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35-059 (8) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD f / SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use °: �:.n i��-,~g C a {L,a x , r'y '` S.: '€ , a '{ a d .a,.y t- s i �' "l u�a+-d �.'"a'' €s-..w.a r"... >~ PQ mow- ° + 1,40=13 t i # ! - a t - r - C 2 _ -ii atsi M, - t+ ? r a ;_ �. �' ws ; a t. �. ;% f i T" -i.a.� .b .L ; I S ; +r s 'c w w t J w. § # + ,,,�„y � I a iI f t l r s 5 Y i- ; � s. Y o r r—"Mamp ow d 7 E J. : ;.�L p a..1 �J .3.i E- ( i tr J s pow!py apt,at IOWA a sgGL i 1 gee a � € " ;a a.- ' a QV fi i ^pw.... € .a A. a �h d wr` t + �i.G g5 .. , a- ,, s p=a g j �r' • t #- .sy1.. 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Fit J # I g A + r o $ Jet t { + e as „q a 4 } tag � a�}-, 4s—H44,11-i-p� a§4� t r + p r 3 q x� � ?r 'ze f } { # am:--vi.1 m„ �..# § T{f-it!F TOM its now,1 d # a ,, y [ - -' w -f- t -°. Yz s.d b- r :g._ -t--, a- ` c c q -c g .rte..ate. -s g f.T§ fr re f R a, y S f 4' i ?-E t Y w*a -9-+ 't g- •i -� F, i ,f -�`g"f; - � to - .,.a. BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or E Lessee Bui Ider's L. License No. Contractor M 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 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 Is OTHER Is 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 g Use Group Permit issued ttL_ .195?x� _ Building Fire Grading Permit Fee $�/�_ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee 1 TLE i > NOTES and Data — (For department use) a CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET f APPLICATION FOR NORTHAMPTON, MA. 01060 �F� �3� �--,� PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) �'�.� - DISTRICT LOCATION �f NO.) (ST T) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr 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;R'Addition(If residential, enter number 12,KOne 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 F-1 Alteration (See 2 above) 14 Transient motel,❑ T it hotel, tl 21 ❑ Parking garage 4 ❑ Repair, replacement 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) ❑ Carport 24 Office, bank, professional 6 ❑ Moving (relocation) 16 p ❑ 7 ❑ Foundation only 17�Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 12214 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................ 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❑ 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❑ Other — Specify 42)K�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 b central air 52. Outdoors........................ 36 Oil conditioning^anelevato L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44 ❑ ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39 F-1 Other — Specify Will the ? Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial....... I hereby certify that. the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as hit' authorized agent. SIGNATURE"01= AGENT` ADDRESS (NUMBER) (STREET) (CITY) APPROVED BY TITLE DATE 19 DEPARTMENT OF BUILDING INSPECTIONS DEPT. FILE COPY 212 MAIN STREET z° NORTHAMPTON9 MA. 01060 BUILDING 35 - 59 PERMIT VALIDATION DATE junp 187 19 80 PERMIT NO. _314 APPLICANT Wi.l].iam Hubbard ADDRESS $Ox 166 Flt>retzce- Ma. (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Addi tijon ( ) STORY Gb V & �� 4 NUMBER OF (TYPE OF IMPROVEMENT) N0. imne pR stove DWELLING UNITS 1. ZONING AT(LOCATION) (NO.) {STREET 932 ")Road DISTRICT— SR - rn BETWEEN AND (CROSS STREET) (CROSS STREET) a LOT m SUBDIVISION LOT BLOCK SIZE a u O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION M O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f K (TYPE) u- REMARKS: Construct exterior masonaU chimney and install wood-burning stove AREA OR PERMIT VOLUME ESTIMATED COST I FEE 10 r00 (CUBIC/SQUARE FEET) OWNER William & Sandra Hubbard BUI ING EPT. ADDRESS Box 166_ Flnrence- Ma- Q,1060 BY (Affidavit on reverse side of application to be completed by out orized agent of owner)