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Sign re f 7lica nt Address �J Application date ask F;.'Id /IIt,A 00 NOT 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 $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtta t ed Number By Permit or Approval Check Obtta t ed 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 BuildingQ p� Use Group Permit issued �E' /� : 19 C1 Building n \�� Fire Grading Permit Fee $ 4�` Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee e $ ' TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUI DINGS t Page— � Plot e APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 �{' f/ /A�,' r/ ZONING I• AT (LOCATION) Q Iv`�g1 (AA) ��t� DISTRICT LOCATION f ,p��(N0.) (STREET) OF BETWEEN 0ktft 6-- -AND BUILDING (CROSS STREET) (GROSS STREET) LOT ��11 t 6f SUBDIVISION LOT +13 BLOCK SIIZE��Ot/ X�DU 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 �ew building Re fdential 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 in Part D, 13) number of units- - - -- -� 20 ❑ Industrial 3 F__] 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 ------- -- --3� 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) 17 ❑ Other - Speci/y 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWN SHIP 27 ❑ Stores, mercantile 8 Private (individual, corporation, 26 ❑ 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,,,,,,,,,,,,,,,, (, Q 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 $ O 6 O III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete arts 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 dPublic or private company 48. Number of stories.............. 31 Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, gk�S all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE�/OF WATER SUPPLY 34 ❑ Other - Specify 42 L❑'�jj Public or private company 50. Total land area, sq. 41. ........... �(J 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 ❑ Yes 45 �/' No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - .Specify Will there be an elevators Full.......... 54. Number of 46 ❑ Yes 47 I❑ No bathrooms Partial........ a DEPT. OF BUILDING INSPECTIONS BUILDING `- A . ! 212 Mann Street 0<" fu Northampton, MA 01060 PERMIT 25C - 34 VALIDATION DATE September 9. 19_ PERMIT NO. 619 APPLICANT jnel nanSkV, NanrV Feltnn ADDRESS 29 Northern Ave_ Owners IND.) (STREET) (CONTR'S LICENSE) Addition One Family NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) Northern Ave. ZONING URB AT (LOCATION) DISTRICT (NO.) (STREET) 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: permit for the construction of an addition to single family dwelling/dining room, ami y room and bath AREA OR VOLUME 200 s4. ft. ESTIMATED COST $ 20,000.00 FEEMIT $ 81Q.00 (CUBIC/SQUARE FEET) OWNER Same as Applicants _ Same as Applicant's BUILD( ADDRESS _ BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pld lip