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No. 1.Owner or ��N 1 t °� '.� `U \�S VC� V'-1��' VC7 c-a+'vV' C ItV�L.t,' Lessee Builder's 2. L License No. Contractor 3 oc. 4i0 f 5— . /v0rTA4 7i,) 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. Signs r a p ant V� �, v G 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 Date Number By Permit Approval Check Date or ec Number B Obtained Obtained y 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 II. VALIDATION Building / f /? FOR DEPARTMENT USE ONLY Permit number Bui(ding_ Permit issued n-" t-,"dYf- lq use Group Building \ Fire Grading Permit Fee $ �� .��� Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON g+ MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS t Page r Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT yf— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. j� O I. \�s C. --._`...,..12� old AT (LOCATION) �-- = r� � - D STR C LOCATION INO.) (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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 ❑ New building Residential Nonresidential 2® Addition(I/ residential, enter number 12 ROne 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, 4 ❑ Repair, replacement 21 Parking garage p p or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 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 E] 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 0 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.)............ 11. TOTAL COST OF IMPROVEMENT $ 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❑ 48. Number of stories.........Masonry (wall bearing) 40 Public or private company 't 31 fl Wood frame 41 E] Private (septic tank, etc.) 49. Total square Feet 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 n Yes 45 R! No 53. Number of bedrooms.............. 38 ❑ Coal 39 Other — Specify Will there be an elevator? Full.......... — 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial........ DEPBUILDING INSPECTIONS BUILDING Z � 12 Main Street o Northampton, MA 01060 PERMIT a a 29 - 428 VALIDATION DATE October 9, 19 84 PERMIT NO. 479 APPLICANT Assoc. Buildingr Contractors ADDRESS 1 Pearl 't. NO LIA)'}'�1'on 010936 (NO.) (lTRE T) (CONTR'S LICENSE) Addition Car Port NUMBER OF PERMIT TO (-) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 78 Golden Drive ZONING r�TmT�Vl�[-1 ,�� (N0.) (STREET/ DISTRICT BETWEEN AND (CROSS .STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE 18 FT. WIDE BY 24 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: )Q22M permit for the construction of a 18' x 24' addition (attached) to be used or a carport VOLUME 432 sq. ft. ESTIMATED COST � 2,500.00 FEEMtT 12.00 (CUBIC/SQUARE FEET) OWNER Edna R. Maggio ADDRESS 78 Golden Drive, Florence, Mass. 01060 BY" G Avlryw -/A WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK SESSORS COPY P - �iP