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38B-033 City of Northampton REQUIRED INSPECTIONS ptnii V t c4 1 . Footings and Walls '45-WedBUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. 121 Office of the Building Inspector Date March 15, 19 90 BUILDING PERMIT THIS MAY CERTIFY THAT Todd Rolland Insp. on Site — Foundations _has permission to remodel existing bathroom on first floor Insp. of Plumbing — Rough situated on 4 Fort Hill Terr. Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) — Inspectors. - Gas Inspection THIS CART) MUST BE DISPLAYED IN A CONSP!CT S US PLA ' r THE PREMISES is .0 . . Certificate of Occupancy _ Building Inspector - jT.7ti(,• ^ CITY OF NORTHAMPTON MASSACHUSETTS lna t 'LI t. ° -IC' ed - OFFICE of the INSPECTOR of BUILDINGS e:t! r f) , 't om � 32/3 Plot 33 a= � Page APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: I, II, III, IY, and IX. O I. : (LOCATION) '� Fort, Will Ter . ZONING LOCATION A (hob ( }I OF __ -- 0L` 0 [ 7 f7U_ih.s.Ate 6J reef AND _ _. . BUILDING '°Ras ' ``ROSS STREET) suBOrvIS:ON LOT BLOCK SIZE 1 II. TYPE AND COST OF BUILDING - All opplicants complete Parts A - 0 -a a A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn In H 1 n New building Residential Nonresidential 2[ Addin n(I/ residential, enter number 12I\One family IBI 1 Amusement, recreational rr/ nom ho ring units added, if anY. m Pmt O Il) 13 I I Two or more family - enter 19I j Church, other religious 3 l Alteration (See 2 abwaJ number 0/uratr————y 20 l Industrial 14 I 1 Transient hotel, motel, zl -� Parking garage 4 Repair, replacement or dormitory - Amer nimbbe 5 ❑ Wrecking (I(multifamily side, al, a/ t nits - 22 I Service station, e a r garage enter number , units rn building in 15 Garage 23 L ] Hospital, institutional Part n 13) —I - _ 6 [� Moving (mlocotlon 16 I Carport pp� 24 Office, bank, professional 17.>Other - Spea/> Ie!f kcm ill) 25 ;H Public utility7 [-I Foundation only Re F 26 H School, library, other educational ReB. OWNERSHIP pJa['e a)cf/5F1ty 27 7 Stores, mercantile B [ Private (individual, orpora �/o , ©/ X Z e 28 ❑ Tanks, towers nonprofit institution,itu for n etc.) 29 Other - SPen/y 91l1I Public(Federal, State, or local government) C. COST ((mut rents) Nonresidential - Describe in detail proposed useof buildings, e.g., food y Y06,pipe processing pla , machine shop,p, laundry building t hospital, elementary 10. Cost of improvement $ V W school, secondary school, college, porochlal school, parking garogenfor deportment store, rental office building, office building a industrial plc To be installed butnot included If use oexisting building is being changed, enter proposed use. the above ost a. Electrical b. Plumb g e. Heating, air conditioning d. Other(elevator, etc ) tt}}V�,�� /� 11. TOTAL COST OF IMPROVEMENT $ q{ 1 yWr Y{/ III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L; for wrecking, complete only Port J, far all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 301 Masonry (.wall bearing) 40 � - I Public or i 48. Number of stories Lprivate company 31 i i Wood frame 41 I ji Private (septic49. Total square feet of floor area,pric rook, etc.) all floors. based on exterior 321 ; Structural steel - dimensions 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 H Other - Nino Ns 42 1 ' Public orprivate company 50. Total land area, sq. ft. 43Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL bl. Enclosed 35 c Gas Will there be central an 52. Os•doors 36 Oil conditioning' L. RESIDENTIAL BUILDINGS ONLY _ 37 ` Electricity 44 I Yes 45 _ Na 53 Number of bedrooms 38 i__ 39 ] Other_ Spec;ir WTI were be an elevator" cull 54. Number oc 46 1 Yes 47 J Na bathrooms Portio- a IV. IDENTIFICATION — To be completed by all applicants /����N oon,. / Trent address — Number. street. rzty, and State ZIP code Tel No. Owner or l.._ —Vs..^_ajfota ^/ / Vz y-Ejdd x"°"cn--✓Yi OLt —, 'TiY147PCM ORI C6 Lessee 0--Pr21/21n aE.4-Pr e..4 - 2. L'1 /d wadi glint' ids. Pi ot igG/ 5/7 cense'No. 5g5-0033 contrast=r 1 M m Q0119nd /-PpdS 'IIA 0(O53 b5,oy0 Architect or 3. 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. S'gnature of ppli cant Address Application date /I G, a"7 rn�f� Sir kr/A 3.� 70 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Plan Review Dote Plans B Date Plans ByNotes quireCheckFee Started y Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS DDote Permit or Approval Check Obtained Number By Permit or Approval CheckObta ned 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 u / Yi� I 19 10 Building �^ Fire Grading Permit Fee $ (OM1J'CC� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: ' Drain Tile $ - Plan Review Fee j CP/ TITL;E,- NOT ES 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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