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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 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 By Plans B Notes Fee Started y y Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS ate Permit or Approval Check ObDtained Number By Permit or Approval Check Obttaained 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 Building- Use Group Permit issued 19 _ Fire Grading Building Permit Fee $ �(�_ �(� Live Loading Certificate of Occupancy $ Occupancy Load Ap d by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON 9* $ MASSACHUSETTS $ d OFFICE of the INSPECTOR of BUILDINGS Page X74 Plot 76 APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING ' 48 oqzl 1. AT (LOCATION) DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE Vr 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— — — — --� 20 L❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 Wrecking (1(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) 17 ❑ Other — Specify 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP '' ( C1LQ< 27 ❑ Stores, mercantile 8 Private (individual, corporation, �G'w y I 28 ❑ Tanks, towers nonprofit institution, etc.) (. 1" 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,,,,,,,,,,,,,,,, 1-ft 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 ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT is 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 Wood frame 41 g 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 area, sq. ft. ........... 43 Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35 E Gas there be central air 52. Outdoors........................ 36 j<Oil condit ng? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 Yes No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will the, be an elevator? I Full.......... 54. Number of 46 Yes 47 ❑ No bathrooms Partial....... I hereby certify that the proposed work is authorized by the owner of record + and I have been authorized by "the owner to make this application as his authorized agent. SIGNATURE OF AGENT M ADDRESS - - (NUMBER) (STREET)_ (CITY) APPROVED BY TITLE DATE 19 , Department of Building Inspections DEPT. FILE COPY 212 Main S) reet 0° Northampton, Ma. 0X66 BUILDING `/ll 17A T6 PERMIT VALIDATION DATE August 16, 19 82_ PERMIT NO. 384 APPLICANT_ Sandra LeVitre ADDRESS 8 Cloverdale (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Demolition (_ STORY_ garage (TYPE OF IMPROVEMENT) N0.O. NUMBER OF (PROPOSED USE) DWELLING UNITS AT (LOCATION) 8 Cloverdale ZONING DISTRICT UM (NO.) (STREET) a BETWEEN AND b (CROSS STREET) (CROSS STREET) P a LOT m SUBDIVISION LOT BLOCK SIZE a 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION O 0 O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION I Ir (TYPE) LL REMARKS: Demolition of one car garage AREA OR PERMIT VOLUME ESTIMATED COST FEE (C.UBIC/SQUARE FEET) OWNER Sandra Lev;tYP Su ADDRESS 8 61-overdal a St'ree y Nnrt eon, Ma 01060 BYI (Affidavit on reverse side of application to be completed by authorized agent of owner) INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR Departm> , £ Building Inspections — FIELD COPY ©r�n Street BUILDING a�,tEra, �• 1TA - 76 PERMIT 1 DATE August 16, 19 82 PERMIT NO. 384 APPLICANT Sandra LeVitrs ADDRESS TI —R$le j (N0.) (STREET) (CONTR'S LICENSE) NUME OF PERMIT TO Demol do ( 2 ) STORY garage DWEBLRNG UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 8 Cloverdale ZONING URA AT (LOCATION) DISTRICT ' (N0.) (STREET) ' m BETWEEN AND I 'D (CROSS STREET) (CROSS STREET) t LOT n m SUBDIVISION LOT BLOCK SIZE U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION i m O i Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION_ { 2 (TYPE) cr 0 REMARKS; Daffiolf ft of one car garage , { .d ! AREA OR 5�•OQ PERMIT 1V•d© VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Satdra LeVLtre i ADDRESS 8 Cloverdale Street, Nor aII!(1toul, p By D