Loading...
23D-027 (4) DEPT. FILE COPY/4 'DEPARTMENT OF BUILDING INSPECTIONS o°/uA17'' r e I a. �212 MAIN STREET BUILDING Qa `I ~ 3 ,y NORTRAMPTON, MA, 01060 PERMIT VALIDATIO 23D _� Code # 79 ''''C Christine DATE September 141 19 79 PERMIT NO. `I46 APPLICANT Christine Miller ADDRESS 468 Elm Street, Northampton (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO chimney & stove (_1_) STORY For wood-burning stove DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ��pp Elm ZON ING AT (LOCATION) 468 Elm DISTRICTURB (NO.) (STREET) rn BETWEEN AND ,o (CROSS STREET) (CROSS STREET) co LOT m SUBDIVISION LOT BLOCK SIZE (...:O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION co O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION X (TYPE) UO REMARKS: Construct block chimney for new wood-burning stove vc. 4) 1e Ao,H.! 7,e.e'a,t it-1,inr.;k i.c K. 9aace /o—J-7q P 13G G- lob 2/3`77 e r. -) AREA OR �+OO.00 FEEMIT 10.00 VOLUME ESTIMATED COST (CUBIC/SO UARE FEET) OWNER Christine Miller B DI ADDRESS 11m St. Northamptont Ma. 01060 B (Affidavit on reverse side of application to be completed by authorized agent of owner) I hereby certify that the proposed work is authorized by the owner of record 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 . DEPABSIAlle C A) IN PET O CERTIFICATE ISSUED DATE .,212 Mit Mar w , W. 01060 BUILDING PERMIT - Code 79 CERTIFICATE OF OCCUPANCY r 1 DATE046 p'�abor 1lF! 19 79 PERMIT NO. APPLICANT d Wline Miller ADDRESS Y , a , treat, Nort ton (NO.) (STREET) (CONTR'S LICENSE) OF PERMIT TO 1�eY 1& stove ( ) STORY Par wood-burning stave DWEL ER � LLIING UNITS 1 (TYPE 0 IMPROVEMENT) NO. (PROPOSED USE) ��,,��qq�� 1,.a�f�,,.,.. ZON I N G AT (LOCATION) Y[X7 Elm DISTRICTURB (NO.) (STREET) rn BETWEEN AND 0 (CROSS STREET) (CROSS STREET) m a LOT m SUBDIVISION LOT BLOCK SIZE a U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f (TYPE) M U• REMARKS: Construct block chimney far new wood-burning stave K-i Kil 1 E1 1 ii Mil 4 KEE ? 7 SUN%ME ' iil ; 7 N12 1 AREA OR :1111 :IIII :IIN t :11111 71111& .11w :1111 :I1N :IIII `'1N1 ::.Ilt a VOLUME (CUBIC/SQUARE FEET) •� 'II •� 1 ? :1P 7:' :0. '11 Ail ' xjI 7 l� I .' 2 'S7'1 :IIII :IIII '1111 .IIII :IIII •'IN :IIII :II�I11 :IIII 4111 :1111 ..IIII :1111 :1111 ao ve-71 la,TT1 KrI-111 be91 be-TI RYN'TI re-TIA,T,T A'I 4iR7LTl,v _ 110`1-11 ID�TTI SYL71,dtY1/V["TIA OWNER Christine). Miller_______ r - TO BE.PO ED ON PREMIS ADDRESS SFrtE R JK// f 1 F C9tlO TI©KS CERTIFICATE dDX f DEPARTMENTAL APPROVAL FOR CERTIFICATE t of OCCUPANCY and COMPLIANCE To be filled in by each division indicated hereon upon completion of its final inspection. BUILDINGS Permit No. Approved by Date Remarks PLUMBING Permit No. Approved by Date Remarks ELECTRICAL Permit No. Approved by Date Remarks OTHER Permit No. Approved by Date Remarks OTHER Permit No. Approved by Date Remarks VIII. ZONING PLAN EXAMINERS NOTES A -. - .., CITY OF NORTHAMPTON DISTRICT OFFICE OF THE 2 2 M1NSAPIE�CSOREOF BUILDINGS ET7 APPLICATION FOR USE NORTHAMPTON, MA. 01060 i3 (� — 3 PLAN EXAMINATION AND FRONT YARD BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: I, II, III, IV, and IX. O SIDE YARD SIDE YARD /C , j) (p ZONIN � I. AT (LOCATION) -- DISTRI /,G REAR YARD LOCATION (No.) (STREET 0 F BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) NOTES LOT SUBDIVISION _ _ LOT BLOCK SIZE VI II. TYPE AND COST OF BUILDING — All applicants complete Ports A — D tn 73 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn m 1 I I New buildin -I 9 Residential Nonresidential 2 n Addition(If residential, enter number 12 One family 18 I I Amusement, recreational /\ of new housing units added, if any, in Part D, 13) 13 Two or more family - Enter 19 n Church, other religious IX. SITE OR PLOT PLAN - For Applicant Use number units- - - - --0. aMMM` 3 I I Alteration (See 2 above) 1 _�.. ....5- '- .name ' -, Transient0 Mn .. `M a"iff".. 21 SOOSn1r r. r aaaaa• I h motel, o t - 20 Industrial 4tel, 21 I Parkinggarage nna_a•■ or raaoMa••.a•aas■•i.aa■••eMMMM•a■Ma.Mwal■•.area. •-a'•--€, 111211" " ., ..m"_a , "'`" "'* """ 'a 1" ' ....':` `"'s �- 4 n Repair, replacement or dormitory - Enter number 9 9 rw•aaaaa one raa•raa.aa■a/aaa•MMaaaMOOOOOO■r.n■sM•MaM•aM•M•wMMaH,�NaOOO•a ....MMaa. ■ aa. aa.r • M a/•ia1.•iaaiM AO*OO■awnnMMM•Mwonr■aara■aniMMOMMr■aa\■■wa■awr ss�sswraw r•rMOM/�'MOMIMMINIO 22 n Service station, repair garage t■sarr■a M r.Mra..■M11naM■Ma•w••M aMrnnM■1•MrMMwMaM■Marrrrwsaa•■M ONNIII wl•rr•w�■ sea aww 5 n Wrecking (If multifamily residential, of units - -*- P 9 9 .•Mena* M rr•aaUM...•■aaM.MMM OaMMM.M•aOmmus ■■MwMwn.MY•M•MM■0••_■/q•a r minone •■■ ■■ra•/ar•ra as■•rn■■■■•■•anM•aaMa•aaa■■■■a■aMMM*■MMM■wrwM•■aMaa•MM•M■w•a■••■■alar.M■ wa rM raa•M•a .MraMaall••.aaMa••aM•iraMrr■aMMraa.a•aMMra.MMMr•■• •�••■MIM�IlrrrraarararwaMwarrM• enter number of units in building in 15 I I Garage 23 I Hospital, institutional gr•M•a M •ar.a.efUiaa•NMRw/•rMa.M•.■a•laaMa•••a'•Mwa=wwwawir■w■11MOIMi•ii ONIMMOMMOOMMMINPOwa aa•�i'w•wMOsmon'•••ii•w•iiw•wi•a.aniw Part D, 13) ..aaMa w MMOIMMIll.. M a•MaaaaaM■s•oMMwa.aMMMaaMna••••aaMoaa•MM:a:E0011 i'■Mi'mOnmOM' '•rwr'••i•■•a•••iwaisenOM OMM••w•'•'• 16 I I Carport 24I Office, bank, professional I■aar-•a MOO e M.a•a..aaM•M./MMaa...a••M.awaa.waw.■�M�M iaa•.MM•w.M.Maw■.a.aaw•..a 6 I I Moving (relocation) ra•arsa a. amen.■MU.an.a•..a.w.a.UMM■MM••Mwa•wMaww•M•aMwM.M.M■ww■aMMraMMaMMwu•M 25 I I Public utility ran■*■ a....menMM.w■a•MwM■aMa•waw•rrrMrww/wM•aM■•wMMa••M ■ 17 I Other - Specify Y aara�a. M aaer■e w n .M•O.M•ra.Mraw•aM•••..•.w•nna.••.a.ua .n. n.Mw•waMwMa�Nara■M■Mr...n.. MYM•w 7 I I Foundation only immerse M Mseaaa■•iwM.•wuaaaw•a•Mw•wwaa■rwaa�■wr■ww■Maaaa■.w 26 n School, library, other educational IMa`M I •n.Ma■1rn■Nwinw u..ae.aaa••rrw•ra■Ma1aMaMM wM.MM■w1MY/M■•��••••M•M•Mawaa•i■■Ma■■M .. oaaEa�r awe 1 a.Saal nuoannnwraaaa•.MMaa•.MMMMlM•wMa•wMwwa■aM■wMaw•a�Ma*wnaMa•w•MM aMMaa■.MMM::::::M_._a/_•_� r.::=:=::=::Mwa•rawaM•wI�■ raa ■au.MaaMMaa B. OWNERSHIP t/�/� IM. M a• •MaaaOar.M•a■M■Mw••a.Mlaannw ..w.aw•�aMM..MM.MMaaaawwM.raMMMaaM1lwaM.MMwMMa•M .M�LJ[ �" 27 IStores, mercantile r•rraM•r�rwa MM••ar as Mrw■aM■Maa•Maaa■M.r■assawMMM•as■MM■•aa.a aaa. wawMraM.a SOOMMO M■M a.a.Ma..M �� Iira•�.•S•a11 Maa■ar.Mp M•rasa MMa ■aaa.Mraa raa •uMMMaaMrawaMMwa■a•MaraaMMwMMMwwMMOM•/M•a• Mra•Maa.M rM.■r••M MMa 001110,00•MSM�r.a•Man.M.• M.ar.a•.Ma..a.n.a•.uaMMM OMOMM • OMOOMMMa•aaa.a aaMM•Mra■/M•■■aM■MM MMMw•.MMaM I�]'''I 28 I I Tanks, towers linra•aan MNr•a MaianaMaawnraran MwiaaarM.n.w.aaaaala..•.M■NM•MMlM1rM•aMMrwarawYaaawrrn M•.a••rarla•a« 8 I)L Private (individual, cor oration, f a...r■a. M anaMafaM•Me.a... ..naaaaMM.anau• wawrMMMaann. •MaawM/MM••aa•a••MMMM■MOMMMrw `r"� P ` ,(/�j }-(��`/��" 29 Other - Specify uara a ear■.aaesaass•a./aara.Ma■an.. ...Maai•warrw■.MMMr.Ma■MM•Ma■Mw IMMOMO MM■M■MwMaa .•ia■/M■■■Ma.nsa ■MMMw ``v�lll---, l\J 1,� _J.....c r aM a.a •■r■■asa•.asassa...Mra..aa9■■.„aaaa.MaMw.M0 MMr•■aaaaa•MMrrMwM•rM•r'aww■w•s■■aasiMs■■raMM MM �„ nonprofit institution, etc.) ' "� Y` I I h fy Haaa� arm r a■M•MMa•.Ma.rw.•Maa..r....M..raw.aMMMM11•.M••■MMM■•arMMMMr■M■aa••aaMaMarrawMaM••OnnnaM ra•■a.• w ar• Yana.aaaM••MMM•••rrMM•Mww•aMwMar•■•■osa•waa•aMaaraMMw■aMi■■M / '. n Iana� " .w MUM••MnrwaaM•rnMM•MnMa•MMM■■•Maa■MMwr•aM■•rMMMa•arwM•wMr•aMMMrMMrawuwaawiirw 9 I I Public (Federal, State, or �y�.�� Homey at a- M a.....airan.araaM..a.n.••M•MM•a■a■. ar-_ --.aMaarwr■awMMaarMaw••rawalMMaaMara.MM■ essemena l�/GJ��(. raeaa•a iw melee..■aa..aa.a ..aM•MaMan.a. rr•Mwaa. 11•w••Ma•saa.•eaMw•MaM•w•Mrwrra•MaM•aM•naa•r■warwaM•■ local government) rMa•!r♦w IIIII .MaMra•arra M■MMnnr ...nna•aue n. .rw•sawaarar OMMMMMw ••• MIMMM•MMOOM••a 1..... swoon •.MM•oots MM aiaM MwwraaiaM•M•Mau•wr■ra•••aa■aaaaM•aaawMraaMar•wwaam�aas�N esmimmr•aaM•aMa•w C. COST (Omit cents) ,..a .M moots a•.aa.a. a.••a .aw•aa•M•arwM•.waa..w•.nMMMaa w•Mlr aaa.1M■M.Maraw.awn■M r•••n,■ M ■a•a.•.a••aaa•■.M.aMMM/MMM■aaMa■■.aa■Maaal•M■•M w•a. ...■MMa... n•M Nonresidential - Describe in detail proposed use of buildings, e.g., food Ia.a!/a a w r •aMMaa..an..a Yra.MMaa■a•ea r•UM■aaf•aMMM•Mw.aa.a•aaa■...w•MrawMMrarMaMawrM■MM■•a■■wa•rM I:aa■Mt..' MOO r�a••••�' waoaaa......aaana..a.aw•i•••• aaa frMMa'•1•M•w•aiMMaaMwaM•wM• .a.a SIM•nw•au•Map'r•Ma processing plant, machine shop, laundry building at hospital, elementary Ia...a M I� .■•Maaa/a.aaa.aaM•a.0 u - MM ..MMawaa•Mwaaw•MaMwaaraaa.a.aa. ra.arrMMM.w school, secondaryschool, college, parochial school, parking garage for, Iaa.�• )irna■.a•r•0ii•awe•aaa.......•a■MM.OSSOOM MMY•ww•awa.aMMr•wwarMMMMIONOrwrM■.M..■rar■awa.wu■M 10. Cost of improvement $ 9 P g g 9 I...a_. MIMI Mw■a■Maaa••.a••wM•Ma.•a MpM.wMMIIMM■ra.afaMi .Ua•aaw department store, rental office building, building ar• "- 1 noaaMMwaa.•aaawaM.MMM.wMaMM•M•wMaw■••�•aw•wa: :::::aawMMM: p office at industrial plant. t• a• M•---' :: M•MM.wM MMwM• MM.•MwwaMaa.•MaaM To be installed but not included If use of existingbuildingis beingchanged, enter proposed use. l.n■a• - a•w•r•aMM.rw•Maww••�iiMM•aw■'a� aa■w■rM•MrwuaMMM.MM 9 P P I..■M■ •■MM•rw■wa•aaM.MMawMawrM■MMMfrMa•.M1a/.M•awa.•Mr•.M Inr■.a ); aa.,a...a a..aaaas.a.aaa.a.aa.a:::�a•MMal.aaa.E ii..awaaaM..MMwa•■aa.E::ar:.his. aaa 2n the above cost 1.■.aM a/arf afar.• awaaaa•aUMMw.MMa MMM•w•f�•rw.a na..MMMM. ,1 a. Electrical iaa.. aM • aaa:/.asa..a.aa.a.aoOOOOOOaa..aOn....a■:i••w•'Mawiaaaa.'�.E.■w•w mew'•"mew•••�Mr•w'•w'Mw•r�na••••••■••�••r :' Ia.asM wiwa■aaa.. M.a aaawwM•MA••MM•■awaaMMMw ur.aM • v E .ru •M••.r•M•MM•a.a.aa.aa.Mwaaa..•era•M■M�Mwa■Ma•MMaMwaa•wMMwwr.•wa•MMMMMw► w I.MM M Iaaar . cm EE•n•EaMraaMM•wMaMMMu•M.Mw.MrwuMaM.MMa.. .MMMaaMaaaarw•MM•awwa.w..Mwowaw /M. b. Plumbing IaaMa • Ma • onmOMM•aMMMM•MaMM■M. aMawM�ww•.Maa..a.. r MaM. 1•ia•_. M lwaun•a. a.ra. ...a. aaaai■uaa•Maaa M•aw■•M■MMMOMMOO faM•MMM■•r•aM.M.a . aaaaw■aaa•u. n.a i..... MIMI r' EMMMMiwiraMarua■■anaMMnMM••w •a•a.S••10M1w�a wa aaa.n.an .aa.a.a. I.aaa>r Ma.•. ■r•■■•Ma••aM•MM.MaMaw.■w•M■wMM•M•MM•w.M.M.MMwowa.aw■ c. Heating, air conditioning 1\a..as ME aE 0 w■.■•Mw•Mi •••M•wiMMOMO•M•• a•"aM'w••arw •M•MM'•100•••.aa...aaa'/ia.a. Maaa••r•_"� M 1 . ... ••a•M••MMa•MM'•��waaw/a...•w•■■a'•rla0waMrw•ar'a'•rwa•'.a�•'iala...B•.aaMir.Eaaa.a. IN.aiaEll a.a .lane .M.Mr•wM•M.•M•n ...aaaM.aaa. MMMa•aw...aa. •.MaM.a•w•aa..Mawaaa..wraMMM• _ d. Other(elevator, etc.) 10Ma_a`1 11 a MaM••MMMaw.MwMwaaaa�•w•M■•a•a saMMMI=aaMa•MOO M. faMC. MOM: ■MMMMMa�a.MMM.aMMM.M•M•aaMMMMMwirs•■•�_ErrrM.M raa■raw_M.M_. _, IMrar aaaaaa •aMataaaMM••rrM•M/•••aaaaaawr.Mna•aalMaa..naa a.•Ma�ap'aaa.aa.. aM•r•'•%Ma a•M"aM 'aa.aaSl.aMw•ia•�••iaa'fia IM.a� �, •a•a.aaaw.awa• 11. TOTAL COST OF IMPROVEMENT $ tnar•: 1 a. :mire 1•'•�a• '•' "" a EME•aM..M.a•'a'••.aa...naaa .a.aM.Eaa.a:1•aaa:r�.' '�■w`.".:.M....aa.aaa.aa..�a III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; 1.■r■C7 MMa.Marw 1■•M=• aM as _ •Ua...aaaaarraawUMaaaM aaaa..aaaMMMMa11•M■MMM■raMaa■r.Mawaaa ..aaaaw•Mlr •Ma—.■ M MMMaaaM■■M■M•aass MMa.M.arMaM•aa sa.M...a a M MMaa■Maawa..■M.aa..MM.M.m� aLa■.aamaaMM...■a •■M•■■a••a■�■MM•M ••"•....M.aM..M...a. for wrecking, complete only Part J, for all others skip to IV. MEMO aMOS a =a•ar.M.ar.w•a•aaOMMMMM.:Ea:E 01i111100■1011 MaM•a• M':::::wM•••.......................waOMMIMOU •rr.•• M •auaaawaaaa.war• aaa• OOMaraaaaasa••a•aa•a a.SM■wawaawaw/Maaa... M M ■ iaaaaiyIII aM- ru••rala•MM.M0MOSO a..aM••Ma wwMa1•MaawaMM•••MIMa•Ma•a OMOIS w.•.rM s:aa'in / aw r '� aM•'M•iw 'MwMMM.MM•aMMaM•w■arM•.••M• MMMw. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS /- a.asa•.■•aaMa..waaaaaaOOOOO•raa••aaaMa•M..*Maaa.M.aaawa a_Maw•rwa.aaa.aM■ aaMa M•.M■aa as ma•a. M •a a Maw*■awu•a/naaMMMMwwMOMOM�OMO.awaa■• MMraaMMMMM■M •Oaf ...aaa :w wM•Ma•aaa/•.MaMa.MMMMasaa■aaaal.'M aaa 1.Maa.••'•.aw•aaaaar E� 30 I I Masonry (wall bearing) 40t<r Public or private company 48. Number of stories aMw.MwaMM...MwMMaaw•w• �' w wwr•MMa.Ma.MM■Maaaaa■M•��aa1■aaM� M ■MMMMa.M.•■a MMr - M•MaawMa•MM.MMMMO MaMM•MaaMM■■aM M■MMMMMMM■M •M 49. Total square feet of floor area, 'iii� a�EII sillmussial■III::I::::::.ascallaii■.:::u 1isuncil iaa.aa..a MM aaal:M_�::-' =e a ..M.:•MMaaa.a.Maaf n' 31 [I Wood frame 41 I Private (septic tank, etc.) q .rawOOOOOOO all floors, based on exterior Amain.* a aaa 0000OO.ana.M.■ Maaa a••aM..ManaM..a—as■MMa.aaMMM■aaMaMMMMM_`iaMrM a.Mawa. ■.MaMM MM. 32I Structural steel dimensions .au ' me .aaa.■aaia■•ar.aaa....M/aa•a.Ma•EMir•af■■•..■aaMa.aaa.arMM•a/Ma•■.M■aaa•a•aaaMawrMw•M■MMMMi•raa..aM■•M■r.M •M r..s .M •••M••'aaiaa'aaaaaaa'araaa•'awaM MwwwaaMM'�::::::w' •aaaaa waaaa'aaaaaai.E•air aaa• 33 I_ Reinforced concrete H. TYPE OF WATER SUPPLY �•a a a.a•.Mwar.MM.MM•MM M•___ �aaMMar�• •�_a�•. 111'�a.... l ammo _ a.nar.Mr.aaa•r.•Mar.rMMU•a N.•aaa.•M•Maaa.Maaaa■Mrla■ M.ra.=....Mw Ya...Maaa.aaaaa... aM• 34 Other - Specify P company 50. Total land area, sq. ft. a•M ■momma■MMa.ra• 42 Public or private tom an ... I•Me Ili ..aaaaa. ■wa.a■.MM•.Ma..aa aal•MM •MMaa. Mara.Ma•MMaaa.M aM I p .. r _ a./MiaM••.a.■aManM.M.nMM.anM..ameaM•■waawaa.MMaaa•esawas �•aa mmaiaaaassmommMiaawaaaw 'aa 43 Private (well, cistern) K. NUMBER OF OFF-STREET raaw _MM.MMMMM•MM■aNMMaM•/a- �•w�� a.ammo ="• a.•aa aaaaa a•aaaaaaaaa..M■MMaaM.Mw/aaaaaaaaaaaar.::::aaa■••;.a•■aaaaa■~•aa.M•a•aaaaM_Ma,M•arwa Maaa.MM:::::M••aaaa. PARKING SPACES aaaa -••M.�•.r■aaa•aaaaa a •.M•waMaawaMMMMMMa.aaMaa.rwrwaa�M_ aMMM a..a.wraanaMM.M +f ar..rraa.•..ra.M.•i•aM•MMMMMaasa•aMMa111011 •M■•aMa•MMaar•MaaMMaaaa•w 1. .M• ••••� a■ • 'a•aa •M•w•wMMMM•wMomonn w■•aarrrw■.MMaa waaawrawMMMrM .• 51 Enclosed ems. TAO Oaaaaar ••.a'aE:a'aa'ammOOOOOM:aaaa..'Ea::a aOOOOOOaaaaiaawaai"•"n'wwaa■MiMOMMAM•�aaaaw'awMaa`i�'IClES•ra MaaaEEE'aar waaaaa'..'aM ':aSi F. PRINCIPAL TYPE O F HEATING FUEL I. TYPE O F MECHANICAL • !aa.w. _r aMMM ..: M ■ • aa•MMIM•■ _____OMaM aMMMa� 0.00 Nara aw-- ...a.::::::.ra•a••aaaaaaa•aaaa= aaa asaa.aaa:a...a...i•Mwaa:alaa•Mra■aa:aa•aas=aaaaa•'Yaww asswes' wa::::::aaiaMaawa•araa aa. 35 Gas Will there be central air 52. Outdoors - • a•aa■.. era•a.M••••••.. •■Mwa.•*••••••••MawwaM•.w�a as■.•Maaa._.■MM•M •M•a conditioning? .aaa a aOra..a...aaaa.aaa.. aaa ..mum aaaaa:aaa'Maaaswaa a aiaaaaaa«EE.Caaw'=�•E� ManaM'a.�aaM •:: 36 Oil • g' L. RESIDENTIAL BUILDINGS ONLY ;11 a'aa tilia! 'Itia alaitlililiIa.1♦:11:::Niiiii III II 111�Y��Imiismisio 1�r— �-r' ......7simsiiI No 37 ElectricityYes No ... as_.a •.■ ..aa..a..a.a.a1 • ■ • •aMMM a■a M as .a .n MaaaM.wMM M!•aa.•MMM• sea .a�•M�a I I I I I 53. Number of bedrooms ill 'i .aaa se as t a.aia aa'i raaaaaaais.aaiaa.aaaaaaaOO asessma■saw ■IrnaEaaaaaaaa■a■'a■�a'aMawOR a.as... a. aa.aa.a..ar�a.O•a:Maw 38 I I Coal aaa• b+-{. ._. �.-V.-, K+-F..;•.Maaaaiaaaaa.UMMM M..aaaaa.wa�aMMMaa MMM■-M_ •aMw waaMMMwaaaa.a MM • ' *I MO wa.a..a.aawaa.... aMMM•■ IM.■ Man y. �a aaaaMMraaM■a V.11 a.a a .!.II�ee.MMaa.aaMa..MM.MM:••••• a'�i'•aM�i1j1■aap!_ '>alaihl.•Ei a. MMawaa.. aaw 39 I I Other - Specify Will there vator? 1 Full --- 54. Number of Yes 47 No bathrooms Partial BOCA FORM APEBP - 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. NOTES and Data — (For department use) • • • .. . = Sr �8 spry Owner or CD-14.4)49_,I.L) Q./ � � .,, Lessee 2 4. /o'er'�«+, 14)41' Builder's St. 2. License No. Contractor 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 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dote Date 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 Building FOR DEPARTMENT USE ONLY Permit number 17i� Building Use Group Permit issued_ 'J0 l 19 Building ` Fire Grading Permit Fee $ l C)•06 Live Loading Certificate of Occupancy $ Occupancy Load Ap d by: Drain Tile Plan Review Fee TITLE