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23D-113 (5) 1-- DEPT. FILE COPY —�., CITY OF NORTHAMPTON z 0 BUILDING 0.4 NORTHAMPTON, MA. 01060 PERMIT D'�/�3 VALIDATION DATE�i/�1 d 19 Z PERM T O. Z L itiZtlet-, GC,C 4 r-e-G.A.-c"-e- 'APPLICANTe.....,...„,.. ADDRESS � (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO ( ) STORY DWELLING UNITS (TYPEEE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING /, 7 AT (LOCATION) Zct ^ 7- DISTRICT""/'/� (NO.) (STREET) m BETWEEN AND a (CROSS STREET) (CROSS STREET) LOT a m SUBDIVISION LOT BLOCK SIZE a O 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 f (TYPE) CC C ( ,,1y� O ��l��� tl REMARKS: AREA OR VOLUME ESTIMATED COST $ �c� v FEEMIT /(�L J (CUBIC/SQUARE FEET) OWNER _ 6 ','�`�� BUILD ADDRESS 1 eare....1() , Lc-2_4a BY (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 . crry OF N CERTIFICATE ISSUED DATE NORTHA P'FON, MA.. 01060 BUILDING PERMIT - +� ,V3©--� CERTIFICATE. OF OCCUPANCY .i DATEJ� / 1 9 / / �.:.. jjPERMIT �10. APPLICANT f7 et'y'l..'�....,-„o .-��`'+"'y"`�--C`... ADDRESS ou/4 �? ^f �±� (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO C 2_ NUMBERWEI OF ( ) STORY DWELLING UNITS ((TYPE OFF IMPROVEMENT) NO. (PROPOSED USE) ,s ZONING AT (LOCATION) �'"�' -g AZ.* DIISTR CT /2 (NO.) (STREET) as BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 E (TYPE) IL tL REMARKS: _Ar Kr1 *I ?fi 904 r1 -Et Poi Kfi 1 f1 �r1 AREA OR :IHI ,,aLVEn qqyy77 ;IIIII ;1111( :1111 7 :11!, III1/,g11�111 7 • ,g1111(-:71n• •IINl ;1111 4 VOLUME 1T1 ?T1 t • 7 X 7 •=l ,'1�!-! l I T1 • 1 •- '- (CUBIC/SQUARE FEET) 71111 ;1III ;1III ;1111 :1111 :1111 ;1111 �(p' 9111 1111 :1111 9111 :1111 :1111 :1111 ! l OT'!1[s171 A'T?I bl?I b11IRY t1l b1-11 T?I,dT_q'IIo�Tit10V711 O�C71 XT NI R74�:'T(OT?)°1bYPIA' OWNER AJ. -y.2s./_.�. °�,-.-s'�"� "* BE POST ON PREMISES // g ADDRESS � !(. _..�' '�"��-� SEE REAiE� DITIOt _ €R,JjMEt�6` DEPARTMENTAL APPROVAL FOR CERTIFICATE 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 o J VIII. ZONING PLAN EXAMINERS NOTES �At_.� !ro~e t. grit of o # an on $ r.l d AlllassacIptsetts DISTRICT ` �:9 46) - as�� y> (Office of the 3Inspgrtor of itilbings USE APPLICATION FOR Page 1 , , Plot ZONING PERMIT AND Pa 9 //3 BUILDING PERMIT FRONT YARD IMPORTANT - Applicant to complete all items in sections: 1, II, Ill, IV, and IX. p SIDE YARD SIDE YARD /� /at7 1. AT (LOCATION) `00 •A f�DEtZZ,cJ t✓ S� ZONING D STR CT " REAR YARD LOCATION (NO.) (STREET) OF BETWEEN AND NOTES BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Cn II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D 53 m A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m 1 I I New building Residential Nonresidential 2 I I Addition(If residential, enter number 12 14 One family 18 I I Amusement, recreational of new housing units added, if any,IX. SITE OR PLOT PLAN - For Applicant Use in Part D, 13) 13 I I Two or more family - Enter 19 I I Church, other religious • 3 I Alteration (See 2 above) number of units- - - - -� 20 I I Industrial ■N■! ! I 21 I I Parking garage ■•■s. !! 4 Repair, replacement 14 Transient hotel, motel, Recur.■•• I I P P or dormitory - Enter number !N �! = Q = : 5 Wrecking (If multifamily residential, of units — —� 22 I Service station, repair garage re enter number of units in building in 15 I I Garage 23 pi H• ospital, institutional in:r.aN•.a■ \e. ! Part D, 13) 24I—I O• ffice, bank, professional e.e N■■■N\a:N•!: - ! 16 I—I Carport ro. •Ns Nn■.• 6 7 Moving (relocation) a...:as..! : 17 I Other - Specify utility :: = 7 I I Foundation only 25 P• ublic ■■a• . ! _ " 26 n S• chool, library, other educational Nra: ■:N N•:l:: : : :•'■_ :: _• ": g : _ : : :1: B. OWNERSHIP �Fniei! L rTt4t1 Ot. C.�� 27I Stores, mercantile :::i:!•=■■.a=■: : 8 I—I Private (individual, corporation, 28 I Tanks, towers �� ■■■!fir :Q! = nonprofit institution, etc.) S�/5 A 29 I I Other - Specify =HN. N.NNNa aee N■:aN! =.NN�Na::•iai. _ _ __ _• : 9 I Public (Federal, State, or mamaa.sauN Nu NN Nr ■:: local government) _ ! : he: ! _••••! : C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food ::.::: •:: sia=se■ aa:•=:Q= : = Me:•'= lS.. processing plant, machine shop, laundry building at hospital, elementary x.a: : ! ! !. 10. Cost of improvement $ 2 — school, secondary school, college, parochial school, parking garage for, : a: department store, rental office building, office building at industrial plant. : :Ise : _ _ : To be installed but not included If use of existing building is being changed, enter proposed use. rev : :■aea■..asa■..s■aN•..NN. .N: : . ■■ _. in the above cost ■■ . ! • ■■ a. Electrical :o•:.::a:::::'::.:..N■N= =N:r Ns : :prom, : b. Plumbing �■.N ass aaa.la.N! :Na\N:..:: : ! p' :::: \■.a a■.■ aa■e • .\•■NN■■e.auuNN■■ eauc ■a\ ra■N•NNaaNa■.NNa.■NaNaaa we. :5:'::: ra=::'i'�•= N•s !• NNQ:N■ _=•:.. ..:=! ■■• c. Heating, air conditioning 1■:■:=.ula== :„ ■raN■■a:�■=■.s... e:aaNN■.•Nea■a= s:....s=...l....•...........N■===: ■.a: :ammo: ;r.:i� :::::...a:�::s_s:o:==.::::!=uN!•=slisa;. Na Ns N■ s■■■lasa.•.e.N ■=:a■.: �i::ee.. a::'::: 4: :sis=: i=u :it•d 18:::::::*OOOOOOO'N' l::aijl. ::=:lNQs=•s _' ! ;= N■!• r.l:::■'.Ni:'•= =::r =�_ _?�__l:::::s:::i:!'==•N'OO u■:= ! d. Other (elevator, etc.) ■a ua ■� NN■ _ •_■■ •=:■a ass. r== �:5!•_ _ =:=■a••N■.•== 11. TOTAL COST OF IMPROVEMENT $ L SZ • __� ..: ..■ :. r=:Ii�iNN■ •a■■ .. .. ■_.■ •• �:• ■.■ .aY'! ._cc. .a••�••••• \aaa aeal010 aa.........I III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L; ii:a.:r:=.=.Yr==:21i C==l:= N::::. .■:..Q.■■: :SOLO: ! ■::�i= =SSNN... ...Q=�'::■.N.::::Cl==:=! : _" for wrecking, complete onlyPart J, for all others skipto IV. r •a• • o■ ::■•u N::a :o • NN NN Nw 9 P D iNe : •a \• ■ ..a a ■■:.:! : l:aaa.al a.■N..N= ■.rr C) r■■■i::::::••:!:l::::•*CC a •a ..• N::::::■e •■!as ..L::::::..r.a■!■ :. atl:::::•"••!:'::N!::: :: L/ I :S=::!!e=== :!!!:!'•'=====ael.a:ace : =•!==u===u..00 paca_.■■: :•_____: r•■::..e........•...: : E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS m 4 ::::::=a•=== : _• a■a■■■ ■.■.N.e.■ 48. Number of stories ii '•i •!:N N • a N ! : •_ _:: _ _�•:......! ••! 30 L J Masonry (wall bearing) 40 n Public or private company iffil:= =lll::::l:=s:=!::!!__••••!!•••: _ _ = Q'•=••! rem:::ib-1 31 n Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, ■\ ■N.■• a■■■ ■■■■■ ■••.... ■.■.a a■ N■ .■ all floors, based on exterior 'S Q.: ::U=:::a:::.:a:l..=! :■: _ ::::1::::::."'�'•••_••'••_::::'�_ :am: •!'•'= Q =a'..: 32 Structural steel dimensions .. ac.e ..N •Na .•■•■ I :::=Pr==la====l::•�• :S:r'l'::_ : : : :. a.= ■■.::'.'::.. \.::_'1::::L:= __! ■a.aQ =Q' I H. TYPE 0 F WATER SUPPLY P P L Y __ f !: : !_ =g=its= :�•auN=.:.=s=NlNN: ._•=■:•=.. •=.i:! ..:=: ..sa •.. ••■• 33 Reinforced concrete 50. Total land area, sq. ft. i:r a..� ___• it__ =NN= ,.. .N=N ■N a sea...: ■ __. N■■ : _ : _ _ :Nea ..9. 34 I I Other - Specify 42 I Public or private company ¢! ! N• Na au.N NN ' :::i:•: :' '!Qi=■ : =a::i�::!• ! N■ N :r:: ae :!' •a•"'e•::: ■ .a aeae ■■ • a ••'•■ 43 (well, cistern) K. NUMBER OF OFF-STREET ■ a=■.a ■ : :: ! : • ::=as■a:=. :a■:a.:: : ! ! n Private e :Q:::::.::: •m: :::�l:$:u=:::!••:•'!e! !■.e:ee .=r.a: _■:.._..■.:=■■:=:::..:=■::=Ne:N= ::' :s PARKING SPACES lQ:N • •• upa NN uN■ N• • \u. a•s l::s:::': oa: :=s::a=�=:::si's' ==a::s::Q:: ••���... s am: =E::. :=:'sse r e.aa.s=�;::s...N:s•s::s:•= 6sti'.=ns:::••:! 51. Enclosed O :l: :::! ! : 1 :: ::::_•+'.• : . : !: ::::l: ••_ ! "='!"'Z'!:'":"":"•!!'!"'•!=aQ:"=••Q='!'!!"::!!'_�": I F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL • ■...� �!!: �! ! :! ! :Q ! !=ae.a a■..• aa• e... aN . ■ce. ■a ... a■ Naa _: sa=s:: _ •! �!•_s=;=�sl: ;:;3:! ••;s: ;:s•••:ss :. _ ■al.a NQ'!:l.. :::s:==!.■95:: r :::::::::N::::: a=;;':::■. ■ ■■.. :: i a.:. N • ■ • :!s ! !:s : : ! : i:: : � : ! °�:s =• _ _ : 35 I I Gas Will there be central air:11 52. Outdoors :�� ::l::l ! ■. s s: :::.!ls:.:la ! :s = : Q !Q••!•• •::a:sN' •l:::!l...l.:: sale::.::::us•• ., • : i■:�_ '�'�''••.::U■U: U88U ::8 sU :s:=l: :... ■as ■:a.....a sec:.:::i:: a■:•=::__: :_=:::r:::a='�:e a ... : :■a 36 oil conditioning? �j ! i �:_ : : _ ___ :. ..:!•■•!■ �!. air. •a. ■N: :S _ ■.___ ■ ■ ■•■■ •• n L. RESIDENTIAL BUILDINGS ONLY ::�: Is: ■iiiii■i: mmismil •::lQ! ::: !! ! _ ii■::�iuN�■a■:.N.:aiii=QiG Qi3imi:®= •=NN•=:NN.:=.:■:...a U 37 Electricity44 Yes 45 No ss : ' :::•' i : �_ �: ••':!!•':!:• :.■ •• •s •• aN •■. N■ N N Na NNrN•• • Na■ I I I I 53. Number of bedrooms .■ al: I11::111::: :1111s::1s11:a:::::i:::::1:s=::s:sa�' ;r : s:: g sa ie=� sa = ;.,=9: =s��l�?fl:�ii � se° ==i:: Nls= �° z:'!__z• -ss� 38 7 C• oal :;;i ::::::::Alit # :811::t '::::I (5::::allesion.:QS: ::l::::1:$s ■:$Ii:t':=ur:•StU: it:U l 1:::=UUPl._ i::::.a■:::::::u1.. ...:::•!a'_•i_= 39 n O• ther - Specify Will there be on elevator? 1 Full 54. Number of T'@ir.L'AlALlPC.1■E!• 46 I I Yes 47 I I No bathrooms Partial IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, cit',, and State ZIP code Tel. No. NOTES and Data — (For department use) OIwner or (GrA-a'n �u fL/2/F 20oil.TEO64,44 . I Lessee Builder's . p± License No. Contractor S8 ��S /' "z. 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. Signature of applicant „t Address Application date L (267 Cr �t4-l�(_L2 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans Date Plans ByNotes 9 Fee Started By Approved BUILDING $ PLUMBING $ MECHANICAL $ • ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS 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 Permit number A•Z4 Bui Iding Permit issued 19 g—_ Building Permit Fee $ Certificate of Occupancy $ Ap d by: Drain Tile aS Plan Review Fee TITLE