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Architect or `` ,. Engineer � � �3 x 2.44j7 1 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 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 Permit or Approval Check Obtained Number By Permit or Approval Check Date 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 numberr � Building- ,t, Use Group Permit issued ���t.'.�6")"1 of /�z 19 _ Building Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approved,by;.. Drain Tile $ `, � �• • Plan Review Fee $ W TITLE 2Q CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page �Cb Plot ' '� APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) ���T DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn --4 1 ❑ New building Residential Nonresidential 2 Addition(! residential, enter number f 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) 14l l h i Transent hotel, mote , ❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ 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❑ Office, bank, professional 6 ❑ Moving (relocation) 17 ❑ Other — Specify 25 ❑ Public utility _ 7 ❑ Foundation only 26 School, library, oth�.r� �.al� B. OWNERSHIP 27 ❑ Stores, mercantile B 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„.............. I rJ C)C)C-” 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..................... "r IiaiL '1LE'iT�T�N� TC1 C C � L- C, L&(jr\i(c b. Plumbing .................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ 1SGZ�a III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Ll- for ;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 be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 L J No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial....... DEPT. OF BUILDING INSPECTIONS BUILDING Z D 1 212 Main Street 0` Northampton, MA 01060 PERMIT 38BCD - 61 VALIDATION September 14, 626 Trustees of Smith Co"]T� 19 87 PERMIT NO. APPLICANT ADDRESS 126 WPSt StrAPt Owner (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO AltPrgtion (_) STORYStahl in DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED U8E) ZONING WPCt �+Y`PPt DISTRICT URE;--- AT (LOCATION) L (N0.) (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) Permit to add small apartment to replace exiting dwelling unit for stable worker REMARKS: AREA OR ESTIMATED COST $ 15,000.00 FEEMIT $ 60.00 VOLUME (CUBIC/SQUARE FEET) OWNER BUILD�(q� � ADDRESS I BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Pirf' ' P