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IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. owner or Lessee Bui Ider's 2, �� � l ��/Ej fy!/Q�(' ��►%1L � License No. Contractor -7 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. Signgure of applicant Address Application date ,y , '/ 00 NOT WRITE BELOW TH IS/ 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 ate Date Permit or Approval Check ObDta ned 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 X/ FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued Al� 195'_ Building Fire Grading Permit Fee $ "4-© C) Live Loading Certificate of Occupancy $ Occupancy Load A ed by: Drain Tile $ Plan Review Fee $ TITLE ti NOTES and Data — (For department use) e n - s CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 S 3C __; i PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O •� ZONING I• AT (LOCATION) RASO;r,k-0 312 f V,,--- r,� DISTRICT_ 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 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 D< One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 F__1 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 (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 ❑ Moving (relocation) 7 F-1 Foundation only 17❑ Other — SpeciJy 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 28 ❑ Tanks, towers 6,� Private (individual, corporation, Specify Other — S nonprofit institution, etc.) 29 ❑ p fy 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................ oC)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 $ 8 �0 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 t all floors, based on exterior fz 32 ❑ Structural steel dimensions ..................... !t=v 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 X 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, TYPE OF MECHANICAL 35 ❑ Gas there be central air Outdoors........................ 36 u Oil condi ing? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44❑ Yes 4 ❑ No 53. Number of bedrooms........ 38 Coal 39 ❑ Other — Specify Will ther a an elevat ? Full../..... 54. Number of Yes 47❑ bathrooms Partial....... I hereby certify that the ,proposed work is authorized by the owner`of r6cord and I have been authorized by the owner to make this application as his authorized agent. SIGNATURk OF AGENT ADDRESS (NUMBER) (STREET), „- (CITY) APPROVED BY TITLE DATE 19 DEPT. FILE COPY DEPARTMENT OF BUILDING INSPECTIONS Z2 D- 212 MAIN STREET BUILDING a iL NORTHAMPTON MA. 01060 PERMIT VALIDATION 36 - 31 CODE #79 DATE Ha 27� 19 80 PERMIT NO. 271 APPLICANT Edward Hamel ADDRESS RFD #1_ W cthampton, Ma_ (N0.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_1_i STORY Rralsyg�`�ay _ DWELLING UNITS 1 TYPE OF IMPROYEME NT) NO. (PROPOSED UUSE) ZONING ZJRA AT (LOCATION) 81 Redford Drivp DISTRICT (NO.) (STREET) m BETWEEN AND m (CROSS STREET) (CROSS STREET) a LOT a SUBDIVISION LOT BLOCK SIZE m a Addition U goo= IS TO BE .96 FT. WIDE BY 1,0 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f (TYPE) ir O W REMARKS: VOLUME ESTIMATED COST B�eDO FEEMIT . 14,00 (CUBIC/SQUARE FEET) OWNER R40451 Moaard 8U1 P ADDRESS 81 Radford Drive. Northampton. Ma. 01060 BY A�� (Affidavit on reverse side of application to be completed by authorized agent of owner)