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Hill.1111111168 u Y.i ss$:as:ssss$$$$ a •!ni• • e./. .. sea , moo in U NOTES and Data — (For department use) IA ZZ C e 1 t �v s rt i � F ' e I� E9 .-AUX vy\\C) lv�)l 35 A A A 1 9 1 it IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. 1. owner or Lessee 2. QIG�oC� r ^ C Y7 Ci Builder's Contractor License No. 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 B Date Plans Fee Started y Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A royal Check Date Date pp Obtained Number By Permit or Approval Check Obtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE LWRECKING T GRADES GRADING PUBLIC AREAS OIL BURNER OTHER VII. VALIDATION Building Permit number FOR DEPARTMENT USE ONLY j Building ' Use Group Permit issued )q Building �O Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ occupancy Load App%d'.6 ,.-- Drain Tile $ Plan Review Fee $ TITL CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS s Vt Page C2 Plot ? APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT - Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0 \V .,� � ZONING I• AT (LOCATION) yc y\ DISTRICrTt LOCATION (�\ 1N0•) (STREET) �� 0 F BETWEEN v Y\Q\ .V `C \� Q d AND ,V�.� �i� �T:�Y"��� t(A - BUILDING (CR SS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D -0 M A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn 1 u New building Residential Nonresidential 2'�4_] 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 — F.rt[er 19 � Church, other religious number of units— — — — 20 Industrial 3 E Alteration (See 2 above) 14 � l Transient hotel, mote , L 21 �_� Parking garage 4 L-1 Repair,. replacement or dormitory — F.nter number f-- � of units ——————— — —� 22 -.-� Service station, repair garage 5 L i Wrecking (If multifamily residential, r enter number of units in building in 15 l Garage 23 �_J Hospital, institutional Part D, 13) 16 �� Carport 24 �� Office, bank, professional 6 Moving (relocation) L� p 17 LAS! Other — Speci/y_ J ' 25 �� Public utility 7 Foundation only VV 26 School, library, other educational B. OWNERSHIP 27 I` Stores, mercantile 28 Tanks, towers 8VI Private (individual, corporation, nonprofit institution, etc.) _ 29 r Other — Specify — 9 L ' Public (Federal, State, or local government) _C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food p � processing plant, machine shop, laundry building o 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. 7'n 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.)............. �G 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 ` 48. Number of stories................ ` 30 L� Masonry (wall bearing) Public or private company 49. Total square feet of floor orea, Eck 31 �� Wood frame 41 _ Pr to (septic tank, etc.) all floors, based on exterior C 32 Ej Structural steel dimensions CO — 33 Reinforced concrete H. TYPE OF WATER SUPPLY �_ r—� 42 Public or private company 5C. Total land area, sq. Ft. ........... 34 1� Other — Sperily 43 Pr to (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed .... ........... F. 5 PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 3 5 LN Gas Will there be central air 52. Outdoors.......... ............. 36 L j Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 C Electricity 441r Yes 45Y No 53. Number of bedrooms.............. 38 Coal E ......... 39 Other — Specify Will there be an elevator° Full 54. Number of bathrooms 46 � � Yes 47�� No Pattial........ m S - a DEPT. OF BUILDING INSPECTIONS BUILDING �o ! 212 Main Street '< Northampton, MA 01060 PERMIT as 28 _ 5 VALIDATION Louis & Susan Roffffilzl--Auqust 22, 19 88 PERMIT NO. 535 APPLICANT ADDRESS 394 Sylvester Road Uwners (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO Addition (_) STORY One Family NUMBER OF (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) DWELLING UNITS ZING AT (LOCATION) 3q4 Syl.vester Road DISTRICT RR (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 addition of a porch VOLUME 500 sq. ft. ESTIMATED COST $ 3 �00 O PER 12.00 (CUBIC/SQUARE FEET) OWNER Same as Applicant's �flw ADDRESS Same as Applicants BU 1 • WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY p- ' F