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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�appIicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtai ed 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 r;2 S 7 Building- Use Group Permit issued 4n � /7 19 _ Building Fire Grading Permit Fee $ r��y (J� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE �o CITY OF NORTHAMPTON B' 'g MASSACHUSETTS r r OFFICE of the INSPECTOR of BUILDINGS Page Plot 2_ APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. O I• ZONING AT (LOCATION) '/ �• �� j • � DISTRICT/_,R LOCATION (N0.) / / (STREET) e OF BETWEEN c' '/ // *141 ,S/ 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 12F-1 One family 18 Amusement, recreational of neu, 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 ❑ Wrecking (If multifamily residential, of units ——————— — -� 22 u Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, book, professional 6 Moving (relocation) 7 � Foundation only 17 � Other — Specify 25 n Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile S 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•••••••.•......• 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 $ �/ III. SELECTED CHARACTERISTICS OF BU ING — 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 D Wood Frame 410 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 42F-1 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 L_J Gas Will there be central air 52. Outdoors........................ 36 n Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 n Yes 45 No 53. Number of bedrooms.............. 38 n Coal 39 L] Other — Specify Will there be an elevator? Full.......... I� 54. Number of 46 C] Yes 47 L__J No bathrooms Partial....... _ . . . . � o- ��' ,. ,� __ Department of Building Inspections g UIL DI N G Z° J 212*Main Street 0a °7 Y. m Northampton, Ma. 01060 PERMIT a 31D " 142 VALIDATION DATE lime 19 19 81 PERMIT NO. 254 APPLICANT Frn++k N T''^11rtl,l•E-r ADDRESS 1225 Fi nrence Road (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Ad STORY $ank DWELLING UNITS (TY •0 •MPR OVEMENT) NO. (PROPOSED USE) ZONING CHAT (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: AREA OR ESTIMATED COST $ $,nnn FEEMIT $ 24-00--- VOLUME (CUBIC/SQUARE FEET) 1 OWNER Nonotiirk Savings, Rank BUILDIN DE ADDRESS 175 Main Strpett-Nnrtbampton, Ma .01060 BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY m PINK - ASSESSORS COPY