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17A-055 (2) ZONING • FRONT YARD IX. 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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 Is OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained Number By Permit or Approval Check Obtta?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 FOR DEPARTMENT USE ONLY Permit number q 7(10 Building G� j�� 19 � Use Group Permit issued Building Fire Grading Permit Fee $ (OS-DO Live Loading Certificate of Occupancy $ Occupancy Load Appyoved by: Drain Tile Plan Review Fee $ ' �� TITLE CITY OF NORTHAMPTON �. MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page— Plot APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in C) sections: 1, 11, 111, IV, and IX. ZONING I• AT (LOCATION) /` 3 rl �(� ,1 ,C"i DISTRICT � � LOCATION (NO.) (STP T) {p, OF BETWEEN W AND //yea 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 Residential Nonresidential 2 Addition(If 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, e its number of un - - - - --� 3 � All teration (See 2 above) 20� Industrial 14 Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units ------- - -i 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 27 u 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,,,,,,,,,,,,,,•. 16 Q® 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....................... S� b. Plumbing ..................... c. Heating, air conditioning.......... ��,� (✓// d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT is /7 DOO 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 D 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 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 n Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electrlcity 44 r ixi o L_� Yes 45 N _ 53. Number of bedrooms.............. 38 Coal 39 n Other - .Specify Will there be an elevotor� Full.......... f - 54. Number of 46 1 Yes 47 IXj No bathrooms / Partial....... City of Northampton REQUIRED INSPECTIONS $ ` 1 . Footings and Walls BUILDING DEPARTMENT 2 . Structural Components in 3 . Complete Building No. 476 Office of the Building Inspector Date July 10, 1989 BUI DING P RMIT THIS MAY CERTIFY THAT Roger P. Clark Insp. on Site — Foundations has permission to add 2 dormers to enlarge 2 existing bedrooms & Insp. of Plumbing — Rough add fire place in one of the bedrooms situated on 173 Bridge Road Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing,Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICU014,S4 PLACE O E PREMISES Certificate of Occupancy Building Inspector P IN. T-SN P