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HIM-8011 i ;; $. 1$s.s:$s...g ::L $■•a\r■••ra•■•aa■\••,Iii Image ii Us IN...... ....{a••aa ..........••.Samoan, mnnnu a Mu'sHH i HIM:s:N: l:r::::: ::UNImHsH: NOTES and Data — (For department use) QIQW-A� J JCA aL- ,0dlA&x-P-- IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or I t`d P ( �/'{�aGL O'D/ _/ 1 I� Lessee G l c%0 �J�/ 1 Builder's 2. 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. Signature of applicant Address Application date DO 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 is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained Number By Permit or Approval Check Obttaitned 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 530 FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued J0 19� Building oC Fire Grading Permit Fee $ lD Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee / "` TITLE CITY OF NORTHAMPTON �• .� MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page t Plot B0 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• AT (LOCATION) k �`ftaJ� " ZONING DISTRICT CPO LOCATION ///� (NO.) STREET) O LL_Q�, F BETWEEN 1 W\ t AND W BUILDING (CROSS STR T) (CROSS ST EET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D __q A. TYPE OF IMPROVEMENT D. PROPOSED USE – For"Wrecking" most recent use m M 1 ❑ New building Residential Nonresidential 2 ❑ Addition(!/ residential, enter number 12 ❑ One 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 3 Alteration (See 2 above) number of units– – – – -� 20❑� Industrial ❑ _ 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 ❑ Foundation only 17 �� Other – Speci/y 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 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 i 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 C� Public or private company 50. Total land ores, 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 [—] Yes 4S rte' No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other – Specify Will there be an elevator? Full.......... 54. Number of 46 [–] Yes 47 ❑ No bathrooms - Portial....... City of Northampton REQUIRED INSPECTIONS 1 . Footings and Walls BUILDING DEPARTMENT 2 • Structural Components in Place 3 . Complete Building No. 530 Office of the Building Inspector Date July 25 . 1989 19 BUI DING P RMIT THIS MAY CERTIFY THAT Cynthia Tardy Insp. on Site — Foundations has permission to construct cement pad Insp. of Plumbing — Rough situated on 310 Bridge St. Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE O E PREMISES Certificate of Occupancy Building Inspector P�INOP