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17C-174 (5) VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE Tel FRONT YARD SIDE YARD )"�� SIDE YARD REAR YARD * NOTES IX. SITE OR PLOT PLAN — For Applicant Use ta€- a '. J. fT I`P €'.�. r�.- 4-p # �. t{4- + ' � }:��.zd' ,..c�� � r' f 1 P F j 2'{ N -1 - t.. .; .}..3 E.,.€ .1 4 a � � P € t x .L ro @ r € y r T— ; } 1 1-21 ±YY ?'°d„ y € r C I 1.11-y- +a at } x a t a ?¢ m i ,¢p i 4-.k!-11, #+5� i$°f i '.�.p. 1$ '--7r T 1:0, #- t`d'- 3[ f-7 b w- 4 t r s tr € # r t 4 § e re f w,s #.S .d e.ax ;„` -I-} 'F g '� r ..g�."�,.� ... t:. v € € .; .' 4�.. & s .�� :app-,€€ r�,--�,` ,�'33 r% €-�+€ . ,41 4 f s. 8 g 4 d 4 '(g-t- J4, p. ��-fig a- 2' r .y"&. €" r ( - �' Lj I ¢ �'E t t P rt r;e€ ba.a rt' r 7 44-q�-'.. , ..:: ..a4 s-t- a x -ti rt�y ,j t' tI { fix . s r" -s � s } 14- +T a ,-#-� .� �,. § &�«� � ,�;., �.�y } •.1 a .�:�-+m L.. 4 �1 -t '�,y-e-.., pw d *-•. f q�� s�- .,.-;r rr rP�u-# -a.rr �t z `. '#-* .a...5 ��� � t d+ } d -i r€-t IT 4 t 13 +- � gfa. '��r�� sea's-�, € .4-�`.r #a} e�4... -y- F I, t o •fi { 7-p. 4+� tr� a'm _y #r 9 s't-�r § p 3' -; S_-t d$.,., ti-•-.k 9 - Y 5_"y� 7 � �-'a+* WTI I a.. d�i $t �,-�a � t a . t ! iser L � r � } } a . }t �. r $ a� tr _#y t, e�, ,�p"'j p;. t ... 3 S(. '' , 41 L IL BOCA FORM APEBP — 669 01969 BUILDING OFFICIALS & CODE ADMINISTRATORS INTERNATIONAL, INC. IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 'ii• / J��.y�try a a r ,� EX Owner or Lessee Builder's 2, p A%� ,r, 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 Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date 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 Date Number B Permit or Approval Check Date Number B PP Obtained Y pP Obtained Y 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 _U FOR DEPARTMENT USE ONLY Permit number Building r Use Group Permit issued �1��� 19� Building Fire Grading Permit Fee $ ��,t Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile Plan Review Fee TITLE -- NOTES and Data — (For department use) � l CITY OF NORTHAMPTON OFFICE OF THE INSPECTOR OF BUILDINGS 212 MAIN STREET APPLICATION FOR NORTHAMPTON, MA. 01060 PLAN EXAMINATION AND L - / 71 BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O "— 6./ ZONING I AT (LOCATION) • " DISTRIC� 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m M 1 ❑ New building 9 Residential Nonresidential 2 ❑ Addition(If residential, enter number 12N 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 Alteration (See 2 above) 3 number of units- - - - -)- 20 ❑ Industrial ,� 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number ❑ o units ------- - -� 22 ❑ Service station, repair garage 5 Wrecking (1J multifamily residential, f enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 F-1 Moving (relocation) 7 F-1 Foundation only 170 Other - Specify 25 ❑ Public utility t 26 ❑ School, library, other educational B. OWNERSHIP - tG!%' ITi:l�ltlrtt. 4L4N�C'C_ 27 ❑ Stores, mercantile 8:6< 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 �6 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 $ &0 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 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 X 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 A Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44❑ Yes 45J<—] No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... 54. Number of 46 ❑ Yes 471< No bathrooms Partial....... I hereby certify that the proposed work is authorized by tie owner of record and I have been authorized by the owner to make this app!;ption as his authorized agent. SIGNATURE OF -AGENT _ ADDRESS (NUMBER) (STREET) _ (CITY) APPROVED BY TITLE DATE 19 - DEPAR'i'ENT OF BUILDING INSPECTIONS z DEPT. FILE COPY 212 MAIN S NORTONN, MBA. 01060 BUILDING �a PERMITVALIDATION 17C - 174 DATE agntember 18, 19 79 PERMIT NO. 454 APPLICANT, CaLrl A„clran ADDRESS 22 Pstirflold Ave. (NO.) (STREET) (CONTR'S LICENSE) OF PERMIT TO Wood stove ( 2 ) STORY Wood-burning furnace DWELLLRING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) - ZONING AT (LOCATION) 22 Fairfield Avenue DISTRICT UB (NO.) (STREET) a BETWEEN AND 'D (CROSS STREET) (CROSS STREET) a LOT d SUBDIVISION LOT BLOCK SIZE m 4 U O BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) 0: 0 REMARKS: HOMWynQd gtoVe �rnace) forced hat air ducted, existl= chi=ey to be used in lieu of existing oil furnace. AREA OR VOLUME ESTIMATED COST $ 600.00 FEEMIT $ 10.00 (CUBIC/SQUARE FEET) OWNER ( art & Ibrothv Arr9rcos ADDRESS _ 22 Fairfield Ave.. N'ton. Bvl 1N T (Affidavit on reverse side of application to be completed by authorized agent of owner)