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32C-067 (37) 1 . � �,� DEPT. OF BUILDING INSPECTIONS BUILDING ;° ( ,(I ' 0}( ..j,,: „ 212 Main Street 0< __; > Northampton, MA 01060 PERMIT Q 32C - 67-68-69 VALIDATION Cecil I. Clark DATE November 5, Rockland HgtsERMIT NO. 621 APPLICANT ADDRESS 008225 (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Alteration, Repair (_) STORY NUMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT) NO. ry��,, ,7 (PROPOSED USE) ING NB AT (LOCATION) Maple Ave., Conz St. , "Maple,Wood" ZDISTRICT CT Lull (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: remove old flat roof and raise wall and new pitched roof, open front stairs, add rear stairs AREA OR 6,000.00 PERMIT 24.00 VOLUME ESTIMATED COST $ FEE $ (CUBIC/SQUARE FEET) David & Marian Clark OWNER ADDRESS Rockland Hgts. BBYILif WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASS SORB COPY pjRf' : p ,IP ' • • — CITY OF NORTHAMPTON VIII. ZONING PLAN EXAMINERS NOTES 9 Ai`me. kip MASSACHUSETTS B� .14; : OFFICE of the INSPECTOR of BUILDINGS DISTRICT / Vol" r.�s ���� ZONING PERMIT AND Page 3.•� c., Plot �7` 6 � -' 6 9 APPLICATION FOR USE ,�� • c� INSPECTOR BUILDING PERMIT FRONT YARD-� ^) IMPORTANT - Applicant to complete all items in sections: I, II, Ill, IV, and IX. 0 SIDE YARD '17SIDE YARD r /J 1, /� YC I. AT (LOCATION) "'" Cj •�� DO DISTRICT v , t' DISTRICT REAR YARD / 1� LOCATION ("o.) (STREET) OF BETWEEN AND . BUI LDING (CROSS STREET) (CROSS STREET) NOTES — LOT SUBDIVISION LOT BLOCK SIZE NN II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -4 Xl A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use fin m 1 I I New building Residential Nonresidential 2 I I Addition(I/ residential, enter number 12 One family 18 Amusement, recreational ino Part D, 13) f I new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious IX. SITE OR PLOT PLAN - For Applicant Usenumber of units- - - - -0._/ 20 - Industrial = 3� Alteration (See 2 above) 14 I I Transient hotel, motel, 21 Parking garage ■: 4x,Repair, replacement or dormitory - Enter number : : _ : i . 5 I Wrecking (If multifamily residential, of units - 22 Service station, repair garage enter number of units in building in 15 I I Garage 23 Hospital, institutional .N : Part D, 13) man : I �••:Na•a•.•N•■== _ ■: 6 I I Moving (relocation) 17I Otherrt Specify 25 Public ut I ty professional 7 I I Foundation only : : 26 School, library, other educational :M:reia=r•NaN::::::: : rN•r.. B. OWNERSHIP 27 Stores, mercantile _ : = 8 Private (individual, corporation, 28 ❑ Tanks, towers __ :. nonprofit institution, etc.) 29 I Other - Specify 9 I I Public (Federal, State, or _ :::MIA local government) a::: : : C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary : 10. Cost of improvement s 4 GoD school, secondary school, college, parochial school, parking garage for, N• Z.a•,••e•,•••Zr.ii p / # department store, rental office building, office building at industrial plant. ::•eeNN••tt•r•.r _ i To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost : a. Electrical y' a: �eeaN •e:.r :• : a.t rout!::::•_: 9:....: __ : : ■■ b. Plumbing !� ::::: ••• $:.ue ••■ .:_•_ : ; c. Heating, air conditioning :hi: :•::::::::::: : d. Other (elevator, etc.) : rrrrrN. .e..Nat::C::it:::::::: : : ' 11. TOTAL COST OF IMPROVEMENT $ C;Ct , um" 'Z : :MUM!: :::: = III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L; sass::.■..: aarrrrr : : : : :U:: for wrecking, complete only Part J, for all others skip to IV. _r• E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS : i :a:us 555::: _ : ::: :.. 48. Number of stories _..q : re.":":::::::: : Masonry (wall bearing) 40 Public or private company s■fit:Z:o•N■ai•t3 = : 30 square feet of floor area, S. : = r: : 31 ix Wood frame 41 n Private (septic tank, etc.) 49 Total • __ = all floors, based on exterior r.dsd :itii=Zii:a N==:i::i•N=NN=■ S=�=a= _ __ _■•••= 3 32 Structural steel dimensions 1i�:::: _ ruts _. _ __ • 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY $iissiia...: : i : __ 1 :• _ _ _ _ rtuu• I I Specify 50. Total land area, sq. ft. • •■• :Nt ■ .t34 Other - S eci 42 I I Public or private company _ • : :.:N:NN t :a Ntut u• N• a •• N ■. 43 Private (well, cistern) - See•• '::':! •: :•: _ : r■eeesee ees: : = i..■::•: ! ::..: : I I K. NUMBER OF OFF-STREET �_• ' '• ::i:::i::= : : :. r • PARKING SPACES ••_: !� i::aaaa:'a•:•:::::: • ... . : •.�= Site: :$$= 51. Enclosed sass ..ry.• $ ssrr.:as 's sss. .rat atii is :::::::: ' .. . as ' • •■• ■t■ • : . ■■ . . F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL i N,�it••i..i isiN$s■s$:ssisi :. •N:Nose •.� $ MU a : sss•.�.s.a s SSl$ii ! eke!:::::ntheaa e::::::$::a i iesta :aaa :•... . ... • a:: u::::::::::::: a: Na•a:Na■:u::::::: 35I Gas Will there be central air 52. Outdoors _ : :. ::::: yes$ $sousesiii.:: ::west::: :$a:: :seaaa:•:■r•:ss. :s;s :•s:•::::::—:$ss$$::sas•s:$s■.■: !a NN ■NNN�r ■u • ••e ■e • • •• 36 Oil conditioning. ii a: : =i: :$: _ '� __ �'$ $$=r"T'� �ai'::■••ip�� ' rZa� :::: a: : �' a==' $r$'�'�e== L. RESIDENTIAL BUILDINGS ONLY : n :: iisii::iiii::a:i:iiiih ai gf:$ aiiissiuU:asi:::::_iaiia:5• =:ni :sitsass:� inivsea ii$iiis::a=iii 37 Electricity 44 Li Yes 45 No a� ___= Coal 53. Number of bedrooms s: s:::i�i:a::EINUE:a:il=inn ii�.$ N f ri �s$U$inn!:: _ •ir:i $ s:i' ;::$ a#:::::: r�Uurr a.• .... s S 38 Coa l aaasi$$, ss:asssssis:i$$iii$ s is: . . ■ r Is .aa $a ass : r�::a::ssiu:ssa::ii:��::::•a�i ��: �i s::fir::ii:ii:::i:ii�•Nii�:i�i:1::eNll� �l� :::.::::::::r::a■;ieg : _ 39 LI Other - Specify Will there be on elevator? Full 54. Number of 46 [ , Yes 47 ® No bathrooms POP 11 P Partial C IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — ,\'umber, street, city, and State ZIP code Tel. No. 1, t'D %/J� -'1,.,� +/4/ / NOTES and Data — (For department use) Owner or //"E Lessee . (�� _ !7f C4 . k l Builder's g j4 4 T �QtJ L. License No. D©4�1� ,Z �, ` 0 C oniroctOr C J' i'i , ' /' %n— oD D 41zeill—. '- Architect or [t Engineer .iyt9/7^-24-111.— 'Ltd I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to �i° make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. ✓ `FL `' '/`�-Ls�L�t-J Signature of!applicant ///!appllicanttt Address Application date (.., ea.,,4',; ../,;()_,,:,L,: i 5.,•)' ' DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Dote Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date ate 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 Cc) I FOR DEPARTMENT USE ONLY Permit number Building. Use Group Permit issued �Y-taikc vl s ( 19—40( Building ct II '�'� Fire Grading Permit Fee $ c �t' Live Loading Certificate of Occupancy $ Occupancy Load Appro Drain Tile $ /// t 6 N Plan Review Fee $ TITLE