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32A-255 (139) V111. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 7 40-m r, , p_ I , d., N r, f Y e P y f F , w a BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — :Number, strcct, city, and State ZIP code Tel. No. O. ,rl N. ✓�/" � irk 5 74• l `�; S" Owner or 4/0(i;6 Lessee � � � Builder's 2. /-Z o License No. 674 Contractor �� �✓ �/ ,���� � `q���`' /� 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 plicant Address Application date 00 N T 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 Building gel Use Group Permit issued --5 19 Building Fire Grading Permit Fee � � 0 Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee NOTES and Data — (For department use) APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete aalll items in sections: 1, 11, 111, IV, and IX. O ZONING (• AT (LOCATION) //,`� DISTRICT LOCATION '"° ' (S T) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF'BUILDING — A11 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, Vn Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — — — ---)- 20 ❑ Industrial 3 ration (See 2 above) 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) 16 ❑ Carport 24 ❑ Office, bank, professional 6 F-1 Moving (relocation) 17❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWN SHIP 27 ❑ Stores, mercantile 28 ❑ T nks, towers B Private (individual, corporation, _ nonprofit institution, etc.) 29 Other — Specify G�{. 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 b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ I�6QU 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 V. E. PRINC AL TYPE OF FRAME G. TYPE SEWAGE DISPOSAL J. DIMENSIONS /Z4 e4 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 y+�� 32 ❑ Structural steel dimensions ..................... (�(\ 33 ❑ Reinforced concrete H. TYPE 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❑ G Will there be central air 52. Outdoors........................ 36❑ it conditi ing? L. RESIDENTIAL BUILDINGS 0 Y 37 Electricity 44 Yes 45 ❑ No 53. Number of bedrooms... 38 ❑ Coal 39❑ Other — Specify Will they be an elevator/No Full.. 54. Number of 46 , es 47 bathrooms Partial....... D&ARTMENT OF BUILDING INSPECTIONS BUILDING .� 212 MAIN STREET o< �G�G' �,�� NORTHAMPTUN, MA. 01060 2<IL 32A - 254 VALIDATION DATE August 3, ig 81 PERMIT NO. 366 APPLICANT Gregg C. Pezzer ADDRESS 1290 Wit sin Rd.i F. River,MA. (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Alt re , re�nl gip( 4 STORY HAtPI & TAVPrn DWELLING UNITS _ (TY E OF I PROVEMENT) NO. (PROPOSED USE) ZONING `,8 AT (LOCATION) DISTRICT (NO. (STREE ) 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: MiACPllAnonus alterations &__repairs to 4 existing floors AREA OR VOLUME ESTIMATED COST $ 150,0170 FEEMIT $ 600.00 (CUBIC/SQUARE FEET) 1 � OWNER Hotel Northampton ASQOCiatPC BUILDIN DEPT ADDRESS 36 icing Street, Nortbamptony Ma- 01060 BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT CO INK - ASSESSORS COPY _ _ ,-.r.. , _.,,. �.� . .. .. _ ,�,...��.,.� �,....�� �.�.�,�.. � �, .�_ �,�_�., _ r��- �- t.., `..- F ) . I �sxx BUILDING Zo q T .. m. N, MA. 01060 PERMIT' t .... '-.. • �'i - .VALIDATIONS DATE Auggst43m 19 81 PERMIT NO. 166 APPLICANT C_ z2er ADDRESS 4 2d0SWi'!sort [ # I. l it�I (N0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO 4 TORY DWELLING UNITS (TY E OF I PROVE ENT) NO. (PROPOSED USE) ZONING AT (LOCATION) (NO.) DISTRICT C TREE BETWEEN- AND (CROSS STREET) (CROSS STREET) a LOT SUBDIVISION LOT BLOCK SIZ$, BUILDING IS TO BE FT. WIDE # FT. LONG BY FT. IN HEIGHT A)ID SHALL CONFORM IN CONSTRUCTION ;I TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION , '". . tYTYPE) 4 g9sting f lov s REMARKS: AREA OR PERMIT VOLUME ESTIMATED COST � FEE VOLUME (CUB(C/SQUAR,f FEET) OWNER heA1 +a�' 11A6Igne-1 l :Y IT DEPT &t1� ADDRESS ' y �"#�R 1� #3f1�$fl BY rte Ifi1 - FILE COPY . GREEN - FIELDCOPY CANARY APPLICANT CO "SINK - ASSESSORS COPY