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32C-163 (5) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD A SIDE YARD / SIDE YARD REAR YARD / NOTES r,1 Gam- IX. 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License No. Contractor J (� 3. urAj ,C' `, t L'c12c- aVAv"-cTT Architect or Engineer 1Z tevix-i' �vtr�cflTf I here certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make thi I(cat ion as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of ap iban'i, Address Application date 2,'�,� Co 6 4(r �1 E 2S" I 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 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date 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 �� 7 Building Use Group Permit issued ! x ,,- 19 ft Fire Grading Building Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TI LE NOTES and Data — (For department use) CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 3 PLAN EXAMINATION AND / 63 BUILDING PERMIT z IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O 7 ZONING (/, • AT (LOCATION) �+ DISTRICT" LOCATION (NO.) (STREET) OF BETWEEN �'"'7S�N� AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE CA II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -4 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m M I New building Residential Nonresidential 2 Addition([/residential, enter number 12 F-1 One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 Two or more family — Enter 19 ❑ Church, other religious in Part D, 13) 1� number of units— — — — � EX�SittiL 20❑ Industrial 3 Alteration (See 2 above) ft{d/,y-w49 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number ❑ 22 ❑ Service station, repair garage 5 Wrecking (If multifamily residential, o units —� enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24 F7] 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 8XPrivate (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,10. Cost of improvement,,,,,,,,,••••••• 11 Vl: school, secondary school, building ol college, paroch alschool hospital, king 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.)............. 11. TOTAL COST OF IMPROVEMENT $ , F G 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�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 F__1 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............../ ..... conditioning?36 ❑ Oil con L. RESIDENTIAL BUILDINGS 0 Y 371KElectricity 44 ❑ Yes 455 No 53. Number of bedrooms./ ... 38 ❑ Coal 39❑ Other — Specify Will there be an elevator? Full. :77 54. Number of 46 ❑ Yes 47 No bathrooms Partial....... hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to mdkie this application'-as his authorized agent. SIGNATURE W AGENT ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPARTMENT 01? BUILDING INSPECTIONS DEPT. FILE DEPARTMENT COPY Zo 212 MAIN Tr'REET O< N&TKAMP•Lft, MA. 01060 BUILDING Q a 32C - 163 CODE #79 PERMIT VALIDATION DATE March 4. 19 - 80 PERMIT NO. 117 APPLICANT C(� x!pence -_ ADDRESS (N0.) %,Aberst (CONTR'S LICENSE) NUMBER OF PERMIT TO IU STORY Add 7 roeidantiAl Un3,ta DWELLING UNITS �1- (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) ZONING AT (LOCATION) - 14 Rand DISTRICT G8 (N0.) (ST T) a BETWEEN No tp (CROSS R ) (CROSS STREET) O LOT m SUBDIVISION OT BLOCK SIZE U BUILDING IS TO BE FT. WID By 0 B FT. IN HEIGHT AND SHALL CONFORM. IN CONSTRUCTION O m Z TO TYPE USE GROUP ASEMENT WALLS OR FOUNDATION (TYPE) O u. REMARKS: AREA OR ESTIMATED COST $ 38,000 FEEMIT $ 114.00 VOLUME (CUBIC/SQUARE FEET) l� ePT. OWNER B UILDINADDRESS 506 Anibers y MA- 01007 _- BY (Affidavit on reverse side of application to'be completed by authorizf owner)