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SSr1'{.�1 a.=:ra=iS.\a»Sa1iMi i s • a • 4sr a\. a.r aN.#raN�■■ N sr" i •R\\:U' :::q::......•:a:- '' i iH� �siR�aa.r1.* �1 �: • :� '�l:::fit'::::::::;::;:; :: �a7r Bin 'f'..'u» 71: ::'rC� ii'� iC=:Caii'�rs••iL•:=••••••» x• x a • • i • N. M LOS a. *N: Ri _ man:f\aNii:man al see lurdinur•a a„•N�o�a ::' •• ::::CSI � 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. 1.Owner or OAe i Lessee Builder's 2. LL,' "F /DO Q License No. Contractor 1 "616� d62 7926 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 date � /5 A�Jlt rL /9B 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD - For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL Is OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained 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'Q FOR DEPARTMENT USE ONLY Permit number Bui Iding_ �J Use Group Permit issued � x �,iC _ 19 Building Fire Grading Permit Fee $ Live Loading Certificate of Occupancy $ Occupancy Load Ap ed by: Drain Tile $ Plan Review Fee $ TITLE �•�o o _ CITY OF NORTHAMPTON MASSACHUSETTS OFFICE of the INSPECTOR of BUILDINGS Page C7 /4- Plot �'� APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: I, 11, 111, IV, and IX. pp O I• AT (LOCATION) ��� ��� STi2�FT FCs�P�.t�CF DIOSTR CTS LOCATION (N0.) (STREET) 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. 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 X 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 l t l t t h i Transenoe , motel,❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 El 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❑ Office, bank, professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17 ❑ Other — Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OWNERSHIP 27 L❑ Stores, mercantile 28 ❑ Tanks, towers 8 ® Private (individual, corporation, Specify Other — S nonprofit institution, etc.) 29 ❑ p fy 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 -hJ2 b. Plumbing ..................... c. Heating, air conditioning.......... d. Other (elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ 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'f5�4 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 l❑ 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 7 Yes 45 ! No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — .Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 47 ❑ No bathrooms Partial....... a DEPT. OF Bt111LDIKG INSPECTIONS BUILDING ZD t ! 212 Main Street o< Northampton, MA 01060 PERMIT as 17A - 256 VALIDATION DATE T Aril 16 19 85 ERMIT NO. 183 APPLICANT 11�lUWLV uu. , RESS �X 0S T� (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO Alterations (_) STORY One Family Home NUMBER NG UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 115 Oak Street D STR CT (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 alterations to existing one family home: new 2 bath on first fl., sheet rock couple ot ceilings, an renovating kitchen AREA OR VOLUME ESTIMATED COST $ 10,000.00 FEEMIT 32.00 (CUBIC/SQUARE FEET) OWNER Robert F. l9YY[179 M Borawski t28 bak BUILD ADDRESS 8Y k WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p 0" P