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12C-082 (8)
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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number. street, r'ity, and State ZIP code Tel. No. 1. Owner or QJd� Lessee 2. w a �©,-ole y Builder's 4 �beai,J. License No. C troctor �-) 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 By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL Is OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Chec 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 II. VALIDATION Building yql FOR DEPARTMENT USE ONLY Permit number Bui(ding. Use Group Permit issued 19 _ Building a Fire Groding Permit Fee $ v Live Loading Certificate of Occupancy $ Occupancy Load Ap a by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON la MASSACHUSETTS oil OFFICE of the INSPECTOR of BUILDINGS Page I 1 Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• AT (LOCATION) J 41 Ar °•-1rC DISTRICT( LOCATION (NO.) O (STREET) >�i✓ OF BETWEEN +r> 'tf ,.e, AND BUILDING ((CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 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 Residom ial ------ Nonresidential 2 Addition(11 residential, enter number One fami�% 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 ——————— — --}a 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 — Specify KJ/ r0 �_ 25❑ Public utility / 26❑ School, library, other educational B. OWNERSHIP f7� ru,b A-reA 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.•.,,,,.•....... CQ 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 0 a. Electrical..................... b. Plumbing ..................... 0 c. Heating, air conditioning........ d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 1$ / 0 e 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 ..................... 3100 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 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 gyp/ /tdd,'t1e'A1 44 Yes 45i No ❑ � 53. Number of bedrooms.............. 38 ❑� Coal 39 ❑ Other — Specify Will there be an elevotor7 Full.......... — 54. Number of 46 ❑ Yes 471X1 No bathrooms ❑ Partial....... a DEPT. OF BUILDING INSPECTIONS BUILDING '::)0 Z 4 q t + � * 212 Main Street 0 a Northampton, MA 01060 PERMIT 12C - 82 VALIDATION DATE July 25, 19 85 PERMIT NO. 441 APPLICANT Diggins & Worden ADDRESS onC Street (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Addition One FAmily NUMBER UNITS (_1 STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 19 Marc Circle ZONING Ugp, AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE ADDITION TO BE 13'6" FT. WIDE BY 18' 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 DINNING ROOM AND HOT TUB AREA AREA OR 244.0 SCI. ft. ESTIMATED COST $ 13,000.00 FEEMIT $ 48.00 VOLUME (CUBIC/SQUARE FEET) f O OWNER James A. , Hardy BUIL ADDRESS 19 Marc Circle BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASS SSORS COPY pop