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NEI .. of/ , S: S ••.i• ��.N■ U.l..a.■!a■..r■■■...../1 • f ■ ..""q• ■..r.N. 8..N■N.....NNH ' ass 1.f09068 �s ■ �■�_r.; •...•:�� .:•.f.f N■:■.i..■5■.i■..•i.,..N•I• :5: ::i5::: N:a:::::::: as:ass sass:S:SS::S:::S::SS:::::::5::l N�� ��i ::r .r.=1. .::: B I11.../■i.s...i■i ii.ss�s.....i ��.Ni• �::s :: :::::: Hill s::aszssss.::::Me s Ins . . •N:•• :::::•:s •:a.R s ss6s� s ' $ sa sae s:as me III NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or Lessee 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 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 Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained Obtained 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 uL, Ir-) �_ 19 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load A d-bX: Drain Tile $ --- Plan Review Fee $ i T LE CITY OF NORTHAMPTON �. MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page — Plot f. 1 APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C) ZONING I• AT (LOCATION) `�� DISTRICT LOCATION (NO.) (STREE 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 ;0 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 1 ❑ New building Re i nIial Nonresidential 2 E] Addition(If 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 number of units– – – – 20 Industrial 3 Alteration (See 2 above) 14 l, r ❑� !. � Parking garage 4 Transient hotel, motel,Repair, replacement or dormitory – Enter number 5 Wrecking (11 multifamily residential, of units ––––––– – -i 22 ❑ Service station, repair garage enter number of units in building in 15 L❑ Garage 23 Hospital, institutional Part D, 13) 16E] Carport 24 L_� Office, bank, professional 6 �� Moving (relocation) 17 ❑ Other – Speci/y 25 ❑ Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 L❑ Stores, mercantile 8 Private (individual, corporation, 2B ❑ 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................ /!/L/( 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 7 L If use of existing building is being changed, enter proposed use. in the above cost p�, a. Electrical..................... b'Z—pwtz L -t b. Plumbing ....................... c. Heating, air conditioning.......... s d. Other (elevator, etc.)............. V �)',, 11. TOTAL COST OF IMPROVEMENT $~ X r C� III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; / t 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 L❑ 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 J — - Yes 45 No 37 E Electricity 44 53. Number of bedrooms.............. 38 ❑ Coal 39 L__ Other – Specify Nill there be an elevators Full.......... 54. Number of 46 � ] Yes 47 D No bathrooms Partial....... DEA. OF BUILDING INSPECTIONS BUILDING -z° 4 1c) - m ! 212 Main Street 0 Northampton, MA 01060 PERMIT 25C - 81 VALIDATION DATE July 12, )��r-�- eP�tree�O' 435 Owner APPLICANT Robert M. Zuraw ADDRESS IND.) ISTREET) (CONTR'S LICENSE) PERMIT TO Demolition/Addition (_) STORY One Family DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 321 Bridge Street ZONING URB 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 demolition of 2 existing porches on rear of dwelling i11t replace with deck 12' X 20' outside of first floor jod VOLUME ESTIMATED COST $ XXXXX 900.00 FEFM'T , 10.00 (CUBIC/SQUARE FEET) �. OWNER Sama AS Annl i cnnt j BUILDING DEP ADDRESS Same ac 661 icant' s BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASS,E'SSORS COPY I,'QfP