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License No. Contractor 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 "of applicant Address Applications date � 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re wired Check Plan Review Date Plans By y Date Plans B Notes 9 Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date ate 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 � Use Group Permit issued S�. 19 A!�, Building Fire Grading Permit Fee $ ZD 15Q Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITL �Q CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page ('2_5 Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O C/ ZONING I• AT (LOCATION) /�J �/ i DISTRICT LOCATION ("O•) cSTREETT_ OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 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❑ One Family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13X 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 El Wrecking (If multifamily residential, of units ------- - --- 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 E] Hospital, institutional Part D, 13) ❑ 16 Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) 17 Other — Specify /- z� 25 E] Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP t^� A/rXLi!!idu 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 I$ 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 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 X Gas Wi there be cen al air 52. Outdoors........................ 36 ❑ Oil co ndi 'oning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 4/tere 45 �1 No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other — Specify Wbe an evator? Full.........54. Number of 4 s 47 ❑ No bathrooms Partial....... INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR DEPARTMENT OF BUILDING INSPECTIONS FIELD COPY 212 MAIN S'T'REET WRTII[AiPT0116 MA. 01060 BUILDING 25C - 7 PERMIT DATE Sept. 19, 19 80 PERMIT NO. 498 APPLICANT Steve Terrini ADDRESS 142 North St. (NO.) (STREET) (CONTR'S LICENSE) NUME OF PERMIT TO Wood stove ( 2 ) STORY Wood•bumin install, DWELLING UNITS 2 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ING AT (LOCATION) 142 North DIOSTR CT UM (NO.) (STREET) a BETWEEN AND 'o (CROSS STREET) (CROSS STREET) rn LOT IL SUBDIVISION LOT BLOCK SIZE m 0 BUILDING IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O m 0 Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION f (TYPE) o REMARKS: Install wood-burning stove in existing fireplace. AREA OR i VOLUME ESTIMATED COST $ 1� PERMIT 1osoa i (CUBIC/SQUARE FEET) OWNER Daniel O'Connor a ADDRESS 142 North St., N'ton.* Ma. 01060 BU D PT