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NOTES and Data — (For department use)
z
IV, IDENTIFICATION — To be completed by all applicants F
Name Mailing address — Number, street, city, and .State ZIP code Tel. No.
1. d^
Owner or
Lessee
Builder's /y
2. 592 C,11Af- A— License No. / �l
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 d applicant 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 $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By erm or Pit Approval Chec Date Number B
Obtained 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
II. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number .��
Bui(ding. 0 L Use Group
Permit issued ` 19
Building Fire Grading
Permit Fee $ Uv
Live Loading
i
Certificate of Occupancy $ Occupancy Load
ro a by:
Drain Tile $
Plan Review Fee $
TITLE
CITY OF NORTHAMPTON
$. t MASSACHUSETTS
$ e OFFICE of the INSPECTOR of BUILDINGS S �a
Page ` Plot APPLICATION FOR
ZONING PERMIT AND
INSPECTOR BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: I, 11, 111, IV, and IX. 0
ZONING
I• AT (LOCATION)
.� DISTRICT !7�
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
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If 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
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 (II multi family residential, of units ------- — -i 22❑ Service station, repair garage
enter number of units in building in 15 Garage -;L 23❑ Hospital, institutional
Part D, 13) 24❑ Office, bank, professional
6 ❑ Moving (relocation) 16 ❑ Carport
17❑ Other — Specify 25❑ Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 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................ S school, secondary school, college, parochial school, parking garage for,
department stare, 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 E
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 48• Number of stories...............
31 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, OX�I�
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
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
r
37 L__J Electricity 44 ❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39 ❑ Other — Specify Will there be an elevator? m Full..........
54. Number of
46 n Yes 47 [j No bathrooms
—� Partial.......
Department of Building Inspections
212 Main Street
Northampton, Mast. •A!0160 BUILDING o9
R ,
PERMIT
a a
17C - 208
VALIDATION
DATE September, 28. 19_ 84 PERMIT NO. 456
APPLICANT Associated Wreckers ADDRESS 352 Albany St.
(NO.) (STREET) iCONTR'S LICENSE)
Demolition NUMBER OF
PERMIT TO _(`I STORY Garage DWELLING UNIT'S
(TYPE OF IMPROVEMENT) NO. ( OPOSED USE)
AT (LOCATION) 13 Keyes Street DONIN CT GB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION /� LOT BLOCK SIZE
BUILDING.�' X 7n FT. WIDE BY 2D FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP_ BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: _ permit for the demolition of existing garage
AREA OR VOLUME 4W SC]. ft. ESTIMATED COST SOO.O0 FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER Florence Savings Bank
ADDRESS - Ma7n St. , Florence, Mass. 01060 BUIL I 0,p7rA
BY
WHITE - FILE COPY GREEN •- FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY