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Im am .., �; Ea�Sa :su se • • N one im last e ,;•.LEE Eiiiiiiis'EEE 's�'e s=s move, NOTES and Data — (For deportment use) t `��/CL �• Z� — �� Co �, c7 CJ / `r 300" � 1 i l i � ,1 E 1 I I i' � �° vFy4.L -,:..3Z ��.1� ,�, S Gc75Zi ,� �� � �_.� ��,,., 7� . �E --� g✓C^I I i ,�, __f ��-.. ,� ___- � _ 1 _ __� � ___,__ _"'_.'Y i F f � G�,,• , ;�' ,� ��. i ; f � � �.J, �� Y` i ,. � ��.c c��-y � __._.____. - -�-_._. _ ��-���e 1 .e I �a4 l LN 0 r � s t (C G 7 34' W RJ 1 r''. ;:.'e .. _�;:�. �, .). .,� .. ... •r,< yc .:ter t�+tom�v„y �,n'. ` 1 WQ 1a� 7,4 M �` I m3N oy 303d(2 -7�k' V, 07�G 3;J M 3 U i tr � r i tP '. i �.� � � -----� i ----_�--------� ��. -� _.__. `�, ', \, � -- r- _ __ _._ � -� i ' � \� ° i :. .. . P� - � � �,:f �. - � -� � - J �. 1 � 1 � _ FK j z; ; - < F � � H; t` � '. 3 .. ., ,. E � '��;.: b :f P. i __ 1 I r L-L i IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. n �1 Owner or �il�tt - l�vt P1 1/U Lessee 1 •\ r L AA A L\ . V i.(•kJ��Z:•- •s i i I / %l` Builder's 2. �. tr!'- <jt��:y !, 'A� 't License No. 4 Contractor r 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. Si re of appl c nt 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 Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL Is OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dae Date Permit or Approval Check Obtta±ed Number By Permit or Approval Check obtained 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 i FOR DEPARTMENT USE ONLY Permit number of Building Use Group Permit issued 19 Building Fire Grading Permit Fee $ v ' Live Loading Certificate of Occupancy $ Occupancy Load Approved b Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ e OFFICE of the INSPECTOR of BUILDINGS Page Plot—2 APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 ZONING I• AT (LOCATION) .� t �r �'t 7T DISTRICT LOCATION (NO.) (STREET) OF BETWEEN 4. AND BUILDING (CROSS STREET) (CROSS STREET) LOT r SUBDIVISION LOT BLOCK SIZE = '/-Z�'+_'"'p N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m M 1 ❑ ew building Reside tial Nonresidential 2 yAddition(IJ 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 3 Alteration (See 2 above) number of units- - - - -> 20�� Industrial ❑ 14 ❑ Transient hotel, motel, 21 Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (I/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) 7 ❑ Foundation only 17 ❑ Other - Specify 25 D Public utility 26 ❑ School, library, other educational B. OWSHIP 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 a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning.......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 1$ OC c 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❑ asonry (wall bearing) 40 K6ublic 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 as Will there be central air 52. Outdoors................ 36 u vil conditioning? L. RESIDENTIAL BUILDINGS ONLY , 37 ❑ Electricity 44 ❑ , Yes 45 'f No 53. Number of bedrooms.............. 38 ❑ Coal +� 39 ❑ Other - Specify Will there be on elevators Full.......... L 54. Number of 46 [-1 Yes 47 o bathrooms Partial........ DEP-f. OF BUILDING INSPECTIONS BUILDING 'z � � 7 + ! 212 Main Street oa Northampton, MA 01060 PERMIT 17A - 221 rn VAkA , ` VALIDATION DATE 19 86 PERMIT NO. 201 APPLICANT Mark Power.-, ADDRESS 31 South Main St.. South Det- fl ld 0127 (N0.) (STREET) (CONTR'S LICENSE) Addition One Family NUMBER OF � k�smnn[ PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 182 North Maple Street, Florence D ZONING STN CT MB (N0.) (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) permit is to add upper story bed extend living/family room and 300 sq. ft. open deck REMARKS: AREA OR 320 sq. ft. �` 23 000.00 PERMIT 70.40 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) Thomas & Cynthia Dourmashkin OWNER B L L�4 ADDRESS 182 North Maple Street Florence BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - A SESSORS COPY p0.11'