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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and Statc ZIP code Tel. t". Owner or I s Lessee Builder's 2. 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 �,, ,� 1 Application date f-zj S) C&,S/0/,V /lV 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 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 "7 ,3q FOR DEPARTMENT USE ONLY Permit number Building. Use Group Permit issued —42�e I 19�� Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Q cupancy L Ap r ed by:Drain Tile $ Plan Review Fee $ TITLE ---- t CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page Plot_ APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C) ZONING I• AT (LOCATION) L_(,�'r"�•� r � DISTRICT LOCATION (N0.) (STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE CA 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 1 ❑ New building Residential Nonresidential 2 X 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 Transient hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 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) 4 17 X Other — Specify ✓=•tea& 5 ❑ 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.) 11114-wLdl 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,•.............. school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. 7'o 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 Is 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 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 b central air 5 Outdoors........................ 36 Oil conditioning. _ L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 Yes 45 1 No ❑ 53. Number of bedrooms.............. 38 Coal 39 )< Other — Specify i Will there an elev tor? Full.......... / 54. Number of 46 Yes 47 ❑ No bathrooms —� Partial....... ar INSPECTION RECORD . DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR FIELD COPY DEPAAMINT OF WILDING INSPEMONS vk212 MAIN sre ET BUILDING MMTRAIslP W v MA. 01060 $10.00 PERMIT 17C - 275 DATE August 229 19 80 PERMIT NO. 434 APPLICANT Neal Nettler ADDRESS 8 Cosmiez Avenue IN 0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO STORY Wood-burning stove DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 8 Cosmian Avenue ZONING DISTRICT AM (N0.) (STREET) rn BETWEEN AND (CROSS STREET) (CROSS STREET) d LOT m SUBDIVISION LOT BLOCK SIZE a V O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION ro O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f l� (TYPE) LL REMARKS: Metal bestos ghimgy "Enex= Harvester" Vcp4 stove O < AREA OR PERMIT VOLUME ESTIMATED COST $ (CUBIC/SQUARE FEET) OWNER Patricia Gre�m ADDRESS — g Comm3.8n Avenue, FIQTenae, Ma. 01060 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-,a§ his- authorized agent. SIGNATURE OF AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 F DEPT. FILE COPY DEPARTMENT OF BUILDING INSPECTIONS Zo 212 MAIN STREET BUILDING a IL NORTHAMPTONs MA. 01060 $10.00 PERMIT r VALIDATION 17C - 275 DATE Anonst 22, 19 .Jd PERMIT NO. 434 APPLICANT Neal Nettl ar ADDRESS R Cnemioa Avenue (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO. C:himne t� !i ?re► - (-_) STORY T oot_titfTttiT–;tD�+g ©V(� DWELLING UNITS 1 - (TYPE OF L AEMENT) NO. (PROPOSED USE) ZONING A MR AT (LOCATION) 8 Casmian AyenLe DISTRICT (N0.) (STREET) a BETWEEN AND u (CROSS STREET) (CROSS STREET) w LOT a SUBDIVISION LOT BLOCK SIZE m a O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION Q Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION g (TYPE) O t1 11 IL REMARKS: -yonA Stove AREA OR PERMIT VOLUME ESTIMATED COST $, FEE — (CUBIC/SQUARE FEET) A.6, 1. OWNER ADDRESS Q f"OAMI na Avnnue rxieyene4s, Ma. 01 -_ (Affidavit on reverse side of application to be completed by authorized agent of owner)