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38-070 DEPT. 6F BUDDING INSPECTIONS BUILDING 212 Main Street o< ( , Northampton, MA 01060 PERMIT <a 38 - 70 VALIDATION DATE Auaust 13, 19 87 PERMIT NO. 5543 APPLICANT Jnhn 7i Pmi nck i ADDRESS387 Rn .k,/ Hill Rd- 017889 (NO.) (STREET) (CONTR'S LICENSEI PERMIT TO Arid i t i nn/A1 tprat i nn (_) STORY npP Fami 1 v nWP� pn NUMBER OF (TYPE OF IMPROVEMENT) NO. DWELLING UNITS (PROPOSE SE1 AT (LOCATION) _ 16� Grnvp Street ZONING CT URB (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION LOT 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: Per-mit for- the additinn of 22, X 741 at'tiarhPri riaragp and aItpr Pxiftina garage into family room AREA OR VOLUMEESTIMATED COST w $ 18,000.00 PERMIT s 68.00 (CUBIC/SQUARE FEET) OWNER ADDRESS 1�� breve—�irre�l eu1 1 WHITE - FILE COPY • GREEN - FIELD COPY • CANARY APPLICANT COPY ■ PINK - ASSESSORS COPY I, P t - ` CITY OF NORTHAMPTON ' �• .� MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS Page ;) a r Plot 70 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all ',items in sections: 1, 11, Ill, IV, and IX. O ZONING / AT (LOCATION) / 1�13 DISTRICT LOCATION (NO.) (STREET) OF BETWEEN fT/t`L ©/fT1�^" 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 Im M 1 ❑ New building Residential Nonresidential 2,�5 Addition(// residential, enter number 12 ❑ One family 18 Amusement, recreational o/ new housing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious 3 Alteration (See 2 above) number of units—- - — --> 20 ❑ Industrial ❑ 14 ❑ Transient hotel, motel, 21 [� Parking garage 4 �❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (11 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 r� Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17❑ Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 L Stores, mercantile 8 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 of hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,, l 00 c school, secondary school, college, parochial school, parking garage for. department store, rental office building, office building at industrial plant. in be installed but not included If use of existing building is eing changed, enter proposed use. in the above cost a. Electrical....................... a x b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. J 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 30❑ Masonry (wall bearing) 40 Q 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 ry F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ y 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 on elevator" Full.......... 54. Number of 46 ❑ Yes 47 No bathrooms Partial........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1.Owner or S8C Lessee iJ /'7)/ !1 Builder's y 2, `i4bd -2/E7//WS/tZ:/ C ' 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 _ Application date UO O 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 Q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtta ned Number By Permit or Approval Check Obttoined 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 Building Use Group Permit issued 19 0 f Building Fire Grading Permit Fee $ �' C./� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: — Drain Tile $ Plan Review Fee $ TITLE rl j -77y'rl (2,q 0,--y -. -- , My cpl 7 Zh —4� Mo9 i : r -- - - a own , i - — -- — --- - - _. N I i , f .1 r as I i ; i ri : w t ' 1 t Y , t • � t f 1 t � � � � , : I 1 111 f I i _. NOTES and Data — (For department use) ZONING • SIDE YARD SIDE YARD REAR YARD IX. 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