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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. O wner o �J 4 Or �+ Lessee �' Builder's /� 1'7 2. ,.r• /� License No. //f0✓�(✓/ Contr c r de 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 ii f applicant Address Application date 00 NOT WRITE BELOW THIS LINE !/.—LAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Dote Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL is OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS ate ate Permit or Approval Check Obtained Number By Permit or Approval Check Obto 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 4 19 8� Building o Fire Grading Permit Fee $ `�` �� Live Loading Certificate of Occupancy $ Occupancy Load Appro by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON .� - MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS „„ 1 . Page C Plot S- t3f APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT - Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0 ZONING I• AT (LOCATION) �✓ .-'aC.�yH-tea., '-'w.."��^' DISTRICT! LOCATION /may% (NO.) ry.((STREET) OF BETWEEN Cl /�ic -9 ---' ND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn rn 1 ❑ New building Residential Nonresidential 2 D Addition(1 residential, enter number / 12 ❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 ❑ Two or more family - Enter 19❑ Church, other religious number of units- - - - --> 20❑ Industrial 3 Iteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units ------- - --s 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24 Office, bank, professional 6❑ Moving (relocation) 17 ❑ Other - Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 ❑ 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................ s o7 00 --- school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost ���� a. Electrical..................... Q b. Plumbing . ................. c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 1$3000C —` 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. E. PRINCI AL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry (wall bearing) 40 dPublic or private company 48• Number of stories............... 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... `o2 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 ©Public or private company 50. Total land area, sq. ft. ........... l o2 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... ' 35 �as Will there be central air 52. Outdoors........................ / 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 Yes 45 ! No 53. Number of bedrooms.............. 7f 12/ 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47 ❑ No bathrooms Partial........ a DEPT: OF WILDING INSPECTIONS BUILDING ZO 212 Main Street 0 Northampton, MA 01060 PERMIT Q a 32C - 135 & 136 VALIDATION DATE June 7, 19 85 PERMIT NO. 314 APPLICANT Fournier Assoc Inc. ADDRESS 1225 Florence Rd. 010537 (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Alteration I`) STORY Office Space -DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 23 Service lane ZONING ery AT (LOCATION) DISTRICT SI (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: _ permit for alterations to existing area to be used for office space AREA OR 12,000 sq. ft. 30000.00 PERMIT 96.00 VOLUME ESTIMATED COST $ FEE $ IC,UBIC/SQUARE FEET) OWNER John Fortier ADDRESS • . ox Florence BYIL WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASS SORS COPY pQp