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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. _tS�Y Owner or i)L f'> S Lessee _ Builder's 2. �LJ f�: aJ:)'� w��.�`� .C1L �:x��1: ! � (2 ! +� ir��i 1�7 License No. Contractor 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 Address Application date o ; o 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date 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 ate Date Permit or ApprovaI Check ObDta ned 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 Building Use Group Permit issued Q,0 (-:�q t 19 _ Building � '�� j�^^�� Fire Grading Permit Fee $ vim) Live Loading Certificate of Occupancy $ occupancy Load Approved Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON g• �+� MASSACHUSETTS B OFFICE of the INSPECTOR of B DINGS Page Plot �) — APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: �p1/, 11,, /it, IV, and IX. O I• AT (LOCATION) ` '\\L I" t `�� i-'L- �L -- I _6y i'S�'ya D STR CT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M m 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If 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 3 Alteration (See 2 above) number of units- - - - -� 20 ❑� Industrial � 14 ❑ Transient hotel, motel, 21 parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multi family residential, of units ------- — --f 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 — Speci/y 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,,,•,,,,,......• 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 9 v w a. Electrical....................... b. Plumbing ..................... c. Heating, air conditioning.......... C r d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ O III. SELECTED CHARACTERISTICS OF BUIL ING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑ Masonry (wall bearing) 40 ® Public 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 ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 Public or private company 50. Total land area, sq. ft. ... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ...................... 35 Gas Will there be central air 52. Outdoors........................ �- 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 5d Yes 45 ire No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 F%-f No bathrooms Partial...... DEPT. OF BUILDING INSPECTIONS BUILDING Z° 212 Main Street $a Northampton, MA 01060 PERMIT 32C - 140 VALIDATION DATE Dp P,jjlbpr 24 19 26 PERMIT NO. �49 APPLICANT 1;fi_ndau e nest gn ADDRESS (NO.) TR R' 1 Office Space NUMBER OF PERMIT TO hntI STORY p DWELLING UNITS (TYPE 0 IM R EME T �N+d6" (PROPOSED USE) ZONING AT (LOCATION) DISTRICT ) rQ EE 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 is for interior alterations to existing space to create Real Estate Office or North River Properties AREA OR VOLUME 1150 sq. ft. ESTIMATED COST $ 39 000.00 FEE $ 80.00 (CUBIC/SQUARE FEET) P OWNER North River Properties c± BUI I ADDRESS aid GT St)a@ - - -- - -- - - WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY • PINK /ASSESSORS COPY pOwl,