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Dec 100 Hillcrest Drive, Florence, MA 01060 586-3030 Owner or Lessee Builder's 2. Same License No. Controctor 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 100 Hill crest Drive Application date Qa4A Q , 641111w Florence, MA 01060 9-9-88 D0 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 is ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObttaTned Number By Permit or Approval Check Obiatned 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 �,r,- FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued �� 19� Building T Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TITLE o CITY OF NORTHAMPTON MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page 17 Plot o APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O 1 ZONING 00 HILLCREST DRIVE DISTRICT.f f}� I• AT (LOCATION) 1th. LOCATION (NO.) (STREET) OF BETWEEN BRIDGE ROAD AND SHEFFIELD LANE 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(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 — Enter 19 Church, other religious number of units- - — — F_ 3 Alteration (See 2 above) 20 i Industrial 14 L'] Transient hotel, motel, 21 - Parking garage 4 Repair, replacement or dormitory — Ruler number 5 Wrecking (if multi family residential, of units ——————— — -- 22 Service station, repair garage enter number of units in building in 15 �f Garage 23�� Hospital, institutional Part D, 13) 16 F-I Carport 241 Office, bank, professional 6 Moving (relocation) 17 Other — .Sped/y .DECK 25 Public utility 7 JFoundation only C- 26 lL� School, library, other educational B. OWNERSHIP 8' X ZOt 271 Stores. mercantile 8 Private (individual, corporation, 28 ] Tanks, towers nonprofit institution, etc.) __` 29 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 at hospital, elementary 10. Cost of improvement................ 4000.00 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 charged, enter proposed use. in the above cost _ a. Electrical....................... b. Plumbing ....................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT s 4000,00 III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — Li for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS ONE (1) - 48. Number of stories........... 30 L Masonry (wall bearing) 40 - Public or private company 31 Wood frame 41 l l Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 1 32 Structural steel dimensions 60 33 Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft, ,.,...."' `Z`Z0 34 � Other — .Sped/y 42 V) Public or private company _ 43 ` Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... N/A F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ N/A conditioning'36 ��] Oil L. RESIDENTIAL BUILDINGS ONLY 37 L_] Electricity 44 F-] Yes 45 X.' No 53. Number of bedrooms.............. __P LA 38 [] Coal 39 l.X] Other — spat I)l N/A Will there be an elevatoro Full.......... N/A _ 54. Number of 46 '-1 Yes 47 UL] No bathrooms Partial....... N/A p a DEPT. OF BUILDING INSPECTIONS BUILDING is ! 212 Main Street Northampton, MA 01060 PERMIT 17A - 293 VALIDATION DATE Sept. 93 19 88 PER IT NO �R7 10 i crest Dr. , Florence owner APPLICANT David P Dec ADDRESS (N0.) (STREET) IC ONT R'S LICENSE( One Family_ NUMBER OF PERMIT TO Addition (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) 100 Hillcrest Drive _ DINING URA AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE DECK XAXIXXIA�,IS TO BE $ FT. WIDE BY 20 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: pprmit fnr the addition of a deck 160 sq. ft. 4,000.00 PE 1 16.00 AREA VOLUME ESTIMATED COST $ FE (CUBIC/SQUARE FEET) OWNER Same as Applicant Same as pp scan s B ' ADDRESS WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY plop