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Owner or iJ `'' -f- /� �• I C �� i* v`' Lessee t Builder's 2. t3 es License No. Contractor l 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 0pplicantt Address `f Application date —'"r 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 Is OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained 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 t FOR DEPARTMENT USE ONLY Permit number ,7J Building /1 � 19 ,ems, use Group Permit issued ( Building Fire Grading Permit Fee $ ,��" Live Loading Certificate of Occupancy $ Occupancy Load Approved Drain Tile $ Plan Review Fee $ TITLE s CITY OF NORTHAMPTON �. ';� MASSACHUSETTS $ e OFFICE of the INSPECTOR of B ILDINGS /V T Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. 0 T ZONING / Cyr ;L .. t�.• I• AT (LOCATION) DISTRICT LOCATION J/(NO.) (STREET) OF BETWEEN t41, L'� 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(If residential, enter number 12 One family 18 ❑ Amusement, recreational of new bousing 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 El 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) 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 ❑J 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................ ��?Ct 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..................... 2 X b. Plumbing ..................... ! C/jw c. Heating, air conditioning.......... Ly d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ 66.1, x 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 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 C� Electricity 44 Yes 45 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other – Specify Will there be an elevotoO Full.......... _ 54. Number of 46 l r 1 Yes 47 I� No bathrooms Partial........ E DEPT. OP BUAING INSPECTIONS BUILDING 'a �� ! 212 Main Street Oa Northampton, MA 01060 PERMIT 17D - 74 & 60 VALIDATION DATE April 22, 87 205 APPLICANT Roger Clark ADDRESS_ '�• To 3TTeeas (NO.) (STREET) (CONTR'S LICENSE) Alteration One Family NUMBER of PERMIT TO Alteration STORY Y DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 16 Garfield Ave. ZONING URB AT (LOCATION) DISTRICT (NO.) (STREET) 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. permit to change existing window into door in back of existing dwelling AREA OR $ 1 ,500.00 FEE $ 10.00 VOLUME ESTIMATED COST (CUBIC/SQUARE FEET) OWNER James Connor ADDRESS 16 Garfield Ave. Florence, Mass. 01060 BYI I � ) WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY ZiNiMP