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I,Nf, i 1t a • rl� ¢ . aa• 1: :aag::a $a.:� f4N:a 11:1111 i■ria/t 11N■RirN:.aMI f g ■ • r NN n.gorlsnl ::• �: a ::: nall a n asap:::a::":a: ■ • rt t, it f��1 r'M�a!� 1� �� ■Hptq•, ■1441 ' : • iiCSi i�' � `C ::s::iiC �ti = e r t S:a::C:r : : at a :: !inn 111111.1101.1 ; rtuCsj i: s a NOTES and Data — (For deportment use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, stmt, city, and State ZIP code Tel. No. 1. d/✓L: / Owner or Lessee Builder's L. a/ MS License No. Contractor y� a a M� 0 0,A 'gel 3. J)Ayt0 --s 2 Architect or Engineer T Q --;2 L/ j? 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. Sign ur of applica Address _ Application date �Y�Est f r rn S A � b bS D0 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 Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Obtained Number By Permit or Approval Check Date 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 =% 19 Building ( Fire Grading "�)r Permit Fee $ C Live Loading Certificate of Occupancy Occupancy Load App e Drain Tile Plan Review Fee TITLE CITY OF NORTHAMPTON MASSACHUSETTS r OFFICE of the INSPECTOR of BUIL INGS Page 17 C" 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 I• AT (LOCATION) (.J�/L°sf�l.(..J t /'1dC� �(1�('f�('c°_ DISTRIW LOCATION L N0.) �l y (STREET) ^yy�� OF BETWEEN 1 alt/0 �tiC'�t°L°f 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 Residential Nonresidential 2 El Addition(I residential, enter number J 12 F-1 One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 \ Two or more family - Enter 19 �❑ Church, other religious Part D, 13) number of units- - - - --> 20 ❑ Industrial 3 Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (If multifamily residential, of units ------- - --)0- _ 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 L� Foundation only 17 ❑ Other - Specify 25 ❑ Public utility 26 ❑ School, library, other educational B. OW 27 L❑ 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 is (� Q 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 W. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 ❑ asonry (wall bearing) 40 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. TYXublic WATER SUPPLY 50. Total land area, sq. ft. .......... 34 ❑ Other - Specify 42 or private company 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 �] Yes 45 % No 53. Number of bedrooms.............. 38 ❑J Coal 39 Other - Spc•c-ify Will there be an elevator 54. Number of Full.......... 46 ❑ Yes 47 [/No bathrooms Partial...... irtiment of Building Inspec Ions, ?fain .S treat thumpton, Mass. 01060 BUILDING o° loiob PERMIT 4a 0 17C " 164 VALIDATION DATE June 15, 19 83 PERMIT NO. 282 (CANT_ Georac D'Astous ADDRESS 242 West Farms Road 010602 _ (NO.) (STREET) (CONTR'S LICENSE) AIT TO enclose notch (�) STORY_ 3 fa,; NUMBER OF y DWELLING UNITS _ (TYPE OF IM ROVEMENT) N0. (PROPOSED USE) 81 Chestnut Street Florence ZONING (LOCATION) 0 DISTRICT UF;g (NO.) (STREET) 7WEEN I-lain Street AND High Street (CROSS STREET) (CROSS STREET) LOT )DIVISION LOT BLOCK SIZE 1LDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) :MARKS: permit to enclose porch (existing) REA OR PERMIT ()q OLUME ESTIMATED COST $ 1,200.07 �� FEE ' (CUBIC/SQUARE FEET) )WNER Clive Andrus G� NDDRESS 81 Chestnut Street BYILD WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - AS ESSORS COPY