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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee j r 1. l/ ' License No. I Contractor CGS S37 3. Architect or Engineer j 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. e, 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 B Notes 9 Fee Started y Approved y 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 Bui Iding- ( r Use Group Permit issued 'J` i 19 Building � } �� Fire Grading Permit Fee $__ �� Live Loading Certificate of Occupancy $ occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE �o o CITY OF NORTHAMPTON 9 ">e MASSACHUSETTS r • OFFICE of the INSPECTOR of BUILDINGS Page Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant` to complete all items] in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) .l DiSTR CT LOCATION (NO.) (STREET) OF BETWEEN ���� ' ''I � ( i.....7t AND l..)t lL �J }'^ •_. BUILDING (CROSS STREET) J (CRLOT STREET) 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 rn 1 New building Residential Nonresidential 2 n Addition(If residential, enter number 12 One family 18 Amusement, recreational of ncu, housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19 n Church, other religious 3 Alteration (See 2 above) number of units— — — — -->' 20 n Industrial 14 Transient hotel, motel, 21 n Parking garage 4 Repair, replacement or dormitory — Enter number ❑5 Wrecking (1J multifamily residential, of units ———_—__ — -- 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 !✓1 Other — Specify 4)ILL 111�'��t�_(, 25 � Public utility {e 1 26 School, library, other educational B. OWNERSHIP 7G(�,� (�� 0 27 Stores, mercantile 8 Private (individual, corporation, 28 n Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 D Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food r.. processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,•,•,,,,.•. C�' 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....................... l)�%, b. Plumbing ....................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. — 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 30 Masonry (wall bearing) 40 Public or private company 48. Number of stories.............. 31 n Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior '� 1 32 Structural steel dimensions ..................... 33 n� Reinforced concrete H. TYPE OF WATER SUPPLY J Other Specify 42 [Public or private company 50. Total land area, sq. Ft. .......... 34 1 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 F.j Electricity 44 Yes 45 XN o 53. Number of bedrooms............. 38 Coal 39 �. Other — Spc°cify Will there be an elevator? Full.......... 54. Number of I 46 Yes 47 No bathrooms Partial...... a DEPT. OF„BUILDING INSPECTIONS BUILDING o< 1 ! 212 Main Street Northampton, MA 01060 PERMIT <a 17A - 293 VALIDATION June 17, 88 371 GATE G19 PERMIT IV O. APPLICANT Bartels Pool Co., Inc. ADDRESS 6O TrTe- t' , Spring ie (N0.) (STREET) (CONTR'S LICENSE)OF In-ground Pool One Family DWELLRING UNITS PERMIT TO 9 (__) STORY (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 100 Hi I lcrest AM ; DISTRICT AT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE yPOOVLLy XX/B. XKX4X IS TO BE 16 FT. WIDE BY 2 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS; _Permit for the installation of an in--ground-swimming pool to be surrounded by a 4' XXXXX fence with a self locking gate AREA OR ERMIT 10.00 VOLUME 512 sq. -ft.ft ESTIMATED COST $ 6.000.00 - FEE (CUBIC/SQUARE FEET) OWNER David Dec BUILDI ADDRESS 100 Hillcrest XXXX Drive BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I,'QfP