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07-012 (9)
DEPT. ALE COPY =D BUILDING OF cm OF soiTHAttPl'ON PERMIT VALIDATION NORt1A maoN N Toss. DATE .T1laP 27, 1977 PERMIT NO. 2A3 APPLICANT I.' .•N. ...r ADDRESS aali North Fatnrm Roan (N0.) ISTBEET) ICONTNS uCESSE) NUMBER OF 1. PERMIT TO Rpcid Enoisl Arldi+inn {2,) stray_,,ti vi mg pyi +Nauss 1 aastgsagg DWELLING UNITS_. I�— ll_ tl@a ZONING AT (LOCATION) FF08 Nnnth Parma Road DISTRICT RP ;NO.t {STREET) o BETWEEN AND ._ 2 (C(0SS STREET) SCFOSS STREET) LOT m SUBDIVISION LOT BLOCK SIZE A p BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 0 ci Z TO TYPE r„_ USE GROUP BASEMENT WALLS OR FOUNDATION 2 (TYPE) t 0 REMARKS: Addition to living gpartart, add strings shed VOLUME ESTIMATED COST $..9,006.00 FFEEMIT T $27 O0 IcuIICTSBUARE MEET/ OWNER Nail Pt Parry Rne¢tpgd BUILDING E ADDRESS 401:1 grortb S>Tma Pala, 2lattliarrptor BY - -CC,g 4 (Affidavit on reverse side of application to be completed by authorized-agent of owner) I hereby certify that the proposed work is authorized:kyr the owner,of- record f ` and I have been authorized by the owner to make this,attOicntton os his authorized agent. SIGNATURE of AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19__,. A C�iitg ofq4 Northampton f - J 1 �+ pxasearI USW, cs ftd rN m�?y-> Office of the 311tspednr of Auilbiags APPLICATION FOR ZONING PERMIT AND Page 7 Plot l I BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. p ; }'ZONING ZONING }' I AT (LOCATION) A L"- rl,, k rl I la F l' ' f L- DISTRICT ,y� LOCATION (No.1 'STREET' OF BUILDING BETWEEN (CROSS sTREET) AND (CROSS STREET/ 7 t , I oT SUBDIVISION LOT BLOCK SIZE 1 r - - Fi N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D y A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"wrecking" most recent use m m t,kr•New building Residential Nonresidential 2,Additi on(11 residential, enter number 12,K1One family IS r1 Amusement, recreational \ of new housing units added, i/ any. 131 I Two or more family - Enter 19 tri Church, other religious inPart D,, 13) number of units- - - - -i 20I I Industrial ' 3 PT Alteration (See 2 above) 14 Transient hotel, motel, 4I Repair, replacement or dormitory - Enter number 21 Parking garage J 5 I Wrecking (If multifamily residential, of units - y 22 I I Service station, repair garage enter number of units in building In is 7 Garage 23 I _I Hospital, institutional _ Part D. 13) 16 I1 Carport 24 i I Office, bank, professional 6 CI Moving (relocation) Foundation only 17 Other - Specify 25I I Public utility _ 26[ I School, library, other educational B. OWNERSHIP "-c:t.--sc -1 - , / 27I I Stores, mercantile B'RI.Private (individual, corporation, 26 L_ Tanks, towers nonprofit institution, etc.) 29 I Other - Specify 9 I I Public (Federal, State, or local government) C. COST (Omit Cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food O processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement $ / C : school, secondary school, college, parochial school, parking garage for departmentrental office building, office building atindustrial plant. To be in tailed but not included If usof existing building is being changed, enter propoed use in the above cost e. Electrical }". ; b. Plumb'ring c.Heating, air conditioning d. Other(elevator, etc.)............. p 11. TOTAL COST OF IMPROVEMENT $ 1, s III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L; for wrecking, complete only Port J, for all others skip to IV. D C) E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m m 30 n Masonry (wall bearing) 40I I Public or private company 48. Numbsr of stories C - • 31 Wood frame 41�Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exteriorIS/�. 32 Structural steel dimensions G r 33 I Reinforced concrete H. TYPE OF WATER SUPPLY 34I I Other - Specify 421Public or private company 50. Tocol land area, sq. ft - 43 ! I Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 9 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed 0 351 I Gas Will there be central air 52. Outdoors - , 36 I I Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY - 37I Electricity 44 Li Too 45 T>tNo 53. Number of bedrooms 36 I I Coal sa4; 1 Other - Specify :. : r Will there be an elevator' 1 Full 54. Number of [t` 46 I ! Yes 4Z ✓f- No bathrooms Partial IV. IDENTIFICATION — To be completed by all opphcocts Name Molling address — Aism Fr., �... u.,./ ( ZIP code Tel. No. a..ner or l� Y. :5 ti . _ r . I In's Lessee F-Et��: .H, U -'- ' _ . .a: li • _ ( c r: ( , e :e , t _ ce,ae Nn. Contractor 3. \ Architect c, 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 ell applicable laws of this luriisdiction. Signature 1 appliwint [ Address • Application date ( DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check y Plan Review Date Plans © Dote Plans By Notes Fee Started Approved BUILDING $ __ PLUMBING S MECHANICAL $ ELECTRICAL $ OTHER S VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS DateDate Permit or Approval Check Obtained 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 Bonding Permit number 0163 Building Permit issued .lw yC/._ _ � 19 /ry/q Building Permit Fee $ c 7 2d Certificate of Occupancy $ - Approved by: Drain Tile $ Plan Review Fee S - : ✓ LE NOTES and Data — (For deportment use) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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