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32C-163 (4)
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No, j Owner or �/��Gt� =WC1� ��L �LX S�� ��sl tJIUG ,`•�� j / Lessee IN 'S pie IN C( Builder's 2, wN0Z License No. Contractor Architect N Architect or Engineer I hereby cer h)r that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this appl'raagion as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS 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 FOR DEPARTMENT USE ONLY Permit number _ Building �,�, Use Group Permit issued �� ' 19 SL- Building Fire Grading Permit Fee $ / , o� Live Loading Occupancy Load Certificate of Occupancy Appr d by: f l Drain Tile l / Plan Review Fee $ TITLE NOTES and Data — (For department use) , J) CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET 30� — APPLICATION FOR NORTHAMPTON, MA. 01060 � ,��. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. �' O n d I• AT (LOCATION) •f"�/ fNVaCptt +L��. D S TRI LOCATION (NO.) (STREET) OF `C`ta35/��%i 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, 13�Two ow�FP�— Enter 19 ❑ Church, other religious in Part D, 13) number of units— — — — --> _ 3� Alteration (See 2 above) 20 Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — - 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 6 ❑ Moving (relocation) 16 ❑ Carport 24❑ Office, bank, professional 7 ❑ Foundation only 17 [::] Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 28 ❑ Tanks, towers 8 tK`Plivate (individual, corporation, Specify Other — nonprofit institution, etc.) 29 ❑ P fy 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g.,, food / �U i processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ (d fl 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..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 1 11. TOTAL COST OF IMPROVEMENT Is 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. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑ Masonry (wall bearing) 40.1�ublic or private company 48• Number of stories................ 31 XWood 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 F-1 Other — Specify 425�ublic 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 KGos Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? 54. Number of Full.......... 46 ❑ Yes 47 ❑ No bathrooms Partial....... hereby certify that' the 'proposed,work is authorized by the owner of rtcord 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 14 DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY 212 MAIN STREET 0 NORTHAMPTON, MA. 01060 BUILDING <a *C - 163 CODE X79 PERMIT VALIDATION DATE February 7s 19 80 PERMIT NO. 67 APPLICANT r1plfrgP & Marvin SpanP_p ADDRESS P-0. RAX hQrst, Ma- (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO A! teratiar (.2_) STORY DWELLING UNITS 2 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 14 & 16 Ranitlnlp a DISTRICT (NQ.) ` R ) GB a BETWEEN ea sAin ' v AND 'o (CR STREET) (CROSS STREET) a LOT a. m SUBDIVISION LOT BLOCK SIZE a U O BUILDING IS TO BE FT. WIDE Y F LONG BY FT, IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) r h- REMARKS: Renovate existing apartmauts-Per sketch. ------ AREA OR s VOLUME ESTIMATED COST $ 4600,00 FEEM'T � 0© (CUB(C/SQUARE FEET) OWNER George Spence - Marvin Spence BUI PT. ADDRESS R_O RAX Amherst, Ma* BY (Affidavit on reverse side of application to be completed by authorized agent o owner)