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28-009 (5) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use } s s H ; t .},R:g�. Y""`,...I,..:<--�-.?� -�-d g--re 7 ,, S y:..�w *,w,..s-` -i �?;" r ,t§ ,rt -C �'� .�a. . �. a.-€ + .�., 3 i '¢ -+a -Fii fill, r i � + 9 + d.R t' ii r a Z-d �. i t r !412_ + I- �» 4, e°p�. �:"¢"" "r`'"� ,. 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BOCA FORM APEBP — 669 01969 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. O / 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 ppliiccant Address Application date D0 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 Fee Started y Approved y BUILDING PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Dote Number By Permit or Pit Approval I Check Date Number B Obtained pp 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 t �� 19 747 Building Fire Grading Permit Fee $ � Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ V 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 z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 ZONING I• AT (LOCATION) 1 DISTRICT LOCATION (NO.) !STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im M 1 ❑ New building Residential Nonresidential 2 �Addition(If residential, enter number 12XOne 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 ❑ Transient hotel, motel, 21 ❑ parking garage 4 ❑ Repair, replacement or dormitory — Enter number 22 ❑ Service station, repair garage 5 ❑ Wrecking (If multifamily residential, of units ——————— — -i enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) ❑ 16 Carport 24❑ Office, bank, professional 6 E] Moving (relocation) p fy ❑ 17 Other — Se 25 Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. ORSHIP t�i.�.,�.L� TAL) 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 a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ 7i 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 ❑ Public or private company 50. Total land area, sq. ft. ........... 43�Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. T E OF MECHA ICAL 51. Enclosed ....................... 35❑ Gas Will ere be centr air 52. Outdoors........................ 36JR Oil conditi ing? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Other — Specify Will there b an elev or? Full.......... 54. Number of 46 ❑ es 47 No bathrooms Partial....... /__ 111 1 all I I 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 as hi's authorized agent. SIGNATURE OF AGENT ° ADDRESS (NUMBER) (STREET) (CITYi APPROVED BY TITLE DATE 19 i DEPT. PILE COPY Zp DEPARTMENT OF BUILDING INSPECTIONS BUILDING as 212 MAIN STREET NORTHAMPTONO MA. 01060 PERMIT VALIDATION 28 - 9 Code #79 DATE Oetober 22, 19 79 PERMIT NO. 615 APPLICANT Kath= R Lin=er ADDRESS 320 Sylvester Road (NO.) (STREET) (CONTR'S LICENSE) 1 PERMIT TO Wood stove ( 2 ) STORY Wood—burning NUMBER OF stove DWELLING U NITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 32n Sylvester Road DISTRICT (NO.) (STREET) a BETWEEN AND a (CROSS STREET) (CROSS STREET) LOT IL SUBDIVISION LOT BLOCK SIZE (O 0 BUILDING IS TO BE - FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) L, REMARKS: Ins a]j wood burning stove in existing chi>rm.ey ! No other source of heat Sri flue AdV,;--,.d r6 pfArec7 �/Lu4w, = Wv ao Ar. �r t C°lsc�F w,ry Eua> r-�tc'� v C.1Nar.:a 09 ni rI eKi Ci AREA OR PERMIT VOLUME ESTIMATED COST . 400,00 FEE 10.00 (CUBIC/SQUARE FEET) OWNER Wi l 11 am & Ka hrvn Li Tigner BOIL ADDRESS :nn g1 VP=4w°" RnA' Nnr1"harrm')'.nT) BY (Affidavit on reverse side of application to be completed by authorized agent of owner)