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37-022 TION — To be completed by all applicants ne Mailing address — Number, street, city, and State ZIP code Tel. hro. i Builder's License No. -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 t s application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signal« a applicant . Address r � � tj � Application date D NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check y Plan Review Date Plans B Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number By Y pp Obtained Y 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 / Permit issued 27( j 19 77 Building Permit Fee $ Certificate of Occupancy S Approved by: Drain Tile $ Plan Review Fee $_ f TITL - o� 'ro °�,, J Cris of Nortilampten iy VS'v4.1447-, ea$ Alassarimsetts *, =eO Office of the ns}�ertor of uilbifgs APPLICATION FOR ZONING PERMIT AND Page L' 7 Plot t,, 2 ^ BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, II, Ill, IV, and IX. G I. AT (LOCATION) 4.2..2 ; ZONING _ DISTRICTS R I LOCATION (NO.) (STREET) L^ OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE .-------. Cl) II. TYPE AND COST OF BUILDING — Al! applicants complete Parts A — D MI A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 I I New building Re idential Nonresidential 2 I I Addition(If residential, enter number 12 One family Y 18 pi Amusement, recreational of new housing units added, if any, in Part D, 13) 13 I 1 Two or more family — Enter 19 Church, other religious number of units— — — — --> 20 Industrial " 3 I I Alteration (See 2 above) 14 I _1 Transient hotel, motel, 4 I I Repair, replacement or dormitory — Enter number 21 Parking garage 5 Wrecking (If multifamily residential, of units —.— — —> 22 Ii Service station, repair garage enter number of units in building in 15 I I Garage 23 Hospital, institutional Part D, 13) 16 I I Carport 24 Office, bank, professional 6I I Moving (relocation) 17 I I Other — Specify 25 Public utility 7 I I Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 I I Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 [ Public (Federal, State, 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, elementary ► 10. Cost of improvement $ school, secondary school, college, parochial school, parking garage for, ll` department store, rental office building, office building at industrial plant. i.To be insealled but not included If use of exis building is being changed, enter proposed use. in the above cost a. Electrical "Ate' __ � b. Plumbing c.Heating, air conditioning d. Other(elevator, etc.) 11. TOTAL COST OF IMPROVEMENT $ 6 o(3(-7 • 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. y E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS O m 30[j Masonry(wall bearing) 40 I 1 Public or private company 48. Number of stories 31 I ] Wood frame 41 I I Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 I I Structural steel dimensions 33 I I Reinforced concrete H. TYPE OF WATER SUPPLY 34 I I Other — Specify 42 I I Public or private company 50. Total land area, sq. ft. 43 I ] Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 'O F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed - Ir' O 35 I 1 Gas Will there be central air 52. Outdoors 36 1 1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY \ 37 I i Electricity 44 I I Yes 45 I I No 53. Number of bedrooms 38 I I Coal 39 I I Other — Specify Will there be on elevator? 1 Full 54. Number of 46 I I Yes 47 I I No bathrooms Partial F- DEPT. FILE COPY Zo CITY OF NORTHAMPTON BUILDING 2 a f NORTHAMPTON, MASS. PERMIT 37-22 VALIDATION DATE February 10, 19 78 PERMIT NO. 19 APPLICANT Richard Keefe ADDRESS 51 Henry Street (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO fPflmr11 i ti or (_) STORY Camp DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 622 Florence Road ZONING IC SR 1 (NO.) (STREET) . BETWEEN _ AND (CROSS STREET) (CROSS STREET) n LOT L D SUBDIVISION LOT BLOCK SIZE S U BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION n z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 2 (TYPE) re F1)- REMARKS: DAmn1 i ti on of naTRTI AREA OR VOLUME ESTIMATED COST 000 f FEEMIT 10.00 (CUBIC/SQUARE FEET) OWNER R4 Cha'"ci Kzef2 BUI ING EPT. �� � ADDRESS 51 Henry Street, Northampton BY . /�� , , (Affidavit on reverse side of application to be completed by authorized agent of owner) CERTIFICATE ISSUED CITY OP NORMAN ''OM DAT E > 3 n i 'rC , MASS, BUILDING PERMIT - `2 CERTIFICATE OF OCCUPANCY DATE February 10, 19 78 PERMIT NO. 19 Richard Keefe ADDRESS 51 Henry Otreet APPLICANT (NO.) (STREET) (CONTR'S LICENSE) �� NUMBER OF PERMIT TO I1t1on (—) STORY_ Camp DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING ' , AT (LOCATION) DISTRICT. (NO.) (STREET) a BETWEEN AND ,o (CROSS STREET) (CROSS STREET) cn — LOT a. SUBDIVISION LOT BLOCK SIZE m U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O USE GROUP BASEMENT WALLS OR FOUNDATION 2 TO TYPE (TYPE) CC E 2 REMARKS: _ Demolition of carat) K-ii10 ',�'I ; fi iilK�MitQCn1c 9(4 K�I 'Et '; 2 9( I __ _ AREA OR •1111 ;1111 711111 :MI( .1L1 ;1111 N W :1111 III, ;11111 11111 VOLUME (CUBIC/SQUARE FEET) ;1111 ;1111 ;1111 ;111 ;1111 :1111 71111 :1111 :1111 ;1111 `1111 Nm ;1111 ;1111 ;1111 ;1111 r dYTI Xi+71 bTTI Orl-,l dVRI A'CI I re TO i1771T1107t7l O/ 1IIdTI R7 T.'TI.[]'r1lIo,CTI 7:0 TT]X7C1I76 E;- OWNER Richard Keefe TO BE POSTEq ON PREMISES 51 Henry Street, Northam t SEE REVERSE„S DE FOR_GONDITIQNS,O CERTIFICATE ADDRESS ,