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No. . /39 owner or �.r 584 3786 � t Lessee Itte Ronl Rnt , 2 Builder's / G. R72 License No. Contractor D to 636 20(x0 3. Architect or Engineer 1 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 f pplic nt Address y Application date �% C' 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 or Approval Check Dote 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 VII. VALIDATION Building ^ FOR DEPARTMENT USE ONLY Permit number Z Bui Iding Permit issued 1• ll• G(O 19 Use Group Building Fire Grading Permit Fee $ (o�, Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee $ _ 6- 5 TITLE CITY OF NORTHAMPTON �. '�'.� MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS 1V T Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 I• ZONING AT (LOCATION) r 3 q �1M(� S / DISTR CT/ '� LOCATION IN 0.) (STREET) T+ OF BETWEEN 54f 014�tsE2 `�l _AND rl'IA l �( v 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 1 New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family - Enter 19 Church, other religious i Part D, 13) number of units- - - - -i 20 ❑� Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 Parking garage 4❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multi family residential, of units ------- - 22 r_❑ 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 - Specify 25❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers 29 Other - Specify nonprofit institution, etc.) ❑ 9 D 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................ 1 i0a0 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...................... s' "� daZ�dlT�iJJZ oefTA$ / ? b. Plumbing ....................... Z G®O 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 48. Number of stories............... 30❑ Masonry (wall bearing) 40 ❑ Public or private company 41 [❑ Private (septic tank, etc.) 49. Total square feet of floor area, 31 Wood frame 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 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 [-1 Yes 45 No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an eievator" m Full.......... 54. Number of 46 1 Yes 47 'D No bathrooms _ Partial....... a O O y �i G=r �+ LZ• L � Cfl u E cn a n a a a rA 04 � rOti 0-* � ►C CG C1� U �■j � � Q � � v an � v x c an � bA a L' 14= W .^' c as W cn ccc I c �. E ,i E (" 4, �, •- Q O O W o = tz V .,-) .-) U '"' H > cE r u a� v o c .o x c L u 4. ca C QJ u C Cd �i■� � '� a .c ° c E 'b � o W > u s vcc u Q CN