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17A-223 (7) ZONING • DISTRICT SIDE YARD SIDE YARD REAR YARD IX. 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HUt NHNg is uN. ee �eee • ee aesasegee ; eeeeee ee m aeHm::a:a:mmnnm:Hm HUNH, � i lrS=::�==�ii:_ �:q�!i��■ S!•S1�1�lZi.:�:m::::aa:mm=m::i.�l v- t 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. Owner or Ztll f LL E & IZC� 6 7 ''1, 9 Z� tJ1>45 Lessee ' ,� ��.� 16 Builder's 2 '! C. �C. �t;"s� � �. 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 j/A,ddress Application dote 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans By Notes Fee Started y 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 OTHER VII. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued � � x 19 C _ Building ' Fire Grading Permit Fee $ '?)(0' Live Loading Certificate of Occupancy $ Occupancy Load $ Appkoved by: Drain Tile Plan Review Fee v TITLE CITY OF NORTHAMPTON .� MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page�7� Plot ��� �t APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORT/ANT — Applicant to complete all items in sections: 1, 11,, 111111, IV, and IX. 0 ONING I• AT (LOCATION) / !'F ` !mot ��- �! ! GE C �L`'�'," " DIISTR CT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn rn 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 in Part D, 13) number of units- - - - -_)� 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 4❑ Repair, replacement or dormitor y - 21 C] Parking garage F.nter number r 5 ❑ Wrecking (If multi family residential, of Units ------- - i 22 L� 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❑ 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,,,,,......•.... - 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 �/' ifx a. Electrical..................... t on r r7 t b. Plumbing q�u.G�' �l c. Heating, air conditioning.......... d. Other (elevator, etc.)............. ' 11. TOTAL COST OF IMPROVEMENT $ (d i ("Ll 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......... C 31 Wood frame 41 I❑ 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 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 o ❑ Yes 45 N_- 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - .Specify Will there be an elevators Full.......... - 54. Number of 46 1 Yes 47 I❑ No bathrooms Partial....... 12.$ City of Northampton REQUIRED INSPECTIONS $ 1 . Footings and Walls { BUILDING DEPARTMENT 2 . Structural Components in Place 3 . Complete Building No. -216- Office of the Building Inspector Date Ap:il 24, 1990 BUI DING P RMI THIS MAY CERTIFY THAT ' ' Insp. on Site — Foundations has permission to Rail 2txi floor lath with rKw laA-&y ad ins al . 2 Insp. of Plumbing — Rough situated on 194 North ftk St. 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 Smoke Detectors (Fire Dept.) return of this card signed by the Plumbing, Wiring and Building Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES Certificate of Occupancy Building Inspector PNINTRSNOP h!5KT'=r