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32A-138 (35) DET. OF'SUILDING INSPECTIONS BUILDING a`-' 1l!� , (` r. �) trti K, 212 Main Street 62 } . Northampton, MA 01060 PERMIT 32A - 138 ^� VALIDATION DATE October 23, Is 85 PERMIT NO. 618 APPLICANT Michael Broderick ADDRESS 111 Sand Hill Rd.. Amherst 043282 IRO.) (STREET, (COWIN S LICENSE( AlterationC NUMBER OF PERMIT TO (�) STORY office Space DWELLING UNITS ITYN OF IMFROVEMENTI MO. !MOPOsED U$I 25 Main Street. Northampton ZONING CB AT (LOCATION, ZONING CB INO.) (STREET) BETWEEN AND i CROSS STREET} (CROSS STREET( LOT SUBOWLSlON LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY_p„...-.FT. LONG BY FT. IM HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE — USE GROUP BASEMENT WALLS OR FOUNDATION I TYpr REMARKS' Interior alterations of office space for a therapist /�/� AREA OR 4,000.00 PERMIT B 16.00 VOLUME ESTIMATED COST I IM $ (CUBIC/SQUARE IRT/ OWNER Fi..tzwilly's/Roger Kirwood �� ADDRESS 22-2N Maln Street BYLGG��� WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY R { ,. A1T•_^��t- CITY OF NORTHAMPTON - � MASSACHUSETTS " ;,t tj ..I . OFFICE of the INSPECTOR of BUILDINGS LIB? _� � Page - Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, II, III, IV, and IX. O �'4/ / ZONING AT (LOCATION) '�7 rn/A 7 I ^ DISTRICT ! LOCATION 'N°' `STREET' OF BETWEEN AND BUILDING 'CROs, STREETI (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE IA II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -I 73 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m -I 1 I I N. building Residential Nonresidential —Ire 2I I Addition(If residential, enternumber 121 I One homily 18 Io I Amusemen , recreational of new housing units added, if any. 13 Two or more family - Enter 191 I Church, other religious in Part D. 13) 1 number o/ units- - - - y 20 FIndustrial 3g1 Alteration (See 2 above) 14 I I Transient hotel, motel, 21 I Parkin 4 LJ Repair, replacement or dormitory - Enter number g garage 5 I I Wrecking (bf multi/dimly residential, of units - y 22 I Service station, repair garage enter number of units in building inn 15 23 h Hospital,pita 1, institutional Part O, N) 16 I I Carport 24&Office, bank, professional 61 Moving (relocation) 17 I Other - Specify 25I Public utility 7 1 Foundation only 26 I School, library, other educational B. OWNERSHIP 27I Stores, mercantile 8 TX1 Private (individual, corporation, 26( Tanks, towers nonprofit institution, etc.) 29 1 Other - Specify 9 Public (Federal, Stat., 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,dementmy 10. Cost of improvement E A 1(3.06) 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 us.. in the above cost a. Electrical , a .r �Wl'_ _ - _ _ b. Plumbing \ Z c. Heating, air conditioning d. Other(elevator, etc.) /� 11. TOTAL COST OF IMPROVEMENT $ /•p!/06- 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. PRINCIPALqTYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 tS-Naaonry (well bearing) 40 n vans Public or private cons 48. Number of stories 31 Li Wood frame 41 I Private (septic tank, etc.) 49. Total square bet of floor area, all floors, based on exterior 321 Structural steel dimensions 331 I Reinforced concrete H. TYPE OF WATER SUPPLY 341 I Other - Speci/y 42 LiPublic r privatec mpany 50. Total land area, sq. ft. 43 I Private (wellcistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed 35 fn Gas WIII there be central air 52. Outdoors 36 Li Oil conditioning' L. RESIDENTIAL BUILDINGS ONLY 37 uii Electricity 44 L1 Yes 45 —I Na 53. Number of bedrooms 38 r I Cool 391I Other- Vprci/y Will there be an elevator' { Full 54. Number of 46 [l Yes 471`I No bathrooms portal IV. IDENTIFICATION - To be completed by all applicants Name Moiling address - Numhrr, srnrc cit'. and State ZIP code Tel. No. fr.-re/tick/ ,77€,z / O..ner or 2. j1/k4AEL &QV6'k/ iii 5441:0 )71/411 XP. L? tt,o. cY9cia7 anr.aara. 1dNftc Psi dA. 0/Doz ©g3ac2- 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 o4 this Iurisdiction. Signet of applic t ) Address Application dote 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review D Plans DPlans Plans Review Required Check FStarted By DoteBy Notes BUILDING $ _ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained Number By Permit or Approval Check Obtta tned 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- ',vi / — Use Group Permit issued .. --.,f'- 19 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved b D� n - • Drain Tile $ Cf•L'tl 'rCw�.fi� ^(>1[4 :6f Plan Review Fee $ TITLE NOT ES and Data - (For deportment use) 7i6no VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE TARO SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 111161"" Lan a u a : a::a::••• i a... oft R 1 a :«...... Iin. ...,...41111......",.«...,..t#si#« s .«;s tib...':#:«.n.a s .....«.s:::: •« i . ..a....;....N =« « : i u s a.. ....s....«. . ..x s _a • • .s.. ..«........ «. m:... .j« a. «.« . ?xs :.i:. « i.. ' .: t.«°::.«. . . . ` . . :.:.. .. . i ""2""*"*"*"*: 1::::::=8:8 s:c:s=t ...s...s =nss _ «_« a NN m: i, as _ «. ._..a a i s :i :u« : _ s #. .. «.. 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