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23A-015 (8) DEPT. FILE COPY DEPARTMENT OF BUILDING INSPECTIONS ro 212 MAIN STREET BUILDING ?' NORTHAMPTON§ MA.' 01060 PERMIT VALIDATION 23A - 15 CODE #79 DATE Nay 30. 19 80 PERMIT NO. 280 APPLICANT Harold FitaGerald ADDRESS 18 PAalr St., Flo_ (NO.) (STREET) (Collin LICENSE) PERMIT TO Addition (_3_) STORY Add{tion NUMBER OF ING UNITS 5 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONIN AT (LOCATION) 18 Park O(STRICT MB(NO.) (STREET) OISTfl a BETWEEN AND a (CROSS STREET) (CROSS STREET) LOT s SUBDIVISION LOT BLOCK SIZE . Addition m IS TO BE 16 FT. WIDE BY F FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 3 (TYPE) � REMARKS: Arlen tint. to h.drnr10AREA $ R VOLUME A0 ESTIMATED COST FEEMIT 10. on ICueFitzGE FEET/ -` OWNER DDRE 18rPir B rietFaod ADDRESS 18 Park Street, Plorences Ma. 01060 BBY UILD( ...Dec, (Affidavit on reverse side of application to be completed by authoriz agent of owner) I hereby certify that the proposed work is authorized by the owner of recbr y• and I have been authorized by the owner to make this application as his authorized agent. SIGNATURE OF AGENT ADDRESS - (NUMBER) (STREET) _ _ . (CITY) APPROVED BY TITLE DATE 19_. , A CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND _.3 /t — /6— BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, III, IV, and IX. f� O 'AT (LOCATION) � DISTRICTL��� LOCATION 'NC'I (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET( LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D .-I A A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use In Ill -I 1 I New building Residential Nonresidential 2 t)dditi on(1/residential, enter number 12 One family 18 Amusement, recreational / cw housingunits added, i/ any, 13 wo or more family — Enter 13) 19 Church, other religious in Part D, 13 Two number of onus————y 20 Industrial 3 I I Alteration (See 2 above) 14I I Transient hotel, motel, 21 Parkin 4 I I Repair, replacement or dormitory — Enter number g garage s I I Wrecking (1/mutt ilmni ly residential, of units — y 22 Service station, repair garage enter umber o/units in building in 15 I I Garage 23 Hospital, institutional Part D, 13) 6 Moving (relocation) 16 I Carport 24 I Office, bank, professional 7 PT Foundation only 17 I I Other - Spec:/y 25 Public utility �J 26 School, library, other educational B. OWNERSHIP U >r-+l 27 Stores, mercantile 8..N. Private (individual, corporation, 28 Tanks, towers nonprofit institution,etc.) 29 Other -Specify 9 I1 Public (Federal, State, or local government) C. COST mit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food L.l school, secondary school, college, parochial school, parking garage for.processing plant, machine shop, foundry building at hospital,elementary 10. Cost of improvement g3/571 department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building'm being changed, enter proposed use. in the above cost a. Elect i al b. Plumbing c. Heating, air conditioning d. Other(elevator, etc ) J 11. TOTAL COST OF IMPROVEMENT $ / C-`! Z: III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L; for wrecking, complete only Port J, for ell others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TY p E OF SEWAGE DISPOSAL J. DIMENSIONS �(/np 30 r] Masonry(wall bearing) 4Wc`I Public or private company 48. Number of arories. ..: / 31lWood frame 41 I I Private (septic conk, etc.) 49. afloors,l sqsbasede Net onf floor area, 4 /2 F all eexteriorp1 32 Structural steel dimensions �%' V 33I I Reinforced concrete H. TYPE OF WATER SUPPLY (/ 34 I Other - Specify 42 I�[i Public or private company 50. Total land area, sq. ft X 43 I I Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL st. Enclosed /// / l 35Gas Will there be central air 52. Outdoors .( " /(; 96 Oil conditioning? ���,,,{{{ 3 Electricity 44 I Yes 5..15\c'No L. RESIDENTIAL BUILDINGS ONLY J.j1' 53. Number of bedrooms� 30I I Cool ``///����������,JJJ1��'... / /� 39 Other — Specify WI II there be an elevator? II �/ 54. Number of 46 I Yes 4' ,�I No bathrooms / \\\ Partial A NOTES and Data — (For department use) �+J z ,K 7//,41'1 rrr/.-et.21�./-,`'' 6 1� IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, rIty, and State ZIP code Tel. No. • 1.o. �� / / 7f [GJJRlii c4Y 355_ peri- u c aIle {%� I> � , J � Lessee Builder's 2 ‘...raetrIVY 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. $ignatL of pp eant- 7,(, Address // Appticati on date . j / DO NOT WRITE BELOW THIS LINE /.. V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Dote Plans Dote Plans quire Fee Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained Number By Permit or Approva I 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 Building3141FOR DEPARTMENT USE ONLY Permit number Building p use Group Permit issued j .d0 191+ Building a f Fire Grading Permit Fee $ /,_ 61/1 Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ YIN. ZONING PLAN EXAMINERS NOTES DISTRICT i i . USE FRONT YARD • SIDE YARD SIDE YARD REAR YARD y s - / % ..Y "/� _NOTES ' /'l'1✓''i.�Y��._ .� ,i✓ _ y�.� Y/ ,/ i ,itlQ-L / ._. i f 1 `44-T-1:: si ... zf kt . _- Pot ApplicantUse - 1 }IX. SITE OR PLOT PLAN" - 1 f f;# t' S. cs + t } a � � I iinny t l ! —. 3 t x } - >x ..__ ._,_,.1..,,7t t --A AL 4 f r1:1 ;;;;441.*;*.'.74,r4, -.T;4*-11Z- 44; -4..h=;t ;*t*14-.*44 t'411;;;-/-*„....* ... ....,;-; .f.,.. ::L-4-4* t titt ' 3 f } 1 I iI "fi t}t x ;- -s {` t '} ff .,,,..'D.6:71# t { # # I .11y ;T .. 4 I k � ;; t1 ,, i ,sr . . ., F- � .. 1.1...}..,_,.,,,,-÷-.- i'7�s3-` c} ' . ,« i f- A t . t� r . i i.j` :i� . — . tit f SOCA FORM A?EBp - 669 C1969 OVILOINO OFFICIALS & CrOF ADMINISTRATORS INTERNATIONAL, INC. .1,1id9l/c/ � JO -0it3el �- (k 7 � } 0/ 910QL/ Ci, scr�QZ 1 ,h*,h ISI � n I ,7 , Z / it �l h ©NZ !JO.ic!/ // k l S yNid j�