, RJ141,1111 & i I..q .- w C� iC ! C a ,. 1 Y '� .$ "C :.:" .m -'S-,' Y. f-d 1""i b-#,.d �d - �d. �. t.. € .n. . t 4 d> : i 3 t'f: {` EN," T 4 ..I '. # ?.�. 1 r .«. t ,pj b # p v- P e p.. 7s e r I a.:°C _:.« T _ ;.. ,. ,_ S5C s- , p -t r 1'f a E ' 7'i t r 7 C a""�.:, I,r '. .". .. .-. } y s,2 € - b- t y ff r� z p t a i- i-'# S, `dd-- BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants T Name Mailing address — Number, street, city, and State ZIP code Tel. No. . �. N N C Owner or Lessee Bui Ider's 2. License No. Contractor 5 /S * tI 3. G 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 f. ( Pros 3 6� Ina ow ,Au-s-( 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 A rova I Check Date Number B Permit or Approval I Check Date Number B Pp Obtained y pP Obtained 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 Bui Iding Use Group Permit issued 19.G — Fire Grading Building Permit Fee $ Live Loading Occupancy Load Certificate of Occupancy A pea by:Drain T i l e $ Plan Review Fee TITLE NOTES and Data — (For department use) �►�1 A Ic c- ��o&P m CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND /,'7C — Z_2___?,- BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O /" ZONING AT (LOCATION) DISTRIC T (• Z LOCATION (NO') C_ (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 11. 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 ba 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 l l Transient hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number units ------- - 22 ❑ Service station, repair garage o 5 ❑ Wrecking (If multifamily residential, J 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 A6 �� r 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, y 28 ❑ Tanks, towers P nonprofit institution, etc.) 29 ❑ Other - Specify • 1ZZ 9 ❑ Public (Federal, State, or dill Of local government) C. COST (Omit cent) Nonresidential - Describe in detail proposed use of buildings, e.g., food /�/y V- processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 5V✓ . 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..................... e94,,JA"1 f£ 4 •Q is b. Plumbing ..................... Sto IL; c. Heating, air conditioning.......... 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 3 48. Number of stories............... 0 Masonry (wall bearing) 40 Public or private company 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) �• Total square feet 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 ❑ 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? 54. Number of Full.......... 46 ❑ Yes 47❑ No bathrooms Partial....... hereby certify that the-proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPT. FILE COPY BUILDING / PERMIT VALIDATION IC DATE 19�- P E R MAZ J.N o APPLICANT L/�_, ADDRESS (NO.)- (STREET) (CONTR'S LICENSE) �.► NUMBER OF PERMIT TO Z!�� �" (_) STORY DWELLING UNITS (TYPE OF IMPRO ENT) N0. (PROPOSED USE) ZONING AT (LOCATION) t!JA4�Aj DISTRICT (NO.) (STREET) m BETWEEN AND �o (CROSS STREET) (CROSS STREET) a LOT D' SUBDIVISION LOT BLOCK SIZE m 6 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O m Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) 0: O LL REMARKS: ER AREA OR o c FEEMIT S VOLUME ESTIMATED COST . s (CUBIC/5 RE FEET) OWNER BUILDING DE ADDRESS BY 1 (Affidavit on reverse side of application to be completed by authorized agent of owner) 2-12- Cp j og`� �0 No......»..........................»»»»...»..»»»».... r Erection..................._......(k) " Alteration......................( ) Plans must be filed with the Building Inspector, Repair.............................( ) Repainting....................( ) before a permit will be granted, Ti -of A ort4amptan, Mass. Application for a Permit to Place or Maintain a Sign or other Advertising Device (Application to be filled out in ink or typewritten) FEE.......... PAGE../../.`.. PLOT.:.... [ / Northampton, Mass.,. z.: .....�.1 ............19...E To the Building Commissioner: Application for a permit to place or maintain�as sign or other advertising device, or marquee. . ..... :cGc��I.....T,z`:" �. C :�.. BUSINESS NAME..... ......^ . 1. LOCATION, STREET and No. .......!.yS......L . :............ * .............�:.��:: .... ,........................................., 2. Owner's name.....................:..........:....N..:.........;L.-.1s..................................................................................................................................... 3. Owner's address................... ,.......S.i............: 5:.� -�....:............................................................................. ............... 4. Maker's name....................19.4&i ' ... ..:..�,� �5,� ..................................................................................................... 5. Maker's address.................... ,...../................( ve ;e � �: ............ �a........ �...1 �.. .. 7.............. 6. Erector's name......................' ��� e: :c?.....(........... ................................................................................................ 7. Erector's address..................................... ..................................................................................................................................... SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated..................non-illu fminated.................. 2. Will sign obstruct a fire escape,window or doors .1.�!.Q..... Marquee....................................... .... . 3. Lower edge will be......cf...::.... ft...................ins. above the public way. Proj ecting.......................... 4. Upper edge will be..... U..***".ft. ins. above the public way. Roof................................................. .. ................. 5. Height.....�:......ft.......(_?.......ins. Width.........q....ft...................ins. Temporary................................. 6. Face area..2,.:.X....sq. ft. Wall.....'74................................... 7. Inner edge will be....C9.........ins from the building or pole. h 0, U,Q Ground.......................................... 8. Outer edge will be..�..........ins.from the building or pole. Other.............................................. 9. Face of building or pole is..................ins.back from the street line. 10. Sign will project...2........ins.beyond the street line. 11. Sign will extend....-=.—. ... .ft.....�-..........ins.above the building or pole. 12. Of what material will sign be constructed? Frame......... : 5 �............. Face.........w............ .....-........... 13. Estimate cost..7.�z The undersigned certifies that the above statements are true,to the best of his knowledge and belief. ..............»..»....».�».,..,..»,.,....». .... ..1...................... ._.. (Signature of Owner or Agent) NOTE: In order that this application may be accepted, the data called for above must be set forth CLEARLY and FULLY.