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17A-062 (3) Vill. ZONING PLAN EXAMINERS NOTES DISTRICT SIDE YARD SIDE YARD IX. 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IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. . N Nal P- O,,e, or Lessee Builder's 2• 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 dote 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 Permit or Approval Check Date Number By Permit or Approval Check Date Number B Obtained Obtained 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 JA I OTHER VII. VALIDATION Building � FOR DEPARTMENT USE ONLY Permit number _ s Building Use Group Permit issued 19 Building rr�� Fire Grading Permit Fee $ lC7 Live Loading Certificate of Occupancy $ Occupancy Load Approved by �" Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page — Plot— — APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. C) �•�( \�) ZONING I• AT (LOCATION) (� 1 R \ 1-/a DISTRICT LOCATION (N0.) (STREEV OF BETWEEN AND BUILDING CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ;a A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m m 1 ❑ 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�❑ Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 C� Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (11 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 — SpeciJy 25❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWN E HIP 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................ 2600. 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 00 1D a. Electrical............... � t00 / b. Plumbing ............... 0 -i' ��..�� �LI 1 c. Heating, air conditioning........ rr , � � �� r ly d. Other (elevator, etc.)............. 7� 11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF BUI DING — 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 [Z�aood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior �. 32 ❑ Structural steel dimensions ..................... y�f 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other — Specify 42 � blic or private company 50. Total land area, sq. ft. ,......... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... 1 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 �s Will there be central air 52. Outdoors........................ conditioning? 36 Oil _� L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 '_�!:', rvo 53. Number of bedrooms.............. 3B ❑ Coal 39 ❑ Other - Specify C Will there be an elevators Full.......... - 54. Number of 46 �❑ Yes 47 Zo bathrooms Partial........ DePI,XT BUILDING INSPECTIONS BUILDING o°- On 212 Main Street Northampton, MA 01060 PERMIT <a 17A - 62 VALIDATION DATE September 17, 19 86 PERMIT NO. 543 APPLICANT Gary J Cadette ADDRESS 1 East Street n i e (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Addition (_) STORY Kitchen Area/Existing_NUMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 43 Bridge Road DISTR C URB T (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE ADDITION XXXIXIX0XIy,IS TO BE 12 FT. WIDE BY 12 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: f or the a(ld i t i nn nntn Px i -,t i ng k itched area AREA OR ESTIMATED COST $ 12, 100-00 FEE MIT 36-oo VOLUME IC BIC/SQUARE FEET) OWNER Joe 21 Jan i amana BUILDING ADDRESS 743 Rr' y„Ae Road - BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Olp