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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 licant Address Application date yre 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved BY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or A roval Check obtained Number By Obta i ned Y PP 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 n Permit issued �)L lq Building - :-,�.. _ Fire Grading Permit Fee Live Loading Certificate of Occupancy $ Occupancy Load Approved by:,"--- Drain Tile $ Plan Review Fee $ ' TITLE CITY OF NORTHAMPTON B. .� MASSACHUSETTS i OFFICE of the NSPECTOR of W)IIILVINGS Page Plot 4- 5 APPLICATION FOR t ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0 ZONING (• AT (LOCATION) Co O AID_�O ry/ ,6 J / DISTRICT LOCATION /�(NO.) (STREET) /V CS~ �tlJ f�1 Q /C lJ OF BETWEEN MA/ J AND (CROSS STREET) BUILDING (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D M A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m 1 F-1 New building Residential Nonresidential 2E] Addition 0f residential, enter number 12 F_� One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious in Part D, 13) number of units- - - - -i 20 n Industrial 3 F-1 Alteration (See 2 above) 14 Transient hotel, motel, 21 El Parking garage 4�Repair, replacement or dormitory-= Enter number 5 Wrecking (If 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 F--] Carport 24 Office, bank, professional 6 Moving (relocation) 25 Public utility 17 D Other - Specify 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 28 Tanks, towers 8 Private (individual, corporation, nonprofit institution, etc.) 29 Other - Sped/y 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,,•,,,.•........ .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 changed, enter proposed use. in the above cost // a. Electrical..................... ��O�r L 1/f �!CN/�/y b. Plumbing � 5'00' 90 �' )rLt7y.? c. Heating, air conditioning....... d. Other (elevator, etc.)............. /� 11. TOTAL COST OF IMPROVEMENT $ ) ,90, 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 W. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stories............... 30❑ Masonry (wall bearing) 40 Public or private company 41 Private (septic tank, etc.) 49. Total square feet of floor area, 31 Wood frame p 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 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 r-� 37 Electricity 44 n Yes 45 No 53. Number of bedrooms.............. 38 Coal 39 n 54. Number of Other - .Specify Will t'7ere be an elevator? Full.......... - f bathrooms 46 l 1 Yes 47 1'- No Partial........ DEPT. OF BUILDING INSPECTIONS BUILDING z° + ! 212 Main Street Oa Northampton, MA 01060 PERMIT <a 17C - 137 VALIDATION QQ DATE March 9. 19� PERMIT NO. 108 APPLICANT Ronald Hodges ADDRESS 60 Nn Manle I;t._ . Florence 0030`+q 2 (NO.) (STREET) (CONTR•S LICENSE) Two Iwo Family NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 60 North Maple Street5 Florence ZONING CT AT (LOCATION) (N0.) (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: permit to remodel existing kitchen and bath on first floor 5,500.00 PERMIT $ 20.00 AREA ME OR ESTIMATED COST ' FEE VOLU (CUBIC/SQUARE FEET) ��//��)) `►'' OWNER Same as Applicant BUILDI C ,q) ADDRESS Same as Applicant' s BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ^ ASSESSORS COPY pm p