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NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Moiling address — Number, stmt, city, and State ZIP code Tel. No.
Owner or ��/:• - ?C,-, f� - -a,
Lessee t
r
Builder's
2. r' License No.
Contractor a
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 dote
Ft '
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date P y
n Ions B Date Plans By Notes
Fee Stoed Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or Approval I Check Number B Date umer
pp Obtained y pp Obtained 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 (�J
Building { Use Group
Permit issued _ _ 19�.
Building1 ��^^ Fire Grading
Permit Fee $ �"� C�t� Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ rte!
W
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
MASSACHUSETTS
$ 8 OFFICE of the INSPECTOR of BUILDINGS
�t Page Plot C.❑ APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. //�� 0
�} c7 )/ DIOSTR CTI.�
1• AT (LOCATION) t"` �•
LOCATION (NO.) (STREET)
OF BETWEEN %� ' AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;0
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1❑New building Residential Nonresidential
2 Addition(!/ 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 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (It multifamily residential, of units ——————— — -i 22 ❑ Service station, repair garage
enter number of units in building in 15 L❑ Garage 23 Hospital, institutional
Part D, 13) 16 Carport
24 �� Office, bank, professional
❑
6 ❑ Moving (relocation)
17 Other — SpeciJy — 25 Public utility _
7 ❑ Foundation only
26 School, library, other educationaly�
B. OWNERSHIP 27 Stores, mercontileor)n . ec "
8 K 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 e �
a. Electrical.....................
b. Plumbing .....................
c. Heating, air conditioning........ j
d. Other (elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT $ /0 G'IG'lJ '
111. 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
48. Number of stories...............
30 L] Masonry (wall bearing) 40 Public or private company v
31 ❑ Wood frame 41 �� Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, hosed on exterior lV
320 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
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 ❑ Gas Will there be central air 52. Outdoors........................
36 ❑ Oil conditioning? _ L. RESIDENTIAL BUILDINGS ONLY
37 ❑� Electricity 44 ❑ Yes 45 !r No 53. Number of bedrooms..............
38 Coal
39 ❑ Other — Specify Will there be an elevators 54. Number of Full..........
—
46 P Yes 47 ❑ No bathrooms partial.,......
a DEPT—OF,BUILDING INSPECTIONS BUILDING �° �c . c�
! 212 Main Street Oa
Northampton, MA 01060 PERMIT
32C - 171 VALIDATION
DATE June 27 t9 88 PERMIT NO. X96
APPLICANT_ ( ,�eQ.J. RaquattQ ADDRESS Fqj=4j Q,4 AVP (ill HIP
INO.1 (STREET) (CONTR'S LICENSE)
New Building (_) STORY Stores/Commercial NUMBER OF
PERMIT TO DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
256 Pleasant St. ZONING
AT (LOCATION) DISTRICT
(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: :Metal frame & roof. Storage for lumber building & materials--open on all sides
AREA OR 18000.00 PERMIT $ 72.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
n
OWNER ilta tiiarnpton Lumber" Co. - BUILDING fiE�T./
ADDRESS
256 Pleasant St. BY (_
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY PINK - ASSESSORS COPY P1 'P