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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 Builder's C L.cense No. Contractor d 3.1 rchitec or ,,/ Engine /O i11 6 M14. (,/�0 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 a is t Address Applica ion d to ie�-�7A&' 00 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 $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained Number By Permit or Approval Check Obtt t a ed 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 (J�� FOR DEPARTMENT USE ONLY Permit number n Building �J Use Group Permit issued- no i 19 O Building Fire Grading Permit Fee tn. Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ �' • Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS oil 4 OFFICE of the INSPECTOR of BUILDINGS t Page (� Plot 4 t APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING f� I• AT (LOCATION) (� DISTRICT ei1Tn LOCATION Aw _(NO.) (STREET) ''pp OF BETWEEN �YT1-'fn .� AND_��(,.I:.C.� 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 Residential Nonresidential 2 Addition(1/ 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— — — — --> 20❑ Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 F_� Parking garage 4 � Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (if multifamily residential, of units ——————— — --f 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 Hospital, institutional Part D, 13) ❑ 16 Carport 24 n Office, bank, professional 6 ❑ Moving (relocation) 17 ❑ Other — SpeciJy 25❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 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 /c 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 ..................... V v c. Heating, air conditioning.......... d. Other (elevator, etc.)............. //jj 11. TOTAL COST OF IMPROVEMENT $Z� III. SELECTED CHARACTERISTICS OF BUfLDING — 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 ores, 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 L] Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 5e No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevators Full.......... 54. Number of 46 1 Yes 47 No bathrooms Partial...... a DEPT. OF BUILDING INSPECTIONS BUILDING DD- �C� • V� ! 212 Maim Street Northampton, MA 01060 PERMIT <a 17C - 41 VALIDATION DATE nPC'Pmber 28� I J�eTaRMF.NOFlCJ1�2ft848 042575 APPLICANT Richard P. Dec ADDRESS IJ U (N0.) (STREET) (CONTR'S LICENSE) One Family NUMBER OF PERMIT TO Addition/Alteration (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) Sheffield Lane ZONING URB AT (LOCATION) 63 DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS, Dermit for the alteration of dwelling and addition of 8' X 11 ' family room AREA OR 15,000.00 FEE MIT s 60.00 VOLUME 88 sQ ft addition ESTIMATED COST (CUBIC/SQUARE FEET) OWNER Robert & Sue Kraus BUILDING E ADDRESS 63 Sheffield Lane, Northampton BY WHITE - FILE COPY . GREEN - FIELD COPY It CANARY ^ APPLICANT COPY ■ PINK ASSESSORS OPY Po" p