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17C-151 (6) Vill. ZONING PLAN EXAMINERS NOTES DISTRICT FRONT YARD SIDE YARD SIDE 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 q Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dote Dote 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 FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued �`(�� .I �� � 19 _ Building Fire Grading Permit Fee $ v � Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ c TITLE CITY OF NORTHAMPTON g. .� MASSACHUSETTS e OFFICE of the INSPECTOR of BUILDINGS Page Plot �`� � APPLICATION FOR INSPECTOR ZONING PERMIT AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O of ZONING 1• AT (LOCATION) ` r DISTRICTO r,-.6 LOCATION N ') REETr 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(1/ residential, enter number � 12 One family 18 � Amusement, recreational of new housing units added, if any, 13 l f I Two or more family — Enter 19 Church, other religious in Part D, 13) number of units— 3 Alteration (See 2 abo e) 20� Industrial ( 14 Transient hotel, motel, 21 C� Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (11 multi/amtly residential, of units ------- — --tt 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❑ Tonks, 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 $ 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 F� Masonry(wall bearing) 40 Public or private company 46. 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 ores, 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 C1 Electricity 44 ❑ es Y 45 ^�! No --: 53. Number of bedrooms.............. 38 Coal 39 n Other — Specify Will there be an elevators um Full.......... I , 54. Number of 46 [_� Yes 47 I No bathrooms Partial....... DERT..OF-BUILDING INSPECTIONS BUILDING Z° 4 212 Main Street Oa f Northam pton, MA 01060 PERMIT 17C - 151 VALIDATION DATE 1 P MIT 312 APPLICANT Thomas Boyle, Jr. ADDRESS bamo�ond T�. , ��iesterT 4U0979 (NO.) (STREET) (CONTR'S LICENSE)OF PERMIT TO Repair/Replacemen(t ) STORY Two Family DWELLRING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING URB AT (LOCATION) 102 High St. DIISTR 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 to repair existing porch AREA OR 6960..00 PERMIT 24..00 VOLUME ESTIMATED COST $ � (CUBIC/SO DARE FEET) OWNER Lois Delisle BUIL09NG DEPT. ADDRESS 102 Hiah St By WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK ASSESSORS COPY Powp