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28-005 (5) ._� m--, �., _. ...� VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. 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' 4. t� + �� �. .� � < A p ) s 9 -F+ g (t r } r f + t t"P s > i i` } s-§ Y 9 `� +.-tit r 'EY 't, t L -1 t k L } 1_ 4 5 3 q- ...�,.�.�..d. y-;,..�.. 1� y§ '�ga ¢a .� + €fc' �r } {p d ?b a .p.a 'a 1-w.§' €.-�^,+ d-�- ` - -$�...y. 5 .ast, ��fS L F$ I H" 9'.� m }'= i at wi BOCA FORM APEBP — 669 C1969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address – Number, street, city, and State ZIP code Tel. No. n.Owner or -�• .;e• �� l { '�. A v'-'C `�- �- n ( 1– l t l� Lessee Builder's 2. Cry 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 � Addressssy 1 _( 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 By Notes y Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date 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 19 �- Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Ap ed by: f Drain Tile $ f � Plan Review Fee TITLE NOTES and Data — (For department use) CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all/i't�ems in (sgections: 1, 11, 111, IV, and IX. o ZONIN I• AT (LOCATION) _ ` \vim-`�✓�1 "•-- V° D STR CT/ LOCATION (NO.) (S REET) 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m M 1 ❑ New building Residential Nonresidential 2 Addition residential, enter number L/J� f 12 One family 18 ❑ Amusement, recreational of new housing units added, if an), in Part D, 13) 13 Two or more family - Enter 19 ❑ Church, other religious number of units- - - - -� 20❑ Industrial 3 F-1 Alteration (See 2 above) 14 l l h i Transent hotel, mote , ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory - Enter number ❑ 22 ❑ Service station, repair garage 5 Wrecking (1l multifamily residential, of units ------- - -� P 9 9 enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional 6 F-1 Moving Moving (relocation) 7 ❑ Foundation only 17 Other - Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 28 ❑ Tanks, towers 8X Private (individual, corporation, Specify Other - nonprofit institution, etc.) 29 ❑ p fy 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 $ � 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 X 0 N ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 El Other - Specify 42 F-1 Public or private company 50. Total land area, sq. ft. ........... 43*X Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ ?d conitioning 36� Oil L. RESIDENTIAL BUILDINGS ONLY J 37 ❑ Electricity 44❑ Yes 45 `y No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be on elevator? Full.......... 54. Number of 46 ❑ Yes 47 No bathrooms Partial....... hereby certify that the proposed work is authorized by the owner of record and I have been authorized by the owner to make this application ras .his s_ authorized agent. SIGNATURE bF AGENT _ ADDRESS (NUMBER) (STREET) (Cl TY) APPROVED BY TITLE DATE 19 �. F_ DEPT. FILE COPY ZO DEPARTMENT OF BUILDING INSPECTIONS BUILDING In. 212 Main street L^ PERMIT VALIDATION Northampton, Ma. 01060 28 - 5 DATE April 4, 19 79 PERMIT NO. 104 APPLICANT Susan Routhier ADDRESS 394 Sy14P_ster Rd- ,Fl o- (N0.)� (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Alter Residence STORY_ Addition DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 394 Sylvester Rd. ZONING DISTRICT RR (NO.) (STREET)- o, BETWEEN AND (CROSS STREET) (CROSS STREET) a LOT ID- SUBDIVISION LOT BLOCK SIZE Addition u O IS TO BE 22 FT. WIDE BY 25 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) O: o REMARKS: Add�tlon - 2nd. floor - 3 bedroome added AREA OR PERMIT VOLUME 550 ESTIMATED COST $ 30000 FEE $ 10.00 (CUBIC/SQUARE FEET) OWNER Louis F. & Susan Routhler ADDRESS 3,Q?��yZvBgter Rd_ . IATEIICB, Ma- L (Affidavit on reverse side of application to be completed by authorized agent of wner)