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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. owner or GG 046Gl3 s7 Fd iee�-'` 62*4HOT Lessee ✓CJ"/ Builder's 1• License No. Contractor 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 `etc 1i zo 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 q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obta ned 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 (o 23 Building ,/ Use Group 19 Permit issued ' Building Fire Grading /Q Permit Fee $ ( � Live Loading Certificate of Occupancy $ Occupancy Load Appro r Drain Tile Plan Review Fee $ TITLE i CITY OF NORTHAMPTON �. MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS �V T Page L7 G 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 Z ZONING I• AT (LOCATION) '° � / '-'/ ° �l f ``❑ DISTRICT ` RU LOCATION (NO.) (STREET) ` I/ �� OF BETWEEN // //a/ �/!�C AND !�/� 4+f 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 9 Reside 'al Nonresidential 2 ❑ Addition(1/ residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family - Enter 19 ❑� Church, other religious i Part D, 13) number of units- - - - --). 3 Alteration (See 2 above) 2 ❑ Industrial 14 ❑ Transient hotel, motel, 21 1 C-� Parking garage 4 0 Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (It multi family residential, of units ------- - --0. 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑� Hospital, institutional Part D, 13) 16 ❑ 6 ❑ Moving (relocation) Carport 24❑ Office, bank, professional 17 ❑ Other - Specify 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 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement•,,,,,,,•,•,..., ..Z 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..................... 1$_M b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT is -7 Z5-, 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 [ Aood frame 41 ❑ Private (septic tank, etc.) 49. Total square Feet 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 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........................ Z_ 36 Oil conditioning? _��f� L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 [_ Yes 45 `KIJo 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevatoro Full.......... 46 ❑ 54. Number of Yes 47 o bathrooms Partial....... 10tPT.-OF BUILDING INSPECTIONS BUILDING Z° + ! /0'212 Main Street 1IL oo Northampton, MA 01060 PERMIT 17C - 128 VALIDATION DATE November 20, 19 86 PERMIT NO. 683 APPLICANT Robert Aller ADDRESS 55 No. Maple St. , Florence Owner (NO.) (STREET) (CONTR'S LICENSEI Alterations NUMBER of PERMIT TO (_) STORY One Family Dwelling DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 55 North Maple Street ZONIN CT URB (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; permit is to install new walls in basement for dark room AREA OR ESTIMATED COST $ 725.00 FEEMIT $ 10.00 VOLUME (CUBIC/SQUARE FEET) + ''-� OWNER Robert Al 1 Pr/D Rpaudoi n BUILD 6DPT. � V ADDRESS 55 North Maple St- , Fl orenrP BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I, P