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17A-127 (12)
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N $ s $ =::se=s$=:::e:=::ss:aass:a:::a::::::U.::s.•s=s:::sssaasasaas:s......a...................., • NHU enH oar N NN . e■ a N. •• Nweee N./HN .■ N N u. N..HUe ■uNi • s ::sass: _•: a:N a;. e:a•:a:ag as ,: sN...;:..s::;a«:aaanse : ggi •a s�•a$ss::: me :e$$1$a?Hsssa3a$sa as $e�;:$s:ssage=::: s:9s::aa::a:::: HHU � $ aa• HER�s_rp,•as:=Nssims-B gas•• :aaa:a:;aaeageeegegEeceeB«:HH: a ��s $:� : sse:sa$$asa Hill a :$:geM... ::a::ssssaasUH In:ne'am- :a.a s s:: 8":s: s•ass::a::as =11014.11112 NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. .r Owner or Lessee Bui Ider'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. ature of pplicant Address Application date 0 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — or office use Plan Review Date Plans Dote Plans Plans Review Required Check Fee Started By Approved BY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obttatred Number By Permit or Approval Check Obtat�d 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 Y Cj Building e! [� © � Use Group Permit issued j 19 0 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ � ne✓�� Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS r OFFICE of t e INSPECTOR of BU LDINGS �t Page Plot APPLICATION FOR INSPECTOR � '' l( .�,7 ZONING PERMIT AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) l.�y'' DISTRICT LOCATION (No.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —� z 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— — — — B► 20 Industrial 3 Alteration (See 2 above) 14 C❑ Transient hotel, motel, 21 Parking garage 4 ❑ Repair, replacement or dormitory — Enter number f y 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 ❑ Carport 24 r❑ Office, bank, professional 6 El Moving (relocation) p 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,..,..,,,.•,.•,. 0` 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 ......I................ c. Heating, air conditioning.......... d. Other (elevator, etc.)............. jy�y 11. TOTAL COST OF IMPROVEMENT $ X0 III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part 1, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS t 30 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, ( G all floors, based on exterior p' 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Speci/y 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 _ No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be on elevator" Full,......... S4. Number of r 46 l ] Yes 47 n No bathrooms Partial........ dEPT.bF BUILDING INSPECTIONS BUILDING Z° ; 212 Main Street O< 1 6 I IL Northampton, MA 01060 PERMIT 17A - 127 VALIDATION O TE ASX August 4, 19 86 PERMIT NO. 440 APPLICANT Richard J/Wanczy�C ADDRESS 305 Bridge Road wner (NO.) (STREET) (CONTR'S LICENSE) New Building Detached Garage NUMBER OF PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) Bridge Road ZONING AT (LOCATION) DISTRICT (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 for the construction of a new detached garage (2 car) 792 sq. ft. 1 ,000.00 PERMIT s 39.00 AREA OR $ FEE VOLUME ESTIMATED COST (CUBIC/SQUARE FEET) OWNER Richard & Judith Wanczyk Bridge ge oa or amp on, ass. BUILD ADDRESS BY aze.� JHITE - FILE COPY . GREEN - FIELD COPY a CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P -1 P